How much rates vary
Facilitymedian $234 · 10th to 90th $107 to $501Professionalmedian $117 · 10th to 90th $18 to $389
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 $125.89 Median $162.18 Typical High $162.18 | Facility | None | $125.89 | $162.18 | $162.18 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $89.13 Median $154.88 Typical High $891.25 | Facility | TC · Technical part | $89.13 | $154.88 | $891.25 |
Aetna Setting Professional Modifier None (both parts) Typical Low $125.89 Median $158.49 Typical High $263.03 | Professional | None (both parts) | $125.89 | $158.49 | $263.03 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $70.79 Typical High $114.82 | Professional | 26 · Professional part | $54.95 | $70.79 | $114.82 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $87.10 Typical High $147.91 | Professional | TC · Technical part | $70.79 | $87.10 | $147.91 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $131.83 Median $151.36 Typical High $239.88 | Professional | None (both parts) | $131.83 | $151.36 | $239.88 |
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 $69.18 Median $154.88 Typical High $204.17 | Professional | None (both parts) | $69.18 | $154.88 | $204.17 |
Baylor Scott & White Setting Professional Modifier None (both parts) Typical Low $186.21 Median $218.78 Typical High $467.74 | Professional | None (both parts) | $186.21 | $218.78 | $467.74 |
Christus Setting Facility Modifier None Typical Low $107.15 Median $107.15 Typical High $107.15 | Facility | None | $107.15 | $107.15 | $107.15 |
Christus Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $147.91 Typical High $147.91 | Professional | 26 · Professional part | $79.43 | $147.91 | $147.91 |
Cigna Setting Facility Modifier None Typical Low $102.33 Median $380.19 Typical High $630.96 | Facility | None | $102.33 | $380.19 | $630.96 |
Cigna Setting Professional Modifier None (both parts) Typical Low $107.15 Median $165.96 Typical High $288.40 | Professional | None (both parts) | $107.15 | $165.96 | $288.40 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $74.13 Typical High $131.83 | Professional | 26 · Professional part | $47.86 | $74.13 | $131.83 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $93.33 Typical High $162.18 | Professional | TC · Technical part | $60.26 | $93.33 | $162.18 |
Health Smart Setting Professional Modifier None (both parts) Typical Low $144.54 Median $251.19 Typical High $251.19 | Professional | None (both parts) | $144.54 | $251.19 | $251.19 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $1,230.27 Median $1,230.27 Typical High $1,659.59 | Professional | None (both parts) | $1,230.27 | $1,230.27 | $1,659.59 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $588.84 Median $588.84 Typical High $707.95 | Professional | 26 · Professional part | $588.84 | $588.84 | $707.95 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $707.95 Median $707.95 Typical High $954.99 | Professional | TC · Technical part | $707.95 | $707.95 | $954.99 |
Moda Health Setting Facility Modifier None Typical Low $125.89 Median $229.09 Typical High $398.11 | Facility | None | $125.89 | $229.09 | $398.11 |
Moda Health Setting Facility Modifier TC · Technical part Typical Low $89.13 Median $141.25 Typical High $269.15 | Facility | TC · Technical part | $89.13 | $141.25 | $269.15 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $125.89 Median $158.49 Typical High $263.03 | Professional | None (both parts) | $125.89 | $158.49 | $263.03 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $70.79 Typical High $114.82 | Professional | 26 · Professional part | $54.95 | $70.79 | $114.82 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $89.13 Typical High $147.91 | Professional | TC · Technical part | $70.79 | $89.13 | $147.91 |
Molina Setting Professional Modifier None (both parts) Typical Low $15.85 Median $89.13 Typical High $194.98 | Professional | None (both parts) | $15.85 | $89.13 | $194.98 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $91.20 Median $186.21 Typical High $398.11 | Professional | None (both parts) | $91.20 | $186.21 | $398.11 |
Providence Setting Facility Modifier None Typical Low $102.33 Median $213.80 Typical High $524.81 | Facility | None | $102.33 | $213.80 | $524.81 |
Providence Setting Professional Modifier None (both parts) Typical Low $107.15 Median $165.96 Typical High $281.84 | Professional | None (both parts) | $107.15 | $165.96 | $281.84 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $72.44 Typical High $117.49 | Professional | 26 · Professional part | $47.86 | $72.44 | $117.49 |
Providence Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $93.33 Typical High $144.54 | Professional | TC · Technical part | $60.26 | $93.33 | $144.54 |
United Setting Professional Modifier None (both parts) Typical Low $158.49 Median $204.17 Typical High $309.03 | Professional | None (both parts) | $158.49 | $204.17 | $309.03 |
United Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $91.20 Typical High $141.25 | Professional | 26 · Professional part | $70.79 | $91.20 | $141.25 |
United Setting Professional Modifier TC · Technical part Typical Low $87.10 Median $112.20 Typical High $165.96 | Professional | TC · Technical part | $87.10 | $112.20 | $165.96 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $194.98 Median $194.98 Typical High $194.98 | Professional | None (both parts) | $194.98 | $194.98 | $194.98 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $85.11 Typical High $85.11 | Professional | 26 · Professional part | $85.11 | $85.11 | $85.11 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $109.65 Median $109.65 Typical High $109.65 | Professional | TC · Technical part | $109.65 | $109.65 | $109.65 |
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 $50.12 Median $81.28 Typical High $446.68 | Facility | 52 · Reduced service | $50.12 | $81.28 | $446.68 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $19.95 Median $32.36 Typical High $177.83 | Facility | 53 · Discontinued | $19.95 | $32.36 | $177.83 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $72.44 Median $117.49 Typical High $416.87 | Facility | FX · Film X-ray | $72.44 | $117.49 | $416.87 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $63.10 Median $79.43 Typical High $85.11 | Professional | 52 · Reduced service | $63.10 | $79.43 | $85.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $25.12 Median $31.62 Typical High $33.88 | Professional | 53 · Discontinued | $25.12 | $31.62 | $33.88 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $100.00 Median $128.82 Typical High $128.82 | Professional | FX · Film X-ray | $100.00 | $128.82 | $128.82 |
Ambetter Setting Professional Modifier 59 · Distinct service Typical Low $158.49 Median $158.49 Typical High $158.49 | Professional | 59 · Distinct service | $158.49 | $158.49 | $158.49 |
Moda Health Setting Facility Modifier 52 · Reduced service Typical Low $45.71 Median $74.13 Typical High $218.78 | Facility | 52 · Reduced service | $45.71 | $74.13 | $218.78 |
Moda Health Setting Facility Modifier 53 · Discontinued Typical Low $18.20 Median $29.51 Typical High $89.13 | Facility | 53 · Discontinued | $18.20 | $29.51 | $89.13 |
Moda Health Setting Facility Modifier FX · Film X-ray Typical Low $72.44 Median $114.82 Typical High $436.52 | Facility | FX · Film X-ray | $72.44 | $114.82 | $436.52 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $63.10 Median $79.43 Typical High $81.28 | Professional | 52 · Reduced service | $63.10 | $79.43 | $81.28 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $25.12 Median $31.62 Typical High $32.36 | Professional | 53 · Discontinued | $25.12 | $31.62 | $32.36 |
Where Texas sits
The same service costs 5.8 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
$120
AK $589UT $102
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.