How much rates vary
Facilitymedian $288 · 10th to 90th $69 to $501Professionalmedian $47 · 10th to 90th $7 to $724
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 $17.78 Median $38.02 Typical High $46.77 | Facility | None | $17.78 | $38.02 | $46.77 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $17.78 Median $30.20 Typical High $177.83 | Facility | TC · Technical part | $17.78 | $30.20 | $177.83 |
Aetna Setting Professional Modifier None (both parts) Typical Low $36.31 Median $46.77 Typical High $77.62 | Professional | None (both parts) | $36.31 | $46.77 | $77.62 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $22.39 Median $28.84 Typical High $47.86 | Professional | 26 · Professional part | $22.39 | $28.84 | $47.86 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $14.13 Median $17.78 Typical High $32.36 | Professional | TC · Technical part | $14.13 | $17.78 | $32.36 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $69.18 Median $69.18 Typical High $69.18 | Professional | None (both parts) | $69.18 | $69.18 | $69.18 |
BCBS Texas Setting Facility Modifier None Typical Low $128.82 Median $331.13 Typical High $549.54 | Facility | None | $128.82 | $331.13 | $549.54 |
BCBS Texas Setting Professional Modifier None (both parts) Typical Low $30.20 Median $48.98 Typical High $95.50 | Professional | None (both parts) | $30.20 | $48.98 | $95.50 |
Christus Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $33.11 Typical High $34.67 | Professional | 26 · Professional part | $33.11 | $33.11 | $34.67 |
Cigna Setting Facility Modifier None Typical Low $61.66 Median $169.82 Typical High $467.74 | Facility | None | $61.66 | $169.82 | $467.74 |
Cigna Setting Professional Modifier None (both parts) Typical Low $32.36 Median $50.12 Typical High $128.82 | Professional | None (both parts) | $32.36 | $50.12 | $128.82 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $19.95 Median $30.90 Typical High $66.07 | Professional | 26 · Professional part | $19.95 | $30.90 | $66.07 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $12.02 Median $19.50 Typical High $60.26 | Professional | TC · Technical part | $12.02 | $19.50 | $60.26 |
Health Smart Setting Professional Modifier None (both parts) Typical Low $95.50 Median $95.50 Typical High $95.50 | Professional | None (both parts) | $95.50 | $95.50 | $95.50 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $724.44 Median $724.44 Typical High $724.44 | Professional | None (both parts) | $724.44 | $724.44 | $724.44 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $316.23 Median $316.23 Typical High $316.23 | Professional | 26 · Professional part | $316.23 | $316.23 | $316.23 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $457.09 Median $457.09 Typical High $457.09 | Professional | TC · Technical part | $457.09 | $457.09 | $457.09 |
Moda Health Setting Facility Modifier None Typical Low $20.89 Median $54.95 Typical High $309.03 | Facility | None | $20.89 | $54.95 | $309.03 |
Moda Health Setting Facility Modifier TC · Technical part Typical Low $17.78 Median $28.18 Typical High $60.26 | Facility | TC · Technical part | $17.78 | $28.18 | $60.26 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $36.31 Median $46.77 Typical High $89.13 | Professional | None (both parts) | $36.31 | $46.77 | $89.13 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $22.39 Median $28.84 Typical High $47.86 | Professional | 26 · Professional part | $22.39 | $28.84 | $47.86 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $14.13 Median $17.78 Typical High $31.62 | Professional | TC · Technical part | $14.13 | $17.78 | $31.62 |
Molina Setting Professional Modifier None (both parts) Typical Low $5.37 Median $30.20 Typical High $67.61 | Professional | None (both parts) | $5.37 | $30.20 | $67.61 |
Providence Setting Facility Modifier None Typical Low $52.48 Median $117.49 Typical High $467.74 | Facility | None | $52.48 | $117.49 | $467.74 |
Providence Setting Professional Modifier None (both parts) Typical Low $32.36 Median $50.12 Typical High $120.23 | Professional | None (both parts) | $32.36 | $50.12 | $120.23 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $19.95 Median $30.90 Typical High $61.66 | Professional | 26 · Professional part | $19.95 | $30.90 | $61.66 |
Providence Setting Professional Modifier TC · Technical part Typical Low $12.02 Median $19.50 Typical High $50.12 | Professional | TC · Technical part | $12.02 | $19.50 | $50.12 |
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 $50.12 Median $77.62 Typical High $117.49 | Professional | None (both parts) | $50.12 | $77.62 | $117.49 |
United Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $42.66 Typical High $64.57 | Professional | 26 · Professional part | $29.51 | $42.66 | $64.57 |
United Setting Professional Modifier TC · Technical part Typical Low $20.89 Median $33.88 Typical High $66.07 | Professional | TC · Technical part | $20.89 | $33.88 | $66.07 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $57.54 Median $57.54 Typical High $57.54 | Professional | None (both parts) | $57.54 | $57.54 | $57.54 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $34.67 Typical High $34.67 | Professional | 26 · Professional part | $34.67 | $34.67 | $34.67 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $22.39 Median $22.39 Typical High $22.39 | Professional | TC · Technical part | $22.39 | $22.39 | $22.39 |
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 $10.23 Median $21.38 Typical High $89.13 | Facility | 52 · Reduced service | $10.23 | $21.38 | $89.13 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $4.07 Median $8.71 Typical High $35.48 | Facility | 53 · Discontinued | $4.07 | $8.71 | $35.48 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $15.85 Median $25.70 Typical High $83.18 | Facility | FX · Film X-ray | $15.85 | $25.70 | $83.18 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $18.20 Median $23.44 Typical High $26.30 | Professional | 52 · Reduced service | $18.20 | $23.44 | $26.30 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.24 Median $9.33 Typical High $10.47 | Professional | 53 · Discontinued | $7.24 | $9.33 | $10.47 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $29.51 Median $37.15 Typical High $38.02 | Professional | FX · Film X-ray | $29.51 | $37.15 | $38.02 |
Moda Health Setting Facility Modifier 52 · Reduced service Typical Low $9.77 Median $16.98 Typical High $43.65 | Facility | 52 · Reduced service | $9.77 | $16.98 | $43.65 |
Moda Health Setting Facility Modifier 53 · Discontinued Typical Low $4.07 Median $6.92 Typical High $17.38 | Facility | 53 · Discontinued | $4.07 | $6.92 | $17.38 |
Moda Health Setting Facility Modifier FX · Film X-ray Typical Low $14.45 Median $22.39 Typical High $87.10 | Facility | FX · Film X-ray | $14.45 | $22.39 | $87.10 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $18.20 Median $23.44 Typical High $23.44 | Professional | 52 · Reduced service | $18.20 | $23.44 | $23.44 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $7.24 Median $9.33 Typical High $9.33 | Professional | 53 · Discontinued | $7.24 | $9.33 | $9.33 |
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
AK $178TX $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.