How much rates vary
Facilitymedian $229 · 10th to 90th $85 to $427Professionalmedian $62 · 10th to 90th $38 to $1,778
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 $38.02 Median $48.98 Typical High $48.98 | Facility | None | $38.02 | $48.98 | $48.98 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $66.07 Median $112.20 Typical High $660.69 | Facility | TC · Technical part | $66.07 | $112.20 | $660.69 |
Aetna Setting Professional Modifier None (both parts) Typical Low $38.02 Median $44.67 Typical High $64.57 | Professional | None (both parts) | $38.02 | $44.67 | $64.57 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $13.18 Median $16.22 Typical High $22.39 | Professional | 26 · Professional part | $13.18 | $16.22 | $22.39 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $52.48 Median $64.57 Typical High $83.18 | Professional | TC · Technical part | $52.48 | $64.57 | $83.18 |
BCBS Texas Setting Facility Modifier None Typical Low $85.11 Median $234.42 Typical High $436.52 | Facility | None | $85.11 | $234.42 | $436.52 |
BCBS Texas Setting Professional Modifier None (both parts) Typical Low $61.66 Median $61.66 Typical High $61.66 | Professional | None (both parts) | $61.66 | $61.66 | $61.66 |
Cigna Setting Facility Modifier None Typical Low $89.13 Median $251.19 Typical High $407.38 | Facility | None | $89.13 | $251.19 | $407.38 |
Cigna Setting Professional Modifier None (both parts) Typical Low $57.54 Median $60.26 Typical High $104.71 | Professional | None (both parts) | $57.54 | $60.26 | $104.71 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $19.95 Median $20.89 Typical High $37.15 | Professional | 26 · Professional part | $19.95 | $20.89 | $37.15 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $37.15 Median $38.90 Typical High $67.61 | Professional | TC · Technical part | $37.15 | $38.90 | $67.61 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $1,071.52 Median $1,778.28 Typical High $1,778.28 | Professional | None (both parts) | $1,071.52 | $1,778.28 | $1,778.28 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $371.54 Median $602.56 Typical High $602.56 | Professional | 26 · Professional part | $371.54 | $602.56 | $602.56 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $602.56 Median $776.25 Typical High $776.25 | Professional | TC · Technical part | $602.56 | $776.25 | $776.25 |
Moda Health Setting Facility Modifier None Typical Low $48.98 Median $93.33 Typical High $239.88 | Facility | None | $48.98 | $93.33 | $239.88 |
Moda Health Setting Facility Modifier TC · Technical part Typical Low $67.61 Median $104.71 Typical High $323.59 | Facility | TC · Technical part | $67.61 | $104.71 | $323.59 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $38.02 Median $44.67 Typical High $58.88 | Professional | None (both parts) | $38.02 | $44.67 | $58.88 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $13.18 Median $15.85 Typical High $21.38 | Professional | 26 · Professional part | $13.18 | $15.85 | $21.38 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $52.48 Median $61.66 Typical High $77.62 | Professional | TC · Technical part | $52.48 | $61.66 | $77.62 |
Molina Setting Professional Modifier None (both parts) Typical Low $30.20 Median $30.20 Typical High $30.20 | Professional | None (both parts) | $30.20 | $30.20 | $30.20 |
Providence Setting Facility Modifier None Typical Low $81.28 Median $234.42 Typical High $407.38 | Facility | None | $81.28 | $234.42 | $407.38 |
Providence Setting Professional Modifier None (both parts) Typical Low $57.54 Median $60.26 Typical High $97.72 | Professional | None (both parts) | $57.54 | $60.26 | $97.72 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $19.95 Median $20.89 Typical High $33.88 | Professional | 26 · Professional part | $19.95 | $20.89 | $33.88 |
Providence Setting Professional Modifier TC · Technical part Typical Low $37.15 Median $38.90 Typical High $63.10 | Professional | TC · Technical part | $37.15 | $38.90 | $63.10 |
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 $2,041.74 Median $2,041.74 Typical High $2,041.74 | Professional | None (both parts) | $2,041.74 | $2,041.74 | $2,041.74 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $87.10 Typical High $120.23 | Professional | TC · Technical part | $85.11 | $87.10 | $120.23 |
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 $24.55 Median $56.23 Typical High $331.13 | Facility | 52 · Reduced service | $24.55 | $56.23 | $331.13 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $9.77 Median $22.91 Typical High $131.83 | Facility | 53 · Discontinued | $9.77 | $22.91 | $131.83 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $38.90 Median $83.18 Typical High $309.03 | Facility | FX · Film X-ray | $38.90 | $83.18 | $309.03 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $19.05 Median $23.99 Typical High $39.81 | Professional | 52 · Reduced service | $19.05 | $23.99 | $39.81 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.59 Median $9.55 Typical High $15.85 | Professional | 53 · Discontinued | $7.59 | $9.55 | $15.85 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $30.90 Median $38.90 Typical High $51.29 | Professional | FX · Film X-ray | $30.90 | $38.90 | $51.29 |
Moda Health Setting Facility Modifier 52 · Reduced service Typical Low $33.11 Median $52.48 Typical High $162.18 | Facility | 52 · Reduced service | $33.11 | $52.48 | $162.18 |
Moda Health Setting Facility Modifier 53 · Discontinued Typical Low $13.18 Median $20.89 Typical High $64.57 | Facility | 53 · Discontinued | $13.18 | $20.89 | $64.57 |
Moda Health Setting Facility Modifier FX · Film X-ray Typical Low $53.70 Median $83.18 Typical High $323.59 | Facility | FX · Film X-ray | $53.70 | $83.18 | $323.59 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $19.05 Median $23.99 Typical High $32.36 | Professional | 52 · Reduced service | $19.05 | $23.99 | $32.36 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $7.59 Median $9.55 Typical High $12.88 | Professional | 53 · Discontinued | $7.59 | $9.55 | $12.88 |
Where Texas sits
The same service costs 7.2 times more in Wisconsin than in Connecticut. 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· 33rd of 51
$81.28
WI $269CT $37.15
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.