How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier None Typical Low $38.90 Median $51.29 Typical High $83.18 | Facility | None | $38.90 | $51.29 | $83.18 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $29.51 Median $50.12 Typical High $295.12 | Facility | TC · Technical part | $29.51 | $50.12 | $295.12 |
Aetna Setting Professional Modifier None (both parts) Typical Low $38.90 Median $50.12 Typical High $70.79 | Professional | None (both parts) | $38.90 | $50.12 | $70.79 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $15.85 Median $20.89 Typical High $29.51 | Professional | 26 · Professional part | $15.85 | $20.89 | $29.51 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $23.44 Median $29.51 Typical High $42.66 | Professional | TC · Technical part | $23.44 | $29.51 | $42.66 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $38.90 Typical High $45.71 | Professional | 26 · Professional part | $22.91 | $38.90 | $45.71 |
BCBS Texas Setting Facility Modifier None Typical Low $436.52 Median $1,148.15 Typical High $2,137.96 | Facility | None | $436.52 | $1,148.15 | $2,137.96 |
BCBS Texas Setting Professional Modifier None (both parts) Typical Low $19.05 Median $46.77 Typical High $66.07 | Professional | None (both parts) | $19.05 | $46.77 | $66.07 |
Christus Setting Facility Modifier None Typical Low $562.34 Median $562.34 Typical High $562.34 | Facility | None | $562.34 | $562.34 | $562.34 |
Christus Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $26.30 Typical High $26.30 | Professional | 26 · Professional part | $23.99 | $26.30 | $26.30 |
Cigna Setting Facility Modifier None Typical Low $70.79 Median $186.21 Typical High $2,187.76 | Facility | None | $70.79 | $186.21 | $2,187.76 |
Cigna Setting Professional Modifier None (both parts) Typical Low $34.67 Median $51.29 Typical High $102.33 | Professional | None (both parts) | $34.67 | $51.29 | $102.33 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $14.45 Median $21.38 Typical High $44.67 | Professional | 26 · Professional part | $14.45 | $21.38 | $44.67 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $19.95 Median $30.20 Typical High $57.54 | Professional | TC · Technical part | $19.95 | $30.20 | $57.54 |
Health Smart Setting Professional Modifier None (both parts) Typical Low $60.26 Median $60.26 Typical High $60.26 | Professional | None (both parts) | $60.26 | $60.26 | $60.26 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $389.05 Median $389.05 Typical High $501.19 | Professional | None (both parts) | $389.05 | $389.05 | $501.19 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $158.49 Median $158.49 Typical High $199.53 | Professional | 26 · Professional part | $158.49 | $158.49 | $199.53 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $239.88 Median $239.88 Typical High $302.00 | Professional | TC · Technical part | $239.88 | $239.88 | $302.00 |
Moda Health Setting Facility Modifier None Typical Low $56.23 Median $338.84 Typical High $380.19 | Facility | None | $56.23 | $338.84 | $380.19 |
Moda Health Setting Facility Modifier TC · Technical part Typical Low $30.20 Median $46.77 Typical High $89.13 | Facility | TC · Technical part | $30.20 | $46.77 | $89.13 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $38.90 Median $50.12 Typical High $75.86 | Professional | None (both parts) | $38.90 | $50.12 | $75.86 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $15.85 Median $20.89 Typical High $32.36 | Professional | 26 · Professional part | $15.85 | $20.89 | $32.36 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $23.44 Median $29.51 Typical High $44.67 | Professional | TC · Technical part | $23.44 | $29.51 | $44.67 |
Molina Setting Professional Modifier None (both parts) Typical Low $5.37 Median $31.62 Typical High $67.61 | Professional | None (both parts) | $5.37 | $31.62 | $67.61 |
Providence Setting Facility Modifier None Typical Low $48.98 Median $144.54 Typical High $2,187.76 | Facility | None | $48.98 | $144.54 | $2,187.76 |
Providence Setting Professional Modifier None (both parts) Typical Low $34.67 Median $51.29 Typical High $102.33 | Professional | None (both parts) | $34.67 | $51.29 | $102.33 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $14.45 Median $21.38 Typical High $39.81 | Professional | 26 · Professional part | $14.45 | $21.38 | $39.81 |
Providence Setting Professional Modifier TC · Technical part Typical Low $19.95 Median $30.20 Typical High $51.29 | Professional | TC · Technical part | $19.95 | $30.20 | $51.29 |
United Setting Facility Modifier None Typical Low $831.76 Median $870.96 Typical High $1,148.15 | Facility | None | $831.76 | $870.96 | $1,148.15 |
United Setting Professional Modifier None (both parts) Typical Low $46.77 Median $58.88 Typical High $89.13 | Professional | None (both parts) | $46.77 | $58.88 | $89.13 |
United Setting Professional Modifier 26 · Professional part Typical Low $19.95 Median $25.12 Typical High $40.74 | Professional | 26 · Professional part | $19.95 | $25.12 | $40.74 |
United Setting Professional Modifier TC · Technical part Typical Low $25.12 Median $33.88 Typical High $48.98 | Professional | TC · Technical part | $25.12 | $33.88 | $48.98 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $58.88 Median $58.88 Typical High $58.88 | Professional | None (both parts) | $58.88 | $58.88 | $58.88 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $23.99 Typical High $23.99 | Professional | 26 · Professional part | $23.99 | $23.99 | $23.99 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $34.67 Median $34.67 Typical High $34.67 | Professional | TC · Technical part | $34.67 | $34.67 | $34.67 |
11 more rates with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier 52 · Reduced service Typical Low $16.98 Median $25.12 Typical High $147.91 | Facility | 52 · Reduced service | $16.98 | $25.12 | $147.91 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $6.92 Median $10.23 Typical High $58.88 | Facility | 53 · Discontinued | $6.92 | $10.23 | $58.88 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $26.30 Median $37.15 Typical High $138.04 | Facility | FX · Film X-ray | $26.30 | $37.15 | $138.04 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $19.50 Median $25.12 Typical High $30.90 | Professional | 52 · Reduced service | $19.50 | $25.12 | $30.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.94 Median $10.00 Typical High $12.30 | Professional | 53 · Discontinued | $7.94 | $10.00 | $12.30 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $31.62 Median $40.74 Typical High $47.86 | Professional | FX · Film X-ray | $31.62 | $40.74 | $47.86 |
Moda Health Setting Facility Modifier 52 · Reduced service Typical Low $16.60 Median $23.99 Typical High $72.44 | Facility | 52 · Reduced service | $16.60 | $23.99 | $72.44 |
Moda Health Setting Facility Modifier 53 · Discontinued Typical Low $6.61 Median $9.77 Typical High $28.84 | Facility | 53 · Discontinued | $6.61 | $9.77 | $28.84 |
Moda Health Setting Facility Modifier FX · Film X-ray Typical Low $23.99 Median $37.15 Typical High $144.54 | Facility | FX · Film X-ray | $23.99 | $37.15 | $144.54 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $19.50 Median $25.12 Typical High $30.90 | Professional | 52 · Reduced service | $19.50 | $25.12 | $30.90 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $7.94 Median $10.00 Typical High $12.30 | Professional | 53 · Discontinued | $7.94 | $10.00 | $12.30 |
Where Texas sits
The same service costs 3.8 times more in Alaska than in Texas. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
Texas· 51st of 51
$46.77
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.