How much rates vary
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 $173.78 Median $223.87 Typical High $346.74 | Facility | None | $173.78 | $223.87 | $346.74 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $154.88 Median $263.03 Typical High $1,548.82 | Facility | TC · Technical part | $154.88 | $263.03 | $1,548.82 |
Aetna Setting Professional Modifier None (both parts) Typical Low $173.78 Median $218.78 Typical High $354.81 | Professional | None (both parts) | $173.78 | $218.78 | $354.81 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $66.07 Typical High $107.15 | Professional | 26 · Professional part | $51.29 | $66.07 | $107.15 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $123.03 Median $151.36 Typical High $251.19 | Professional | TC · Technical part | $123.03 | $151.36 | $251.19 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $177.83 Median $223.87 Typical High $251.19 | Professional | None (both parts) | $177.83 | $223.87 | $251.19 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $61.66 Typical High $77.62 | Professional | 26 · Professional part | $61.66 | $61.66 | $77.62 |
BCBS Texas Setting Facility Modifier None Typical Low $251.19 Median $588.84 Typical High $977.24 | Facility | None | $251.19 | $588.84 | $977.24 |
BCBS Texas Setting Professional Modifier None (both parts) Typical Low $64.57 Median $208.93 Typical High $269.15 | Professional | None (both parts) | $64.57 | $208.93 | $269.15 |
Baylor Scott & White Setting Professional Modifier None (both parts) Typical Low $239.88 Median $257.04 Typical High $354.81 | Professional | None (both parts) | $239.88 | $257.04 | $354.81 |
Christus Setting Facility Modifier None Typical Low $537.03 Median $537.03 Typical High $537.03 | Facility | None | $537.03 | $537.03 | $537.03 |
Christus Setting Professional Modifier 26 · Professional part Typical Low $74.13 Median $223.87 Typical High $223.87 | Professional | 26 · Professional part | $74.13 | $223.87 | $223.87 |
Cigna Setting Facility Modifier None Typical Low $275.42 Median $676.08 Typical High $2,187.76 | Facility | None | $275.42 | $676.08 | $2,187.76 |
Cigna Setting Professional Modifier None (both parts) Typical Low $144.54 Median $223.87 Typical High $363.08 | Professional | None (both parts) | $144.54 | $223.87 | $363.08 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $69.18 Typical High $125.89 | Professional | 26 · Professional part | $44.67 | $69.18 | $125.89 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $154.88 Typical High $234.42 | Professional | TC · Technical part | $100.00 | $154.88 | $234.42 |
Health Smart Setting Professional Modifier None (both parts) Typical Low $208.93 Median $338.84 Typical High $338.84 | Professional | None (both parts) | $208.93 | $338.84 | $338.84 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $1,698.24 Median $1,698.24 Typical High $2,238.72 | Professional | None (both parts) | $1,698.24 | $1,698.24 | $2,238.72 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $501.19 Median $501.19 Typical High $660.69 | Professional | 26 · Professional part | $501.19 | $501.19 | $660.69 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $1,202.26 Median $1,202.26 Typical High $1,584.89 | Professional | TC · Technical part | $1,202.26 | $1,202.26 | $1,584.89 |
Moda Health Setting Facility Modifier None Typical Low $223.87 Median $758.58 Typical High $2,630.27 | Facility | None | $223.87 | $758.58 | $2,630.27 |
Moda Health Setting Facility Modifier TC · Technical part Typical Low $158.49 Median $245.47 Typical High $954.99 | Facility | TC · Technical part | $158.49 | $245.47 | $954.99 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $173.78 Median $218.78 Typical High $354.81 | Professional | None (both parts) | $173.78 | $218.78 | $354.81 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $66.07 Typical High $107.15 | Professional | 26 · Professional part | $51.29 | $66.07 | $107.15 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $123.03 Median $151.36 Typical High $251.19 | Professional | TC · Technical part | $123.03 | $151.36 | $251.19 |
