How much rates vary
Facilitymedian $339 · 10th to 90th $123 to $513Professionalmedian $105 · 10th to 90th $16 to $347
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 $95.50 Median $123.03 Typical High $380.19 | Facility | None | $95.50 | $123.03 | $380.19 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $72.44 Median $125.89 Typical High $724.44 | Facility | TC · Technical part | $72.44 | $125.89 | $724.44 |
Aetna Setting Professional Modifier None (both parts) Typical Low $95.50 Median $120.23 Typical High $177.83 | Professional | None (both parts) | $95.50 | $120.23 | $177.83 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $47.86 Typical High $67.61 | Professional | 26 · Professional part | $36.31 | $47.86 | $67.61 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $57.54 Median $72.44 Typical High $114.82 | Professional | TC · Technical part | $57.54 | $72.44 | $114.82 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $114.82 Median $165.96 Typical High $165.96 | Professional | None (both parts) | $114.82 | $165.96 | $165.96 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $50.12 Typical High $67.61 | Professional | 26 · Professional part | $43.65 | $50.12 | $67.61 |
BCBS Texas Setting Facility Modifier None Typical Low $144.54 Median $338.84 Typical High $549.54 | Facility | None | $144.54 | $338.84 | $549.54 |
BCBS Texas Setting Professional Modifier None (both parts) Typical Low $52.48 Median $131.83 Typical High $177.83 | Professional | None (both parts) | $52.48 | $131.83 | $177.83 |
Christus Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $57.54 Typical High $58.88 | Professional | 26 · Professional part | $57.54 | $57.54 | $58.88 |
Cigna Setting Facility Modifier None Typical Low $109.65 Median $363.08 Typical High $489.78 | Facility | None | $109.65 | $363.08 | $489.78 |
Cigna Setting Professional Modifier None (both parts) Typical Low $104.71 Median $141.25 Typical High $213.80 | Professional | None (both parts) | $104.71 | $141.25 | $213.80 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $52.48 Typical High $89.13 | Professional | 26 · Professional part | $37.15 | $52.48 | $89.13 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $85.11 Typical High $125.89 | Professional | TC · Technical part | $66.07 | $85.11 | $125.89 |
Health Smart Setting Professional Modifier None (both parts) Typical Low $128.82 Median $245.47 Typical High $245.47 | Professional | None (both parts) | $128.82 | $245.47 | $245.47 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $933.25 Median $933.25 Typical High $1,479.11 | Professional | None (both parts) | $933.25 | $933.25 | $1,479.11 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $371.54 Median $371.54 Typical High $562.34 | Professional | 26 · Professional part | $371.54 | $371.54 | $562.34 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $575.44 Median $575.44 Typical High $933.25 | Professional | TC · Technical part | $575.44 | $575.44 | $933.25 |
Moda Health Setting Facility Modifier None Typical Low $123.03 Median $446.68 Typical High $512.86 | Facility | None | $123.03 | $446.68 | $512.86 |
Moda Health Setting Facility Modifier TC · Technical part Typical Low $74.13 Median $138.04 Typical High $501.19 | Facility | TC · Technical part | $74.13 | $138.04 | $501.19 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $95.50 Median $120.23 Typical High $239.88 | Professional | None (both parts) | $95.50 | $120.23 | $239.88 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $47.86 Typical High $87.10 | Professional | 26 · Professional part | $36.31 | $47.86 | $87.10 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $57.54 Median $72.44 Typical High $138.04 | Professional | TC · Technical part | $57.54 | $72.44 | $138.04 |
Molina Setting Professional Modifier None (both parts) Typical Low $12.30 Median $69.18 Typical High $162.18 | Professional | None (both parts) | $12.30 | $69.18 | $162.18 |
Providence Setting Facility Modifier None Typical Low $109.65 Median $309.03 Typical High $501.19 | Facility | None | $109.65 | $309.03 | $501.19 |
Providence Setting Professional Modifier None (both parts) Typical Low $104.71 Median $141.25 Typical High $213.80 | Professional | None (both parts) | $104.71 | $141.25 | $213.80 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $52.48 Typical High $83.18 | Professional | 26 · Professional part | $37.15 | $52.48 | $83.18 |
Providence Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $83.18 Typical High $114.82 | Professional | TC · Technical part | $66.07 | $83.18 | $114.82 |
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 $109.65 Median $144.54 Typical High $213.80 | Professional | None (both parts) | $109.65 | $144.54 | $213.80 |
United Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $58.88 Typical High $91.20 | Professional | 26 · Professional part | $45.71 | $58.88 | $91.20 |
United Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $83.18 Typical High $125.89 | Professional | TC · Technical part | $64.57 | $83.18 | $125.89 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $169.82 Median $169.82 Typical High $169.82 | Professional | None (both parts) | $169.82 | $169.82 | $169.82 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $64.57 Typical High $64.57 | Professional | 26 · Professional part | $64.57 | $64.57 | $64.57 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $107.15 Median $107.15 Typical High $107.15 | Professional | TC · Technical part | $107.15 | $107.15 | $107.15 |
11 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 $42.66 Median $63.10 Typical High $363.08 | Facility | 52 · Reduced service | $42.66 | $63.10 | $363.08 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $16.98 Median $25.12 Typical High $144.54 | Facility | 53 · Discontinued | $16.98 | $25.12 | $144.54 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $64.57 Median $93.33 Typical High $338.84 | Facility | FX · Film X-ray | $64.57 | $93.33 | $338.84 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $46.77 Median $60.26 Typical High $64.57 | Professional | 52 · Reduced service | $46.77 | $60.26 | $64.57 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.05 Median $23.99 Typical High $25.70 | Professional | 53 · Discontinued | $19.05 | $23.99 | $25.70 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $75.86 Median $95.50 Typical High $97.72 | Professional | FX · Film X-ray | $75.86 | $95.50 | $97.72 |
Moda Health Setting Facility Modifier 52 · Reduced service Typical Low $40.74 Median $60.26 Typical High $177.83 | Facility | 52 · Reduced service | $40.74 | $60.26 | $177.83 |
Moda Health Setting Facility Modifier 53 · Discontinued Typical Low $16.22 Median $23.99 Typical High $70.79 | Facility | 53 · Discontinued | $16.22 | $23.99 | $70.79 |
Moda Health Setting Facility Modifier FX · Film X-ray Typical Low $58.88 Median $93.33 Typical High $354.81 | Facility | FX · Film X-ray | $58.88 | $93.33 | $354.81 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $46.77 Median $60.26 Typical High $61.66 | Professional | 52 · Reduced service | $46.77 | $60.26 | $61.66 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $19.05 Median $23.99 Typical High $24.55 | Professional | 53 · Discontinued | $19.05 | $23.99 | $24.55 |
Where Texas sits
The same service costs 4.9 times more in Alaska than in Utah. 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
$105
AK $468UT $95.50
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.