How much rates vary
Facilitymedian $302 · 10th to 90th $102 to $676Professionalmedian $85 · 10th to 90th $19 to $263
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 $74.13 Median $91.20 Typical High $134.90 | Facility | None | $74.13 | $91.20 | $134.90 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $17.38 Median $22.39 Typical High $33.88 | Facility | 26 · Professional part | $17.38 | $22.39 | $33.88 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $60.26 Median $81.28 Typical High $436.52 | Facility | TC · Technical part | $60.26 | $81.28 | $436.52 |
Aetna Setting Professional Modifier None (both parts) Typical Low $74.13 Median $93.33 Typical High $151.36 | Professional | None (both parts) | $74.13 | $93.33 | $151.36 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $17.38 Median $22.39 Typical High $36.31 | Professional | 26 · Professional part | $17.38 | $22.39 | $36.31 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $56.23 Median $70.79 Typical High $114.82 | Professional | TC · Technical part | $56.23 | $70.79 | $114.82 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $70.79 Median $89.13 Typical High $109.65 | Professional | None (both parts) | $70.79 | $89.13 | $109.65 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $20.42 Median $21.88 Typical High $50.12 | Professional | 26 · Professional part | $20.42 | $21.88 | $50.12 |
Ambetter Setting Professional Modifier TC · Technical part Typical Low $46.77 Median $61.66 Typical High $69.18 | Professional | TC · Technical part | $46.77 | $61.66 | $69.18 |
BCBS Texas Setting Facility Modifier None Typical Low $120.23 Median $316.23 Typical High $616.60 | Facility | None | $120.23 | $316.23 | $616.60 |
BCBS Texas Setting Professional Modifier None (both parts) Typical Low $21.88 Median $85.11 Typical High $107.15 | Professional | None (both parts) | $21.88 | $85.11 | $107.15 |
Baylor Scott & White Setting Facility Modifier None Typical Low $104.71 Median $165.96 Typical High $549.54 | Facility | None | $104.71 | $165.96 | $549.54 |
Baylor Scott & White Setting Professional Modifier None (both parts) Typical Low $104.71 Median $107.15 Typical High $144.54 | Professional | None (both parts) | $104.71 | $107.15 | $144.54 |
Christus Setting Facility Modifier None Typical Low $102.33 Median $102.33 Typical High $102.33 | Facility | None | $102.33 | $102.33 | $102.33 |
Christus Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $63.10 Typical High $63.10 | Professional | 26 · Professional part | $25.12 | $63.10 | $63.10 |
Cigna Setting Facility Modifier None Typical Low $112.20 Median $338.84 Typical High $501.19 | Facility | None | $112.20 | $338.84 | $501.19 |
Cigna Setting Professional Modifier None (both parts) Typical Low $61.66 Median $95.50 Typical High $165.96 | Professional | None (both parts) | $61.66 | $95.50 | $165.96 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $15.49 Median $23.44 Typical High $42.66 | Professional | 26 · Professional part | $15.49 | $23.44 | $42.66 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $46.77 Median $72.44 Typical High $123.03 | Professional | TC · Technical part | $46.77 | $72.44 | $123.03 |
Health Smart Setting Professional Modifier None (both parts) Typical Low $117.49 Median $134.90 Typical High $218.78 | Professional | None (both parts) | $117.49 | $134.90 | $218.78 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $724.44 Median $724.44 Typical High $933.25 | Professional | None (both parts) | $724.44 | $724.44 | $933.25 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $269.15 Median $269.15 Typical High $269.15 | Professional | 26 · Professional part | $269.15 | $269.15 | $269.15 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $549.54 Median $549.54 Typical High $724.44 | Professional | TC · Technical part | $549.54 | $549.54 | $724.44 |
Moda Health Setting Facility Modifier None Typical Low $97.72 Median $512.86 Typical High $851.14 | Facility | None | $97.72 | $512.86 | $851.14 |
Moda Health Setting Facility Modifier 26 · Professional part Typical Low $17.38 Median $22.39 Typical High $33.88 | Facility | 26 · Professional part | $17.38 | $22.39 | $33.88 |
Moda Health Setting Facility Modifier TC · Technical part Typical Low $66.07 Median $213.80 Typical High $549.54 | Facility | TC · Technical part | $66.07 | $213.80 | $549.54 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $74.13 Median $93.33 Typical High $186.21 | Professional | None (both parts) | $74.13 | $93.33 | $186.21 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $17.38 Median $22.91 Typical High $44.67 | Professional | 26 · Professional part | $17.38 | $22.91 | $44.67 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $56.23 Median $70.79 Typical High $117.49 | Professional | TC · Technical part | $56.23 | $70.79 | $117.49 |