Molina Setting Professional Modifier None (both parts) Typical Low $18.62 Median $102.33 Typical High $263.03 | Professional | None (both parts) | $18.62 | $102.33 | $263.03 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $85.11 Median $251.19 Typical High $524.81 | Professional | None (both parts) | $85.11 | $251.19 | $524.81 |
Providence Setting Facility Modifier None Typical Low $190.55 Median $630.96 Typical High $2,187.76 | Facility | None | $190.55 | $630.96 | $2,187.76 |
Providence Setting Professional Modifier None (both parts) Typical Low $144.54 Median $223.87 Typical High $354.81 | Professional | None (both parts) | $144.54 | $223.87 | $354.81 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $67.61 Typical High $112.20 | Professional | 26 · Professional part | $44.67 | $67.61 | $112.20 |
Providence Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $154.88 Typical High $208.93 | Professional | TC · Technical part | $100.00 | $154.88 | $208.93 |
United Setting Facility Modifier None Typical Low $831.76 Median $870.96 Typical High $1,148.15 | Facility | None | $831.76 | $870.96 | $1,148.15 |
United Setting Professional Modifier None (both parts) Typical Low $208.93 Median $263.03 Typical High $398.11 | Professional | None (both parts) | $208.93 | $263.03 | $398.11 |
United Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $83.18 Typical High $128.82 | Professional | 26 · Professional part | $64.57 | $83.18 | $128.82 |
United Setting Professional Modifier TC · Technical part Typical Low $125.89 Median $177.83 Typical High $269.15 | Professional | TC · Technical part | $125.89 | $177.83 | $269.15 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $263.03 Median $263.03 Typical High $263.03 | Professional | None (both parts) | $263.03 | $263.03 | $263.03 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $79.43 Typical High $79.43 | Professional | 26 · Professional part | $79.43 | $79.43 | $79.43 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $181.97 Median $181.97 Typical High $181.97 | Professional | TC · Technical part | $181.97 | $181.97 | $181.97 |
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 $85.11 Median $131.83 Typical High $776.25 | Facility | 52 · Reduced service | $85.11 | $131.83 | $776.25 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $34.67 Median $52.48 Typical High $309.03 | Facility | 53 · Discontinued | $34.67 | $52.48 | $309.03 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $125.89 Median $194.98 Typical High $724.44 | Facility | FX · Film X-ray | $125.89 | $194.98 | $724.44 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $87.10 Median $109.65 Typical High $117.49 | Professional | 52 · Reduced service | $87.10 | $109.65 | $117.49 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $34.67 Median $43.65 Typical High $46.77 | Professional | 53 · Discontinued | $34.67 | $43.65 | $46.77 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $138.04 Median $173.78 Typical High $177.83 | Professional | FX · Film X-ray | $138.04 | $173.78 | $177.83 |
Ambetter Setting Professional Modifier 59 · Distinct service Typical Low $177.83 Median $208.93 Typical High $316.23 | Professional | 59 · Distinct service | $177.83 | $208.93 | $316.23 |
Moda Health Setting Facility Modifier 52 · Reduced service Typical Low $79.43 Median $123.03 Typical High $380.19 | Facility | 52 · Reduced service | $79.43 | $123.03 | $380.19 |
Moda Health Setting Facility Modifier 53 · Discontinued Typical Low $31.62 Median $48.98 Typical High $151.36 | Facility | 53 · Discontinued | $31.62 | $48.98 | $151.36 |
Moda Health Setting Facility Modifier FX · Film X-ray Typical Low $125.89 Median $194.98 Typical High $758.58 | Facility | FX · Film X-ray | $125.89 | $194.98 | $758.58 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $87.10 Median $109.65 Typical High $112.20 | Professional | 52 · Reduced service | $87.10 | $109.65 | $112.20 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $34.67 Median $43.65 Typical High $44.67 | Professional | 53 · Discontinued | $34.67 | $43.65 | $44.67 |
Where Texas sits
The same service costs 5.0 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
$178
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.