How much rates vary
Facilitymedian $195 · 10th to 90th $22 to $479Professionalmedian $39 · 10th to 90th $7 to $676
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 $16.60 Median $35.48 Typical High $69.18 | Facility | None | $16.60 | $35.48 | $69.18 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $14.45 Median $24.55 Typical High $144.54 | Facility | TC · Technical part | $14.45 | $24.55 | $144.54 |
Aetna Setting Professional Modifier None (both parts) Typical Low $30.90 Median $39.81 Typical High $81.28 | Professional | None (both parts) | $30.90 | $39.81 | $81.28 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $19.50 Median $25.12 Typical High $45.71 | Professional | 26 · Professional part | $19.50 | $25.12 | $45.71 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $11.22 Median $14.45 Typical High $34.67 | Professional | TC · Technical part | $11.22 | $14.45 | $34.67 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $33.11 Median $39.81 Typical High $89.13 | Professional | None (both parts) | $33.11 | $39.81 | $89.13 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $20.89 Median $20.89 Typical High $97.72 | Professional | 26 · Professional part | $20.89 | $20.89 | $97.72 |
BCBS Texas Setting Facility Modifier None Typical Low $125.89 Median $331.13 Typical High $549.54 | Facility | None | $125.89 | $331.13 | $549.54 |
BCBS Texas Setting Professional Modifier None (both parts) Typical Low $23.44 Median $37.15 Typical High $67.61 | Professional | None (both parts) | $23.44 | $37.15 | $67.61 |
Baylor Scott & White Setting Facility Modifier None Typical Low $104.71 Median $177.83 Typical High $223.87 | Facility | None | $104.71 | $177.83 | $223.87 |
Baylor Scott & White Setting Professional Modifier None (both parts) Typical Low $42.66 Median $47.86 Typical High $75.86 | Professional | None (both parts) | $42.66 | $47.86 | $75.86 |
Christus Setting Facility Modifier None Typical Low $21.88 Median $21.88 Typical High $21.88 | Facility | None | $21.88 | $21.88 | $21.88 |
Christus Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $31.62 Typical High $31.62 | Professional | 26 · Professional part | $28.18 | $31.62 | $31.62 |
Cigna Setting Facility Modifier None Typical Low $54.95 Median $141.25 Typical High $467.74 | Facility | None | $54.95 | $141.25 | $467.74 |
Cigna Setting Professional Modifier None (both parts) Typical Low $26.92 Median $42.66 Typical High $117.49 | Professional | None (both parts) | $26.92 | $42.66 | $117.49 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $16.98 Median $26.30 Typical High $63.10 | Professional | 26 · Professional part | $16.98 | $26.30 | $63.10 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $10.00 Median $15.85 Typical High $48.98 | Professional | TC · Technical part | $10.00 | $15.85 | $48.98 |
Health Smart Setting Professional Modifier None (both parts) Typical Low $89.13 Median $89.13 Typical High $89.13 | Professional | None (both parts) | $89.13 | $89.13 | $89.13 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $676.08 Median $691.83 Typical High $691.83 | Professional | None (both parts) | $676.08 | $691.83 | $691.83 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $346.74 Median $346.74 Typical High $346.74 | Professional | 26 · Professional part | $346.74 | $346.74 | $346.74 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $416.87 Median $416.87 Typical High $416.87 | Professional | TC · Technical part | $416.87 | $416.87 | $416.87 |
Moda Health Setting Facility Modifier None Typical Low $30.90 Median $204.17 Typical High $354.81 | Facility | None | $30.90 | $204.17 | $354.81 |
Moda Health Setting Facility Modifier TC · Technical part Typical Low $14.45 Median $22.91 Typical High $70.79 | Facility | TC · Technical part | $14.45 | $22.91 | $70.79 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $30.90 Median $39.81 Typical High $87.10 | Professional | None (both parts) | $30.90 | $39.81 | $87.10 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $19.50 Median $25.12 Typical High $45.71 | Professional | 26 · Professional part | $19.50 | $25.12 | $45.71 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $11.22 Median $14.45 Typical High $30.90 | Professional | TC · Technical part | $11.22 | $14.45 | $30.90 |
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 $43.65 Median $95.50 Typical High $467.74 | Facility | None | $43.65 | $95.50 | $467.74 |
Providence Setting Professional Modifier None (both parts) Typical Low $26.92 Median $42.66 Typical High $109.65 | Professional | None (both parts) | $26.92 | $42.66 | $109.65 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $16.98 Median $26.30 Typical High $57.54 | Professional | 26 · Professional part | $16.98 | $26.30 | $57.54 |
Providence Setting Professional Modifier TC · Technical part Typical Low $10.00 Median $15.85 Typical High $40.74 | Professional | TC · Technical part | $10.00 | $15.85 | $40.74 |
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 $42.66 Median $69.18 Typical High $109.65 | Professional | None (both parts) | $42.66 | $69.18 | $109.65 |
United Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $38.90 Typical High $58.88 | Professional | 26 · Professional part | $25.70 | $38.90 | $58.88 |
United Setting Professional Modifier TC · Technical part Typical Low $17.38 Median $28.18 Typical High $58.88 | Professional | TC · Technical part | $17.38 | $28.18 | $58.88 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $48.98 Median $48.98 Typical High $48.98 | Professional | None (both parts) | $48.98 | $48.98 | $48.98 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $30.20 Typical High $30.20 | Professional | 26 · Professional part | $30.20 | $30.20 | $30.20 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $18.20 Median $18.20 Typical High $18.20 | Professional | TC · Technical part | $18.20 | $18.20 | $18.20 |
12 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 $8.32 Median $17.78 Typical High $72.44 | Facility | 52 · Reduced service | $8.32 | $17.78 | $72.44 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $3.31 Median $7.08 Typical High $28.84 | Facility | 53 · Discontinued | $3.31 | $7.08 | $28.84 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $12.59 Median $20.89 Typical High $66.07 | Facility | FX · Film X-ray | $12.59 | $20.89 | $66.07 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $15.49 Median $19.50 Typical High $22.39 | Professional | 52 · Reduced service | $15.49 | $19.50 | $22.39 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.17 Median $7.76 Typical High $8.91 | Professional | 53 · Discontinued | $6.17 | $7.76 | $8.91 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $24.55 Median $31.62 Typical High $31.62 | Professional | FX · Film X-ray | $24.55 | $31.62 | $31.62 |
Ambetter Setting Professional Modifier 50 · Both sides Typical Low $51.29 Median $60.26 Typical High $134.90 | Professional | 50 · Both sides | $51.29 | $60.26 | $134.90 |
Moda Health Setting Facility Modifier 52 · Reduced service Typical Low $7.94 Median $13.49 Typical High $43.65 | Facility | 52 · Reduced service | $7.94 | $13.49 | $43.65 |
Moda Health Setting Facility Modifier 53 · Discontinued Typical Low $3.31 Median $5.62 Typical High $14.13 | Facility | 53 · Discontinued | $3.31 | $5.62 | $14.13 |
Moda Health Setting Facility Modifier FX · Film X-ray Typical Low $11.75 Median $18.20 Typical High $70.79 | Facility | FX · Film X-ray | $11.75 | $18.20 | $70.79 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $15.49 Median $19.50 Typical High $19.95 | Professional | 52 · Reduced service | $15.49 | $19.50 | $19.95 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $6.17 Median $7.76 Typical High $7.94 | Professional | 53 · Discontinued | $6.17 | $7.76 | $7.94 |
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
$39.81
AK $151TX $39.81
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.