How much rates vary
Facilitymedian $309 · 10th to 90th $102 to $891Professionalmedian $89 · 10th to 90th $19 to $302
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 $77.62 Median $95.50 Typical High $141.25 | Facility | None | $77.62 | $95.50 | $141.25 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $24.55 Median $30.90 Typical High $47.86 | Facility | 26 · Professional part | $24.55 | $30.90 | $47.86 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $54.95 Median $75.86 Typical High $407.38 | Facility | TC · Technical part | $54.95 | $75.86 | $407.38 |
Aetna Setting Professional Modifier None (both parts) Typical Low $77.62 Median $97.72 Typical High $158.49 | Professional | None (both parts) | $77.62 | $97.72 | $158.49 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $24.55 Median $31.62 Typical High $52.48 | Professional | 26 · Professional part | $24.55 | $31.62 | $52.48 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $52.48 Median $66.07 Typical High $107.15 | Professional | TC · Technical part | $52.48 | $66.07 | $107.15 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $64.57 Median $91.20 Typical High $117.49 | Professional | None (both parts) | $64.57 | $91.20 | $117.49 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $31.62 Typical High $72.44 | Professional | 26 · Professional part | $28.84 | $31.62 | $72.44 |
Ambetter Setting Professional Modifier TC · Technical part Typical Low $43.65 Median $58.88 Typical High $75.86 | Professional | TC · Technical part | $43.65 | $58.88 | $75.86 |
BCBS Texas Setting Facility Modifier None Typical Low $123.03 Median $316.23 Typical High $645.65 | Facility | None | $123.03 | $316.23 | $645.65 |
BCBS Texas Setting Professional Modifier None (both parts) Typical Low $30.90 Median $89.13 Typical High $117.49 | Professional | None (both parts) | $30.90 | $89.13 | $117.49 |
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 $109.65 Median $114.82 Typical High $158.49 | Professional | None (both parts) | $109.65 | $114.82 | $158.49 |
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 $36.31 Median $58.88 Typical High $58.88 | Professional | 26 · Professional part | $36.31 | $58.88 | $58.88 |
Cigna Setting Facility Modifier None Typical Low $109.65 Median $323.59 Typical High $537.03 | Facility | None | $109.65 | $323.59 | $537.03 |
Cigna Setting Professional Modifier None (both parts) Typical Low $66.07 Median $102.33 Typical High $186.21 | Professional | None (both parts) | $66.07 | $102.33 | $186.21 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $33.11 Typical High $61.66 | Professional | 26 · Professional part | $21.88 | $33.11 | $61.66 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $43.65 Median $67.61 Typical High $125.89 | Professional | TC · Technical part | $43.65 | $67.61 | $125.89 |
Health Smart Setting Professional Modifier None (both parts) Typical Low $123.03 Median $147.91 Typical High $229.09 | Professional | None (both parts) | $123.03 | $147.91 | $229.09 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $758.58 Median $758.58 Typical High $977.24 | Professional | None (both parts) | $758.58 | $758.58 | $977.24 |
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 $512.86 Median $512.86 Typical High $676.08 | Professional | TC · Technical part | $512.86 | $512.86 | $676.08 |
Moda Health Setting Facility Modifier None Typical Low $100.00 Median $630.96 Typical High $1,318.26 | Facility | None | $100.00 | $630.96 | $1,318.26 |
Moda Health Setting Facility Modifier 26 · Professional part Typical Low $24.55 Median $30.90 Typical High $47.86 | Facility | 26 · Professional part | $24.55 | $30.90 | $47.86 |
Moda Health Setting Facility Modifier TC · Technical part Typical Low $58.88 Median $109.65 Typical High $891.25 | Facility | TC · Technical part | $58.88 | $109.65 | $891.25 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $77.62 Median $100.00 Typical High $194.98 | Professional | None (both parts) | $77.62 | $100.00 | $194.98 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $24.55 Median $32.36 Typical High $60.26 | Professional | 26 · Professional part | $24.55 | $32.36 | $60.26 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $52.48 Median $66.07 Typical High $109.65 | Professional | TC · Technical part | $52.48 | $66.07 | $109.65 |
