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 $22.39 Median $602.56 Typical High $1,288.25 | Facility | None | $22.39 | $602.56 | $1,288.25 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $13.80 Median $23.99 Typical High $138.04 | Facility | TC · Technical part | $13.80 | $23.99 | $138.04 |
Aetna Setting Professional Modifier None (both parts) Typical Low $19.05 Median $23.99 Typical High $257.04 | Professional | None (both parts) | $19.05 | $23.99 | $257.04 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $7.76 Median $9.55 Typical High $14.79 | Professional | 26 · Professional part | $7.76 | $9.55 | $14.79 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $11.22 Median $13.80 Typical High $66.07 | Professional | TC · Technical part | $11.22 | $13.80 | $66.07 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $20.42 Median $20.42 Typical High $33.11 | Professional | None (both parts) | $20.42 | $20.42 | $33.11 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $7.41 Median $9.12 Typical High $21.88 | Professional | 26 · Professional part | $7.41 | $9.12 | $21.88 |
BCBS Texas Setting Facility Modifier None Typical Low $14.79 Median $40.74 Typical High $120.23 | Facility | None | $14.79 | $40.74 | $120.23 |
BCBS Texas Setting Professional Modifier None (both parts) Typical Low $7.24 Median $19.95 Typical High $28.18 | Professional | None (both parts) | $7.24 | $19.95 | $28.18 |
Baylor Scott & White Setting Professional Modifier None (both parts) Typical Low $24.55 Median $25.12 Typical High $38.90 | Professional | None (both parts) | $24.55 | $25.12 | $38.90 |
Christus Setting Facility Modifier None Typical Low $9.33 Median $9.33 Typical High $9.33 | Facility | None | $9.33 | $9.33 | $9.33 |
Christus Setting Professional Modifier 26 · Professional part Typical Low $9.33 Median $9.77 Typical High $9.77 | Professional | 26 · Professional part | $9.33 | $9.77 | $9.77 |
Cigna Setting Facility Modifier None Typical Low $114.82 Median $309.03 Typical High $398.11 | Facility | None | $114.82 | $309.03 | $398.11 |
Cigna Setting Professional Modifier None (both parts) Typical Low $14.79 Median $21.88 Typical High $83.18 | Professional | None (both parts) | $14.79 | $21.88 | $83.18 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $5.37 Median $8.32 Typical High $16.60 | Professional | 26 · Professional part | $5.37 | $8.32 | $16.60 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $9.33 Median $13.49 Typical High $67.61 | Professional | TC · Technical part | $9.33 | $13.49 | $67.61 |
Health Smart Setting Facility Modifier None Typical Low $33.11 Median $33.11 Typical High $33.88 | Facility | None | $33.11 | $33.11 | $33.88 |
Health Smart Setting Professional Modifier None (both parts) Typical Low $33.11 Median $33.11 Typical High $35.48 | Professional | None (both parts) | $33.11 | $33.11 | $35.48 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $562.34 Median $812.83 Typical High $812.83 | Professional | None (both parts) | $562.34 | $812.83 | $812.83 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $131.83 Median $131.83 Typical High $131.83 | Professional | 26 · Professional part | $131.83 | $131.83 | $131.83 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $524.81 Median $741.31 Typical High $741.31 | Professional | TC · Technical part | $524.81 | $741.31 | $741.31 |
Moda Health Setting Facility Modifier None Typical Low $28.18 Median $575.44 Typical High $1,258.93 | Facility | None | $28.18 | $575.44 | $1,258.93 |
Moda Health Setting Facility Modifier TC · Technical part Typical Low $13.80 Median $22.39 Typical High $69.18 | Facility | TC · Technical part | $13.80 | $22.39 | $69.18 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $19.05 Median $23.99 Typical High $275.42 | Professional | None (both parts) | $19.05 | $23.99 | $275.42 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $7.76 Median $9.55 Typical High $16.60 | Professional | 26 · Professional part | $7.76 | $9.55 | $16.60 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $11.22 Median $13.80 Typical High $58.88 | Professional | TC · Technical part | $11.22 | $13.80 | $58.88 |
Molina Setting Professional Modifier None (both parts) Typical Low $4.90 Median $28.18 Typical High $36.31 | Professional | None (both parts) | $4.90 | $28.18 | $36.31 |
Oscar Health Setting Facility Modifier None Typical Low $645.65 Median $1,698.24 Typical High $1,698.24 | Facility | None | $645.65 | $1,698.24 | $1,698.24 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $10.47 Median $28.84 Typical High $63.10 | Professional | None (both parts) | $10.47 | $28.84 | $63.10 |
Providence Setting Facility Modifier None Typical Low $24.55 Median $43.65 Typical High $309.03 | Facility | None | $24.55 | $43.65 | $309.03 |
Providence Setting Professional Modifier None (both parts) Typical Low $14.79 Median $21.38 Typical High $69.18 | Professional | None (both parts) | $14.79 | $21.38 | $69.18 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $5.37 Median $8.32 Typical High $15.14 | Professional | 26 · Professional part | $5.37 | $8.32 | $15.14 |
Providence Setting Professional Modifier TC · Technical part Typical Low $9.33 Median $13.18 Typical High $58.88 | Professional | TC · Technical part | $9.33 | $13.18 | $58.88 |
United Setting Professional Modifier None (both parts) Typical Low $18.62 Median $25.12 Typical High $89.13 | Professional | None (both parts) | $18.62 | $25.12 | $89.13 |
United Setting Professional Modifier 26 · Professional part Typical Low $7.59 Median $10.00 Typical High $17.78 | Professional | 26 · Professional part | $7.59 | $10.00 | $17.78 |
United Setting Professional Modifier TC · Technical part Typical Low $10.72 Median $14.79 Typical High $79.43 | Professional | TC · Technical part | $10.72 | $14.79 | $79.43 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $25.12 Median $25.12 Typical High $25.12 | Professional | None (both parts) | $25.12 | $25.12 | $25.12 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $9.33 Median $9.33 Typical High $9.33 | Professional | 26 · Professional part | $9.33 | $9.33 | $9.33 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $15.85 Median $15.85 Typical High $15.85 | Professional | TC · Technical part | $15.85 | $15.85 | $15.85 |
4 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 FX · Film X-ray Typical Low $11.22 Median $19.05 Typical High $69.18 | Facility | FX · Film X-ray | $11.22 | $19.05 | $69.18 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $15.14 Median $19.05 Typical High $24.55 | Professional | FX · Film X-ray | $15.14 | $19.05 | $24.55 |
Ambetter Setting Professional Modifier XU · Unusual separate service Typical Low $20.42 Median $20.42 Typical High $25.70 | Professional | XU · Unusual separate service | $20.42 | $20.42 | $25.70 |
Moda Health Setting Facility Modifier FX · Film X-ray Typical Low $11.22 Median $17.78 Typical High $69.18 | Facility | FX · Film X-ray | $11.22 | $17.78 | $69.18 |
Where Texas sits
The same service costs 4.8 times more in Kansas than in New York. 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· 48th of 51
$25.12
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.