How much rates vary
Facilitymedian $263 · 10th to 90th $107 to $501Professionalmedian $52 · 10th to 90th $9 to $562
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 $45.71 Median $58.88 Typical High $104.71 | Facility | None | $45.71 | $58.88 | $104.71 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $36.31 Median $61.66 Typical High $363.08 | Facility | TC · Technical part | $36.31 | $61.66 | $363.08 |
Aetna Setting Professional Modifier None (both parts) Typical Low $45.71 Median $58.88 Typical High $95.50 | Professional | None (both parts) | $45.71 | $58.88 | $95.50 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $17.38 Median $22.91 Typical High $37.15 | Professional | 26 · Professional part | $17.38 | $22.91 | $37.15 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $28.18 Median $35.48 Typical High $58.88 | Professional | TC · Technical part | $28.18 | $35.48 | $58.88 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $46.77 Median $53.70 Typical High $60.26 | Professional | None (both parts) | $46.77 | $53.70 | $60.26 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $21.38 Median $21.38 Typical High $26.92 | Professional | 26 · Professional part | $21.38 | $21.38 | $26.92 |
BCBS Texas Setting Facility Modifier None Typical Low $138.04 Median $338.84 Typical High $549.54 | Facility | None | $138.04 | $338.84 | $549.54 |
BCBS Texas Setting Professional Modifier None (both parts) Typical Low $22.91 Median $56.23 Typical High $72.44 | Professional | None (both parts) | $22.91 | $56.23 | $72.44 |
Baylor Scott & White Setting Professional Modifier None (both parts) Typical Low $67.61 Median $69.18 Typical High $131.83 | Professional | None (both parts) | $67.61 | $69.18 | $131.83 |
Christus Setting Facility Modifier None Typical Low $263.03 Median $263.03 Typical High $263.03 | Facility | None | $263.03 | $263.03 | $263.03 |
Christus Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $70.79 Typical High $70.79 | Professional | 26 · Professional part | $25.70 | $70.79 | $70.79 |
Cigna Setting Facility Modifier None Typical Low $79.43 Median $173.78 Typical High $501.19 | Facility | None | $79.43 | $173.78 | $501.19 |
Cigna Setting Professional Modifier None (both parts) Typical Low $38.90 Median $60.26 Typical High $112.20 | Professional | None (both parts) | $38.90 | $60.26 | $112.20 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $15.85 Median $23.99 Typical High $43.65 | Professional | 26 · Professional part | $15.85 | $23.99 | $43.65 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $23.44 Median $37.15 Typical High $64.57 | Professional | TC · Technical part | $23.44 | $37.15 | $64.57 |
Health Smart Setting Professional Modifier None (both parts) Typical Low $64.57 Median $91.20 Typical High $91.20 | Professional | None (both parts) | $64.57 | $91.20 | $91.20 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $562.34 Median $562.34 Typical High $602.56 | Professional | None (both parts) | $562.34 | $562.34 | $602.56 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $229.09 Median $239.88 Typical High $239.88 | Professional | 26 · Professional part | $229.09 | $239.88 | $239.88 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $398.11 Median $398.11 Typical High $398.11 | Professional | TC · Technical part | $398.11 | $398.11 | $398.11 |
Moda Health Setting Facility Modifier None Typical Low $57.54 Median $104.71 Typical High $912.01 | Facility | None | $57.54 | $104.71 | $912.01 |
Moda Health Setting Facility Modifier TC · Technical part Typical Low $36.31 Median $57.54 Typical High $218.78 | Facility | TC · Technical part | $36.31 | $57.54 | $218.78 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $45.71 Median $58.88 Typical High $97.72 | Professional | None (both parts) | $45.71 | $58.88 | $97.72 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $17.78 Median $22.91 Typical High $38.02 | Professional | 26 · Professional part | $17.78 | $22.91 | $38.02 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $28.18 Median $35.48 Typical High $58.88 | Professional | TC · Technical part | $28.18 | $35.48 | $58.88 |