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 $95.50 Median $316.23 Typical High $316.23 | Facility | None | $95.50 | $316.23 | $316.23 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $40.74 Median $117.49 Typical High $269.15 | Professional | None (both parts) | $40.74 | $117.49 | $269.15 |
Providence Setting Facility Modifier None Typical Low $102.33 Median $288.40 Typical High $501.19 | Facility | None | $102.33 | $288.40 | $501.19 |
Providence Setting Professional Modifier None (both parts) Typical Low $66.07 Median $100.00 Typical High $186.21 | Professional | None (both parts) | $66.07 | $100.00 | $186.21 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $33.11 Typical High $54.95 | Professional | 26 · Professional part | $21.88 | $33.11 | $54.95 |
Providence Setting Professional Modifier TC · Technical part Typical Low $43.65 Median $67.61 Typical High $120.23 | Professional | TC · Technical part | $43.65 | $67.61 | $120.23 |
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 $93.33 Median $128.82 Typical High $194.98 | Professional | None (both parts) | $93.33 | $128.82 | $194.98 |
United Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $41.69 Typical High $64.57 | Professional | 26 · Professional part | $31.62 | $41.69 | $64.57 |
United Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $87.10 Typical High $128.82 | Professional | TC · Technical part | $63.10 | $87.10 | $128.82 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $114.82 Median $114.82 Typical High $114.82 | Professional | None (both parts) | $114.82 | $114.82 | $114.82 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $37.15 Typical High $37.15 | Professional | 26 · Professional part | $37.15 | $37.15 | $37.15 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $77.62 Median $77.62 Typical High $77.62 | Professional | TC · Technical part | $77.62 | $77.62 | $77.62 |
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 $56.23 Typical High $331.13 | Facility | 52 · Reduced service | $37.15 | $56.23 | $331.13 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $14.79 Median $22.91 Typical High $131.83 | Facility | 53 · Discontinued | $14.79 | $22.91 | $131.83 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $58.88 Median $83.18 Typical High $309.03 | Facility | FX · Film X-ray | $58.88 | $83.18 | $309.03 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $38.90 Median $48.98 Typical High $52.48 | Professional | 52 · Reduced service | $38.90 | $48.98 | $52.48 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $15.49 Median $19.50 Typical High $20.89 | Professional | 53 · Discontinued | $15.49 | $19.50 | $20.89 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $61.66 Median $77.62 Typical High $79.43 | Professional | FX · Film X-ray | $61.66 | $77.62 | $79.43 |
Ambetter Setting Professional Modifier 59 · Distinct service Typical Low $64.57 Median $91.20 Typical High $117.49 | Professional | 59 · Distinct service | $64.57 | $91.20 | $117.49 |
Ambetter Setting Professional Modifier XE · Separate encounter Typical Low $87.10 Median $87.10 Typical High $87.10 | Professional | XE · Separate encounter | $87.10 | $87.10 | $87.10 |
Ambetter Setting Professional Modifier XU · Unusual separate service Typical Low $87.10 Median $87.10 Typical High $87.10 | Professional | XU · Unusual separate service | $87.10 | $87.10 | $87.10 |
Moda Health Setting Facility Modifier 52 · Reduced service Typical Low $37.15 Median $52.48 Typical High $162.18 | Facility | 52 · Reduced service | $37.15 | $52.48 | $162.18 |
Moda Health Setting Facility Modifier 53 · Discontinued Typical Low $14.79 Median $20.89 Typical High $64.57 | Facility | 53 · Discontinued | $14.79 | $20.89 | $64.57 |
Moda Health Setting Facility Modifier 59 · Distinct service Typical Low $707.95 Median $741.31 Typical High $912.01 | Facility | 59 · Distinct service | $707.95 | $741.31 | $912.01 |
Moda Health Setting Facility Modifier FX · Film X-ray Typical Low $53.70 Median $83.18 Typical High $323.59 | Facility | FX · Film X-ray | $53.70 | $83.18 | $323.59 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $38.90 Median $48.98 Typical High $50.12 | Professional | 52 · Reduced service | $38.90 | $48.98 | $50.12 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $15.49 Median $19.50 Typical High $19.95 | Professional | 53 · Discontinued | $15.49 | $19.50 | $19.95 |
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
$93.33
AK $355TX $93.33
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.