How much rates vary
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 $48.98 Median $63.10 Typical High $63.10 | Facility | None | $48.98 | $63.10 | $63.10 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $36.31 Median $61.66 Typical High $363.08 | Facility | TC · Technical part | $36.31 | $61.66 | $363.08 |
Aetna Setting Professional Modifier None (both parts) Typical Low $48.98 Median $61.66 Typical High $95.50 | Professional | None (both parts) | $48.98 | $61.66 | $95.50 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $20.42 Median $26.30 Typical High $38.02 | Professional | 26 · Professional part | $20.42 | $26.30 | $38.02 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $28.18 Median $35.48 Typical High $58.88 | Professional | TC · Technical part | $28.18 | $35.48 | $58.88 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $51.29 Median $58.88 Typical High $58.88 | Professional | None (both parts) | $51.29 | $58.88 | $58.88 |
BCBS Texas Setting Facility Modifier None Typical Low $134.90 Median $331.13 Typical High $549.54 | Facility | None | $134.90 | $331.13 | $549.54 |
BCBS Texas Setting Professional Modifier None (both parts) Typical Low $26.30 Median $61.66 Typical High $144.54 | Professional | None (both parts) | $26.30 | $61.66 | $144.54 |
Christus Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $30.20 Typical High $31.62 | Professional | 26 · Professional part | $30.20 | $30.20 | $31.62 |
Cigna Setting Facility Modifier None Typical Low $102.33 Median $223.87 Typical High $501.19 | Facility | None | $102.33 | $223.87 | $501.19 |
Cigna Setting Professional Modifier None (both parts) Typical Low $42.66 Median $66.07 Typical High $138.04 | Professional | None (both parts) | $42.66 | $66.07 | $138.04 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $18.20 Median $28.18 Typical High $52.48 | Professional | 26 · Professional part | $18.20 | $28.18 | $52.48 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $23.99 Median $38.02 Typical High $79.43 | Professional | TC · Technical part | $23.99 | $38.02 | $79.43 |
Health Smart Setting Professional Modifier None (both parts) Typical Low $85.11 Median $85.11 Typical High $85.11 | Professional | None (both parts) | $85.11 | $85.11 | $85.11 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $602.56 Median $602.56 Typical High $660.69 | Professional | None (both parts) | $602.56 | $602.56 | $660.69 |
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 $363.08 Median $363.08 Typical High $389.05 | Professional | TC · Technical part | $363.08 | $363.08 | $389.05 |
Moda Health Setting Facility Modifier None Typical Low $57.54 Median $89.13 Typical High $316.23 | Facility | None | $57.54 | $89.13 | $316.23 |
Moda Health Setting Facility Modifier TC · Technical part Typical Low $36.31 Median $57.54 Typical High $177.83 | Facility | TC · Technical part | $36.31 | $57.54 | $177.83 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $48.98 Median $61.66 Typical High $102.33 | Professional | None (both parts) | $48.98 | $61.66 | $102.33 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $20.42 Median $26.30 Typical High $43.65 | Professional | 26 · Professional part | $20.42 | $26.30 | $43.65 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $28.18 Median $35.48 Typical High $58.88 | Professional | TC · Technical part | $28.18 | $35.48 | $58.88 |
Molina Setting Professional Modifier None (both parts) Typical Low $5.37 Median $30.90 Typical High $100.00 | Professional | None (both parts) | $5.37 | $30.90 | $100.00 |
Providence Setting Facility Modifier None Typical Low $70.79 Median $173.78 Typical High $501.19 | Facility | None | $70.79 | $173.78 | $501.19 |
Providence Setting Professional Modifier None (both parts) Typical Low $42.66 Median $66.07 Typical High $134.90 | Professional | None (both parts) | $42.66 | $66.07 | $134.90 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $18.20 Median $28.18 Typical High $46.77 | Professional | 26 · Professional part | $18.20 | $28.18 | $46.77 |
Providence Setting Professional Modifier TC · Technical part Typical Low $23.99 Median $38.02 Typical High $72.44 | Professional | TC · Technical part | $23.99 | $38.02 | $72.44 |
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 $75.86 Median $97.72 Typical High $151.36 | Professional | None (both parts) | $75.86 | $97.72 | $151.36 |
United Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $36.31 Typical High $56.23 | Professional | 26 · Professional part | $27.54 | $36.31 | $56.23 |
United Setting Professional Modifier TC · Technical part Typical Low $47.86 Median $63.10 Typical High $95.50 | Professional | TC · Technical part | $47.86 | $63.10 | $95.50 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $75.86 Median $75.86 Typical High $75.86 | Professional | None (both parts) | $75.86 | $75.86 | $75.86 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $32.36 Typical High $32.36 | Professional | 26 · Professional part | $32.36 | $32.36 | $32.36 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $43.65 Median $43.65 Typical High $43.65 | Professional | TC · Technical part | $43.65 | $43.65 | $43.65 |
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 $20.89 Median $31.62 Typical High $177.83 | Facility | 52 · Reduced service | $20.89 | $31.62 | $177.83 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $8.32 Median $12.59 Typical High $72.44 | Facility | 53 · Discontinued | $8.32 | $12.59 | $72.44 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $31.62 Median $46.77 Typical High $165.96 | Facility | FX · Film X-ray | $31.62 | $46.77 | $165.96 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $24.55 Median $30.90 Typical High $34.67 | Professional | 52 · Reduced service | $24.55 | $30.90 | $34.67 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $9.77 Median $12.30 Typical High $14.13 | Professional | 53 · Discontinued | $9.77 | $12.30 | $14.13 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $38.90 Median $50.12 Typical High $50.12 | Professional | FX · Film X-ray | $38.90 | $50.12 | $50.12 |
Ambetter Setting Professional Modifier 50 · Both sides Typical Low $89.13 Median $89.13 Typical High $89.13 | Professional | 50 · Both sides | $89.13 | $89.13 | $89.13 |
Moda Health Setting Facility Modifier 52 · Reduced service Typical Low $19.95 Median $31.62 Typical High $53.70 | Facility | 52 · Reduced service | $19.95 | $31.62 | $53.70 |
Moda Health Setting Facility Modifier 53 · Discontinued Typical Low $7.94 Median $12.59 Typical High $35.48 | Facility | 53 · Discontinued | $7.94 | $12.59 | $35.48 |
Moda Health Setting Facility Modifier FX · Film X-ray Typical Low $29.51 Median $45.71 Typical High $177.83 | Facility | FX · Film X-ray | $29.51 | $45.71 | $177.83 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $24.55 Median $30.90 Typical High $31.62 | Professional | 52 · Reduced service | $24.55 | $30.90 | $31.62 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $9.77 Median $12.30 Typical High $12.59 | Professional | 53 · Discontinued | $9.77 | $12.30 | $12.59 |
Where Texas sits
The same service costs 3.7 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
$61.66
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.