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 |
Oscar Health Setting Facility Modifier None Typical Low $102.33 Median $316.23 Typical High $316.23 | Facility | None | $102.33 | $316.23 | $316.23 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $27.54 Median $91.20 Typical High $194.98 | Professional | None (both parts) | $27.54 | $91.20 | $194.98 |
Providence Setting Facility Modifier None Typical Low $97.72 Median $309.03 Typical High $501.19 | Facility | None | $97.72 | $309.03 | $501.19 |
Providence Setting Professional Modifier None (both parts) Typical Low $61.66 Median $95.50 Typical High $162.18 | Professional | None (both parts) | $61.66 | $95.50 | $162.18 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $15.49 Median $22.91 Typical High $38.02 | Professional | 26 · Professional part | $15.49 | $22.91 | $38.02 |
Providence Setting Professional Modifier TC · Technical part Typical Low $46.77 Median $72.44 Typical High $112.20 | Professional | TC · Technical part | $46.77 | $72.44 | $112.20 |
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 $89.13 Median $117.49 Typical High $177.83 | Professional | None (both parts) | $89.13 | $117.49 | $177.83 |
United Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $28.84 Typical High $43.65 | Professional | 26 · Professional part | $21.88 | $28.84 | $43.65 |
United Setting Professional Modifier TC · Technical part Typical Low $67.61 Median $89.13 Typical High $134.90 | Professional | TC · Technical part | $67.61 | $89.13 | $134.90 |
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 $26.30 Median $26.30 Typical High $26.30 | Professional | 26 · Professional part | $26.30 | $26.30 | $26.30 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $81.28 Typical High $81.28 | Professional | TC · Technical part | $81.28 | $81.28 | $81.28 |
15 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 $37.15 Median $60.26 Typical High $354.81 | Facility | 52 · Reduced service | $37.15 | $60.26 | $354.81 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $14.79 Median $24.55 Typical High $141.25 | Facility | 53 · Discontinued | $14.79 | $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 $37.15 Median $46.77 Typical High $50.12 | Professional | 52 · Reduced service | $37.15 | $46.77 | $50.12 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $14.79 Median $18.62 Typical High $19.95 | Professional | 53 · Discontinued | $14.79 | $18.62 | $19.95 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $58.88 Median $74.13 Typical High $75.86 | Professional | FX · Film X-ray | $58.88 | $74.13 | $75.86 |
Ambetter Setting Professional Modifier 59 · Distinct service Typical Low $61.66 Median $83.18 Typical High $107.15 | Professional | 59 · Distinct service | $61.66 | $83.18 | $107.15 |
Ambetter Setting Professional Modifier Q6 · Substitute physician, paid per time Typical Low $72.44 Median $72.44 Typical High $72.44 | Professional | Q6 · Substitute physician, paid per time | $72.44 | $72.44 | $72.44 |
Ambetter Setting Professional Modifier XE · Separate encounter Typical Low $89.13 Median $89.13 Typical High $89.13 | Professional | XE · Separate encounter | $89.13 | $89.13 | $89.13 |
Ambetter Setting Professional Modifier XS · Separate structure Typical Low $83.18 Median $83.18 Typical High $83.18 | Professional | XS · Separate structure | $83.18 | $83.18 | $83.18 |
Moda Health Setting Facility Modifier 52 · Reduced service Typical Low $37.15 Median $56.23 Typical High $173.78 | Facility | 52 · Reduced service | $37.15 | $56.23 | $173.78 |
Moda Health Setting Facility Modifier 53 · Discontinued Typical Low $14.79 Median $22.39 Typical High $69.18 | Facility | 53 · Discontinued | $14.79 | $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 $37.15 Median $46.77 Typical High $47.86 | Professional | 52 · Reduced service | $37.15 | $46.77 | $47.86 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $14.79 Median $18.62 Typical High $19.05 | Professional | 53 · Discontinued | $14.79 | $18.62 | $19.05 |
Where Texas sits
The same service costs 4.1 times more in Minnesota than in Florida. 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· 50th of 51
$89.13
MN $363FL $89.13
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.