Molina Setting Professional Modifier None (both parts) Typical Low $5.37 Median $30.90 Typical High $67.61 | Professional | None (both parts) | $5.37 | $30.90 | $67.61 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $29.51 Median $67.61 Typical High $141.25 | Professional | None (both parts) | $29.51 | $67.61 | $141.25 |
Providence Setting Facility Modifier None Typical Low $57.54 Median $151.36 Typical High $501.19 | Facility | None | $57.54 | $151.36 | $501.19 |
Providence Setting Professional Modifier None (both parts) Typical Low $38.90 Median $60.26 Typical High $112.20 | Professional | None (both parts) | $38.90 | $60.26 | $112.20 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $15.85 Median $23.44 Typical High $38.90 | Professional | 26 · Professional part | $15.85 | $23.44 | $38.90 |
Providence Setting Professional Modifier TC · Technical part Typical Low $23.44 Median $36.31 Typical High $56.23 | Professional | TC · Technical part | $23.44 | $36.31 | $56.23 |
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 $57.54 Median $74.13 Typical High $117.49 | Professional | None (both parts) | $57.54 | $74.13 | $117.49 |
United Setting Professional Modifier 26 · Professional part Typical Low $22.39 Median $29.51 Typical High $44.67 | Professional | 26 · Professional part | $22.39 | $29.51 | $44.67 |
United Setting Professional Modifier TC · Technical part Typical Low $33.88 Median $45.71 Typical High $70.79 | Professional | TC · Technical part | $33.88 | $45.71 | $70.79 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $69.18 Median $69.18 Typical High $69.18 | Professional | None (both parts) | $69.18 | $69.18 | $69.18 |
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 $42.66 Median $42.66 Typical High $42.66 | Professional | TC · Technical part | $42.66 | $42.66 | $42.66 |
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 $20.89 Median $30.90 Typical High $177.83 | Facility | 52 · Reduced service | $20.89 | $30.90 | $177.83 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $8.32 Median $12.30 Typical High $72.44 | Facility | 53 · Discontinued | $8.32 | $12.30 | $72.44 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $31.62 Median $45.71 Typical High $165.96 | Facility | FX · Film X-ray | $31.62 | $45.71 | $165.96 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $22.91 Median $28.84 Typical High $30.90 | Professional | 52 · Reduced service | $22.91 | $28.84 | $30.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $9.12 Median $11.75 Typical High $12.30 | Professional | 53 · Discontinued | $9.12 | $11.75 | $12.30 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $37.15 Median $46.77 Typical High $47.86 | Professional | FX · Film X-ray | $37.15 | $46.77 | $47.86 |
Ambetter Setting Professional Modifier 59 · Distinct service Typical Low $46.77 Median $67.61 Typical High $85.11 | Professional | 59 · Distinct service | $46.77 | $67.61 | $85.11 |
Moda Health Setting Facility Modifier 52 · Reduced service Typical Low $19.95 Median $29.51 Typical High $87.10 | Facility | 52 · Reduced service | $19.95 | $29.51 | $87.10 |
Moda Health Setting Facility Modifier 53 · Discontinued Typical Low $7.94 Median $11.75 Typical High $35.48 | Facility | 53 · Discontinued | $7.94 | $11.75 | $35.48 |
Moda Health Setting Facility Modifier FX · Film X-ray Typical Low $29.51 Median $45.71 Typical High $177.83 | Facility | FX · Film X-ray | $29.51 | $45.71 | $177.83 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $22.91 Median $28.84 Typical High $29.51 | Professional | 52 · Reduced service | $22.91 | $28.84 | $29.51 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $9.12 Median $11.75 Typical High $11.75 | Professional | 53 · Discontinued | $9.12 | $11.75 | $11.75 |
Where Texas sits
The same service costs 4.4 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
$53.70
AK $214UT $48.98
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.