How much rates vary
Facilitymedian $209 · 10th to 90th $105 to $513Professionalmedian $48 · 10th to 90th $10 to $468
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 $38.02 Median $48.98 Typical High $87.10 | Facility | None | $38.02 | $48.98 | $87.10 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $23.99 Median $40.74 Typical High $190.55 | Facility | TC · Technical part | $23.99 | $40.74 | $190.55 |
Aetna Setting Professional Modifier None (both parts) Typical Low $38.02 Median $48.98 Typical High $91.20 | Professional | None (both parts) | $38.02 | $48.98 | $91.20 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $17.78 Median $22.91 Typical High $37.15 | Professional | 26 · Professional part | $17.78 | $22.91 | $37.15 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $19.95 Median $25.70 Typical High $57.54 | Professional | TC · Technical part | $19.95 | $25.70 | $57.54 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $39.81 Median $46.77 Typical High $50.12 | Professional | None (both parts) | $39.81 | $46.77 | $50.12 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $5.50 Median $21.88 Typical High $33.88 | Professional | 26 · Professional part | $5.50 | $21.88 | $33.88 |
Ambetter 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 |
BCBS Texas Setting Facility Modifier None Typical Low $120.23 Median $295.12 Typical High $588.84 | Facility | None | $120.23 | $295.12 | $588.84 |
BCBS Texas Setting Professional Modifier None (both parts) Typical Low $22.39 Median $45.71 Typical High $63.10 | Professional | None (both parts) | $22.39 | $45.71 | $63.10 |
Baylor Scott & White Setting Facility Modifier None Typical Low $104.71 Median $104.71 Typical High $691.83 | Facility | None | $104.71 | $104.71 | $691.83 |
Baylor Scott & White Setting Professional Modifier None (both parts) Typical Low $58.88 Median $61.66 Typical High $95.50 | Professional | None (both parts) | $58.88 | $61.66 | $95.50 |
Christus Setting Facility Modifier None Typical Low $104.71 Median $104.71 Typical High $104.71 | Facility | None | $104.71 | $104.71 | $104.71 |
Christus Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $45.71 Typical High $45.71 | Professional | 26 · Professional part | $25.70 | $45.71 | $45.71 |
Cigna Setting Facility Modifier None Typical Low $85.11 Median $213.80 Typical High $467.74 | Facility | None | $85.11 | $213.80 | $467.74 |
Cigna Setting Professional Modifier None (both parts) Typical Low $33.11 Median $50.12 Typical High $114.82 | Professional | None (both parts) | $33.11 | $50.12 | $114.82 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $15.49 Median $23.44 Typical High $43.65 | Professional | 26 · Professional part | $15.49 | $23.44 | $43.65 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $17.38 Median $26.92 Typical High $74.13 | Professional | TC · Technical part | $17.38 | $26.92 | $74.13 |
Health Smart Setting Professional Modifier None (both parts) Typical Low $79.43 Median $79.43 Typical High $79.43 | Professional | None (both parts) | $79.43 | $79.43 | $79.43 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $467.74 Median $467.74 Typical High $524.81 | Professional | None (both parts) | $467.74 | $467.74 | $524.81 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $275.42 Median $275.42 Typical High $275.42 | Professional | 26 · Professional part | $275.42 | $275.42 | $275.42 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $407.38 Median $416.87 Typical High $416.87 | Professional | TC · Technical part | $407.38 | $416.87 | $416.87 |
Moda Health Setting Facility Modifier None Typical Low $57.54 Median $380.19 Typical High $575.44 | Facility | None | $57.54 | $380.19 | $575.44 |
Moda Health Setting Facility Modifier TC · Technical part Typical Low $24.55 Median $47.86 Typical High $741.31 | Facility | TC · Technical part | $24.55 | $47.86 | $741.31 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $38.02 Median $48.98 Typical High $97.72 | Professional | None (both parts) | $38.02 | $48.98 | $97.72 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $17.78 Median $22.91 Typical High $40.74 | Professional | 26 · Professional part | $17.78 | $22.91 | $40.74 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $19.95 Median $25.70 Typical High $56.23 | Professional | TC · Technical part | $19.95 | $25.70 | $56.23 |
