How much rates vary
Facilitymedian $257 · 10th to 90th $132 to $550Professionalmedian $85 · 10th to 90th $13 to $741
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 $75.86 Median $97.72 Typical High $162.18 | Facility | None | $75.86 | $97.72 | $162.18 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $72.44 Median $117.49 Typical High $707.95 | Facility | TC · Technical part | $72.44 | $117.49 | $707.95 |
Aetna Setting Professional Modifier None (both parts) Typical Low $75.86 Median $95.50 Typical High $134.90 | Professional | None (both parts) | $75.86 | $95.50 | $134.90 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $19.50 Median $25.70 Typical High $38.02 | Professional | 26 · Professional part | $19.50 | $25.70 | $38.02 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $56.23 Median $70.79 Typical High $100.00 | Professional | TC · Technical part | $56.23 | $70.79 | $100.00 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $72.44 Median $72.44 Typical High $72.44 | Professional | None (both parts) | $72.44 | $72.44 | $72.44 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $24.55 Typical High $28.84 | Professional | 26 · Professional part | $22.91 | $24.55 | $28.84 |
BCBS Texas Setting Facility Modifier None Typical Low $144.54 Median $338.84 Typical High $562.34 | Facility | None | $144.54 | $338.84 | $562.34 |
BCBS Texas Setting Professional Modifier None (both parts) Typical Low $23.44 Median $85.11 Typical High $117.49 | Professional | None (both parts) | $23.44 | $85.11 | $117.49 |
Baylor Scott & White Setting Professional Modifier None (both parts) Typical Low $104.71 Median $107.15 Typical High $131.83 | Professional | None (both parts) | $104.71 | $107.15 | $131.83 |
Christus Setting Facility Modifier None Typical Low $165.96 Median $165.96 Typical High $165.96 | Facility | None | $165.96 | $165.96 | $165.96 |
Christus Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $27.54 Typical High $28.18 | Professional | 26 · Professional part | $27.54 | $27.54 | $28.18 |
Cigna Setting Facility Modifier None Typical Low $109.65 Median $323.59 Typical High $501.19 | Facility | None | $109.65 | $323.59 | $501.19 |
Cigna Setting Professional Modifier None (both parts) Typical Low $61.66 Median $97.72 Typical High $169.82 | Professional | None (both parts) | $61.66 | $97.72 | $169.82 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $17.38 Median $26.92 Typical High $48.98 | Professional | 26 · Professional part | $17.38 | $26.92 | $48.98 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $44.67 Median $70.79 Typical High $123.03 | Professional | TC · Technical part | $44.67 | $70.79 | $123.03 |
Health Smart Setting Professional Modifier None (both parts) Typical Low $91.20 Median $141.25 Typical High $141.25 | Professional | None (both parts) | $91.20 | $141.25 | $141.25 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $741.31 Median $741.31 Typical High $933.25 | Professional | None (both parts) | $741.31 | $741.31 | $933.25 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $1,548.82 Median $1,548.82 Typical High $1,548.82 | Professional | 26 · Professional part | $1,548.82 | $1,548.82 | $1,548.82 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $549.54 Median $549.54 Typical High $691.83 | Professional | TC · Technical part | $549.54 | $549.54 | $691.83 |
Moda Health Setting Facility Modifier None Typical Low $93.33 Median $407.38 Typical High $676.08 | Facility | None | $93.33 | $407.38 | $676.08 |
Moda Health Setting Facility Modifier TC · Technical part Typical Low $72.44 Median $120.23 Typical High $977.24 | Facility | TC · Technical part | $72.44 | $120.23 | $977.24 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $75.86 Median $95.50 Typical High $151.36 | Professional | None (both parts) | $75.86 | $95.50 | $151.36 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $19.50 Median $25.70 Typical High $53.70 | Professional | 26 · Professional part | $19.50 | $25.70 | $53.70 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $56.23 Median $70.79 Typical High $102.33 | Professional | TC · Technical part | $56.23 | $70.79 | $102.33 |
Molina Setting Professional Modifier None (both parts) Typical Low $10.00 Median $52.48 Typical High $131.83 | Professional | None (both parts) | $10.00 | $52.48 | $131.83 |
Providence Setting Facility Modifier None Typical Low $87.10 Median $295.12 Typical High $501.19 | Facility | None | $87.10 | $295.12 | $501.19 |
Providence Setting Professional Modifier None (both parts) Typical Low $61.66 Median $97.72 Typical High $169.82 | Professional | None (both parts) | $61.66 | $97.72 | $169.82 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $17.38 Median $26.30 Typical High $42.66 | Professional | 26 · Professional part | $17.38 | $26.30 | $42.66 |
Providence Setting Professional Modifier TC · Technical part Typical Low $44.67 Median $70.79 Typical High $109.65 | Professional | TC · Technical part | $44.67 | $70.79 | $109.65 |
United Setting Facility Modifier None Typical Low $158.49 Median $165.96 Typical High $218.78 | Facility | None | $158.49 | $165.96 | $218.78 |
United Setting Professional Modifier None (both parts) Typical Low $91.20 Median $120.23 Typical High $181.97 | Professional | None (both parts) | $91.20 | $120.23 | $181.97 |
United Setting Professional Modifier 26 · Professional part Typical Low $24.55 Median $33.11 Typical High $50.12 | Professional | 26 · Professional part | $24.55 | $33.11 | $50.12 |
United Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $87.10 Typical High $131.83 | Professional | TC · Technical part | $66.07 | $87.10 | $131.83 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $109.65 Median $109.65 Typical High $109.65 | Professional | None (both parts) | $109.65 | $109.65 | $109.65 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $29.51 Typical High $29.51 | Professional | 26 · Professional part | $29.51 | $29.51 | $29.51 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $79.43 Typical High $79.43 | Professional | TC · Technical part | $79.43 | $79.43 | $79.43 |
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 $38.02 Median $60.26 Typical High $354.81 | Facility | 52 · Reduced service | $38.02 | $60.26 | $354.81 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $15.14 Median $24.55 Typical High $141.25 | Facility | 53 · Discontinued | $15.14 | $24.55 | $141.25 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $63.10 Median $89.13 Typical High $331.13 | Facility | FX · Film X-ray | $63.10 | $89.13 | $331.13 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $38.02 Median $47.86 Typical High $50.12 | Professional | 52 · Reduced service | $38.02 | $47.86 | $50.12 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $15.14 Median $19.05 Typical High $20.42 | Professional | 53 · Discontinued | $15.14 | $19.05 | $20.42 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $60.26 Median $75.86 Typical High $77.62 | Professional | FX · Film X-ray | $60.26 | $75.86 | $77.62 |
Moda Health Setting Facility Modifier 52 · Reduced service Typical Low $38.02 Median $56.23 Typical High $107.15 | Facility | 52 · Reduced service | $38.02 | $56.23 | $107.15 |
Moda Health Setting Facility Modifier 53 · Discontinued Typical Low $15.14 Median $22.39 Typical High $69.18 | Facility | 53 · Discontinued | $15.14 | $22.39 | $69.18 |
Moda Health Setting Facility Modifier FX · Film X-ray Typical Low $57.54 Median $89.13 Typical High $346.74 | Facility | FX · Film X-ray | $57.54 | $89.13 | $346.74 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $38.02 Median $47.86 Typical High $48.98 | Professional | 52 · Reduced service | $38.02 | $47.86 | $48.98 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $15.14 Median $19.05 Typical High $19.50 | Professional | 53 · Discontinued | $15.14 | $19.05 | $19.50 |
Where Texas sits
The same service costs 3.9 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
$87.10
AK $339TX $87.10
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.