How much rates vary
Facilitymedian $204 · 10th to 90th $42 to $813Professionalmedian $105 · 10th to 90th $19 to $324
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 $131.83 Median $630.96 Typical High $1,288.25 | Facility | None | $131.83 | $630.96 | $1,288.25 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $83.18 Median $147.91 Typical High $812.83 | Facility | TC · Technical part | $83.18 | $147.91 | $812.83 |
Aetna Setting Professional Modifier None (both parts) Typical Low $104.71 Median $131.83 Typical High $323.59 | Professional | None (both parts) | $104.71 | $131.83 | $323.59 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $46.77 Typical High $64.57 | Professional | 26 · Professional part | $38.02 | $46.77 | $64.57 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $67.61 Median $83.18 Typical High $162.18 | Professional | TC · Technical part | $67.61 | $83.18 | $162.18 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $107.15 Median $107.15 Typical High $107.15 | Professional | None (both parts) | $107.15 | $107.15 | $107.15 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $37.15 Typical High $85.11 | Professional | 26 · Professional part | $37.15 | $37.15 | $85.11 |
BCBS Texas Setting Facility Modifier None Typical Low $109.65 Median $251.19 Typical High $602.56 | Facility | None | $109.65 | $251.19 | $602.56 |
BCBS Texas Setting Professional Modifier None (both parts) Typical Low $34.67 Median $102.33 Typical High $162.18 | Professional | None (both parts) | $34.67 | $102.33 | $162.18 |
Christus Setting Facility Modifier None Typical Low $41.69 Median $41.69 Typical High $41.69 | Facility | None | $41.69 | $41.69 | $41.69 |
Christus Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $23.44 Typical High $42.66 | Professional | 26 · Professional part | $23.44 | $23.44 | $42.66 |
Cigna Setting Facility Modifier None Typical Low $162.18 Median $275.42 Typical High $870.96 | Facility | None | $162.18 | $275.42 | $870.96 |
Cigna Setting Professional Modifier None (both parts) Typical Low $75.86 Median $125.89 Typical High $275.42 | Professional | None (both parts) | $75.86 | $125.89 | $275.42 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $41.69 Typical High $81.28 | Professional | 26 · Professional part | $25.70 | $41.69 | $81.28 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $50.12 Median $85.11 Typical High $177.83 | Professional | TC · Technical part | $50.12 | $85.11 | $177.83 |
Health Smart Setting Facility Modifier None Typical Low $338.84 Median $338.84 Typical High $346.74 | Facility | None | $338.84 | $338.84 | $346.74 |
Health Smart Setting Professional Modifier None (both parts) Typical Low $281.84 Median $338.84 Typical High $389.05 | Professional | None (both parts) | $281.84 | $338.84 | $389.05 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $1,096.48 Median $1,096.48 Typical High $1,148.15 | Professional | None (both parts) | $1,096.48 | $1,096.48 | $1,148.15 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $288.40 Median $288.40 Typical High $371.54 | Professional | 26 · Professional part | $288.40 | $288.40 | $371.54 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $794.33 Median $812.83 Typical High $812.83 | Professional | TC · Technical part | $794.33 | $812.83 | $812.83 |
Moda Health Setting Facility Modifier None Typical Low $120.23 Median $602.56 Typical High $1,202.26 | Facility | None | $120.23 | $602.56 | $1,202.26 |
Moda Health Setting Facility Modifier TC · Technical part Typical Low $83.18 Median $134.90 Typical High $316.23 | Facility | TC · Technical part | $83.18 | $134.90 | $316.23 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $104.71 Median $131.83 Typical High $323.59 | Professional | None (both parts) | $104.71 | $131.83 | $323.59 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $46.77 Typical High $70.79 | Professional | 26 · Professional part | $38.02 | $46.77 | $70.79 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $67.61 Median $83.18 Typical High $158.49 | Professional | TC · Technical part | $67.61 | $83.18 | $158.49 |
Molina Setting Professional Modifier None (both parts) Typical Low $15.49 Median $87.10 Typical High $134.90 | Professional | None (both parts) | $15.49 | $87.10 | $134.90 |
Providence Setting Facility Modifier None Typical Low $112.20 Median $199.53 Typical High $363.08 | Facility | None | $112.20 | $199.53 | $363.08 |
Providence Setting Professional Modifier None (both parts) Typical Low $75.86 Median $125.89 Typical High $269.15 | Professional | None (both parts) | $75.86 | $125.89 | $269.15 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $41.69 Typical High $72.44 | Professional | 26 · Professional part | $25.70 | $41.69 | $72.44 |
Providence Setting Professional Modifier TC · Technical part Typical Low $50.12 Median $85.11 Typical High $162.18 | Professional | TC · Technical part | $50.12 | $85.11 | $162.18 |
United Setting Facility Modifier None Typical Low $131.83 Median $138.04 Typical High $181.97 | Facility | None | $131.83 | $138.04 | $181.97 |
United Setting Professional Modifier None (both parts) Typical Low $114.82 Median $147.91 Typical High $275.42 | Professional | None (both parts) | $114.82 | $147.91 | $275.42 |
United Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $48.98 Typical High $83.18 | Professional | 26 · Professional part | $38.02 | $48.98 | $83.18 |
United Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $97.72 Typical High $194.98 | Professional | TC · Technical part | $74.13 | $97.72 | $194.98 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $131.83 Median $131.83 Typical High $131.83 | Professional | None (both parts) | $131.83 | $131.83 | $131.83 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $44.67 Typical High $44.67 | Professional | 26 · Professional part | $44.67 | $44.67 | $44.67 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $87.10 Median $87.10 Typical High $87.10 | Professional | TC · Technical part | $87.10 | $87.10 | $87.10 |
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 $45.71 Median $72.44 Typical High $407.38 | Facility | 52 · Reduced service | $45.71 | $72.44 | $407.38 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $18.20 Median $29.51 Typical High $162.18 | Facility | 53 · Discontinued | $18.20 | $29.51 | $162.18 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $67.61 Median $109.65 Typical High $398.11 | Facility | FX · Film X-ray | $67.61 | $109.65 | $398.11 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $52.48 Median $64.57 Typical High $83.18 | Professional | 52 · Reduced service | $52.48 | $64.57 | $83.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $20.89 Median $26.30 Typical High $33.88 | Professional | 53 · Discontinued | $20.89 | $26.30 | $33.88 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $85.11 Median $104.71 Typical High $131.83 | Professional | FX · Film X-ray | $85.11 | $104.71 | $131.83 |
Moda Health Setting Facility Modifier 52 · Reduced service Typical Low $42.66 Median $67.61 Typical High $158.49 | Facility | 52 · Reduced service | $42.66 | $67.61 | $158.49 |
Moda Health Setting Facility Modifier 53 · Discontinued Typical Low $16.98 Median $26.92 Typical High $63.10 | Facility | 53 · Discontinued | $16.98 | $26.92 | $63.10 |
Moda Health Setting Facility Modifier FX · Film X-ray Typical Low $67.61 Median $109.65 Typical High $416.87 | Facility | FX · Film X-ray | $67.61 | $109.65 | $416.87 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $52.48 Median $64.57 Typical High $83.18 | Professional | 52 · Reduced service | $52.48 | $64.57 | $83.18 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $20.89 Median $25.70 Typical High $33.11 | Professional | 53 · Discontinued | $20.89 | $25.70 | $33.11 |
Where Texas sits
The same service costs 4.3 times more in Alaska than in Utah. 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· 50th of 51
$105
AK $447UT $105
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.