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 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $29.51 Median $56.23 Typical High $112.20 | Professional | None (both parts) | $29.51 | $56.23 | $112.20 |
Providence Setting Facility Modifier None Typical Low $58.88 Median $128.82 Typical High $467.74 | Facility | None | $58.88 | $128.82 | $467.74 |
Providence Setting Professional Modifier None (both parts) Typical Low $33.11 Median $50.12 Typical High $112.20 | Professional | None (both parts) | $33.11 | $50.12 | $112.20 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $15.49 Median $22.91 Typical High $38.90 | Professional | 26 · Professional part | $15.49 | $22.91 | $38.90 |
Providence Setting Professional Modifier TC · Technical part Typical Low $17.38 Median $26.92 Typical High $66.07 | Professional | TC · Technical part | $17.38 | $26.92 | $66.07 |
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 $63.10 Median $85.11 Typical High $125.89 | Professional | None (both parts) | $63.10 | $85.11 | $125.89 |
United Setting Professional Modifier 26 · Professional part Typical Low $22.39 Median $28.84 Typical High $44.67 | Professional | 26 · Professional part | $22.39 | $28.84 | $44.67 |
United Setting Professional Modifier TC · Technical part Typical Low $38.02 Median $56.23 Typical High $81.28 | Professional | TC · Technical part | $38.02 | $56.23 | $81.28 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $61.66 Median $61.66 Typical High $61.66 | Professional | None (both parts) | $61.66 | $61.66 | $61.66 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $27.54 Typical High $27.54 | Professional | 26 · Professional part | $27.54 | $27.54 | $27.54 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $33.11 Median $33.11 Typical High $33.11 | Professional | TC · Technical part | $33.11 | $33.11 | $33.11 |
13 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 $14.79 Median $24.55 Typical High $125.89 | Facility | 52 · Reduced service | $14.79 | $24.55 | $125.89 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $5.89 Median $9.77 Typical High $51.29 | Facility | 53 · Discontinued | $5.89 | $9.77 | $51.29 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $22.39 Median $34.67 Typical High $117.49 | Facility | FX · Film X-ray | $22.39 | $34.67 | $117.49 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $19.05 Median $23.99 Typical High $26.92 | Professional | 52 · Reduced service | $19.05 | $23.99 | $26.92 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.59 Median $9.55 Typical High $10.96 | Professional | 53 · Discontinued | $7.59 | $9.55 | $10.96 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $30.20 Median $38.02 Typical High $38.90 | Professional | FX · Film X-ray | $30.20 | $38.02 | $38.90 |
Ambetter Setting Professional Modifier 52 · Reduced service Typical Low $10.23 Median $12.88 Typical High $12.88 | Professional | 52 · Reduced service | $10.23 | $12.88 | $12.88 |
Ambetter Setting Professional Modifier 59 · Distinct service Typical Low $41.69 Median $58.88 Typical High $60.26 | Professional | 59 · Distinct service | $41.69 | $58.88 | $60.26 |
Moda Health Setting Facility Modifier 52 · Reduced service Typical Low $14.79 Median $38.02 Typical High $218.78 | Facility | 52 · Reduced service | $14.79 | $38.02 | $218.78 |
Moda Health Setting Facility Modifier 53 · Discontinued Typical Low $5.62 Median $9.33 Typical High $25.12 | Facility | 53 · Discontinued | $5.62 | $9.33 | $25.12 |
Moda Health Setting Facility Modifier FX · Film X-ray Typical Low $20.89 Median $32.36 Typical High $125.89 | Facility | FX · Film X-ray | $20.89 | $32.36 | $125.89 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $19.05 Median $23.99 Typical High $29.51 | Professional | 52 · Reduced service | $19.05 | $23.99 | $29.51 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $7.59 Median $9.55 Typical High $9.77 | Professional | 53 · Discontinued | $7.59 | $9.55 | $9.77 |
Where Texas sits
The same service costs 4.1 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
$47.86
AK $195TX $47.86
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.