How much rates vary
Facilitymedian $295 · 10th to 90th $102 to $724Professionalmedian $98 · 10th to 90th $20 to $257
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 $79.43 Median $100.00 Typical High $158.49 | Facility | None | $79.43 | $100.00 | $158.49 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $20.89 Median $26.92 Typical High $39.81 | Facility | 26 · Professional part | $20.89 | $26.92 | $39.81 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $64.57 Median $85.11 Typical High $446.68 | Facility | TC · Technical part | $64.57 | $85.11 | $446.68 |
Aetna Setting Professional Modifier None (both parts) Typical Low $79.43 Median $100.00 Typical High $162.18 | Professional | None (both parts) | $79.43 | $100.00 | $162.18 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $20.89 Median $27.54 Typical High $44.67 | Professional | 26 · Professional part | $20.89 | $27.54 | $44.67 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $57.54 Median $72.44 Typical High $120.23 | Professional | TC · Technical part | $57.54 | $72.44 | $120.23 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $75.86 Median $95.50 Typical High $123.03 | Professional | None (both parts) | $75.86 | $95.50 | $123.03 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $26.92 Typical High $61.66 | Professional | 26 · Professional part | $25.12 | $26.92 | $61.66 |
Ambetter Setting Professional Modifier TC · Technical part Typical Low $57.54 Median $64.57 Typical High $81.28 | Professional | TC · Technical part | $57.54 | $64.57 | $81.28 |
BCBS Texas Setting Facility Modifier None Typical Low $97.72 Median $257.04 Typical High $501.19 | Facility | None | $97.72 | $257.04 | $501.19 |
BCBS Texas Setting Professional Modifier None (both parts) Typical Low $26.92 Median $91.20 Typical High $117.49 | Professional | None (both parts) | $26.92 | $91.20 | $117.49 |
Baylor Scott & White Setting Facility Modifier None Typical Low $112.20 Median $181.97 Typical High $741.31 | Facility | None | $112.20 | $181.97 | $741.31 |
Baylor Scott & White Setting Professional Modifier None (both parts) Typical Low $107.15 Median $117.49 Typical High $169.82 | Professional | None (both parts) | $107.15 | $117.49 | $169.82 |
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 $30.90 Median $85.11 Typical High $85.11 | Professional | 26 · Professional part | $30.90 | $85.11 | $85.11 |
Cigna Setting Facility Modifier None Typical Low $112.20 Median $338.84 Typical High $501.19 | Facility | None | $112.20 | $338.84 | $501.19 |
Cigna Setting Professional Modifier None (both parts) Typical Low $67.61 Median $102.33 Typical High $169.82 | Professional | None (both parts) | $67.61 | $102.33 | $169.82 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $18.62 Median $28.84 Typical High $52.48 | Professional | 26 · Professional part | $18.62 | $28.84 | $52.48 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $47.86 Median $75.86 Typical High $117.49 | Professional | TC · Technical part | $47.86 | $75.86 | $117.49 |
Health Smart Setting Professional Modifier None (both parts) Typical Low $125.89 Median $147.91 Typical High $208.93 | Professional | None (both parts) | $125.89 | $147.91 | $208.93 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $776.25 Median $776.25 Typical High $1,023.29 | Professional | None (both parts) | $776.25 | $776.25 | $1,023.29 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $302.00 Median $302.00 Typical High $302.00 | Professional | 26 · Professional part | $302.00 | $302.00 | $302.00 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $575.44 Median $575.44 Typical High $741.31 | Professional | TC · Technical part | $575.44 | $575.44 | $741.31 |
Moda Health Setting Facility Modifier None Typical Low $169.82 Median $537.03 Typical High $1,000.00 | Facility | None | $169.82 | $537.03 | $1,000.00 |
Moda Health Setting Facility Modifier 26 · Professional part Typical Low $20.89 Median $26.92 Typical High $41.69 | Facility | 26 · Professional part | $20.89 | $26.92 | $41.69 |
Moda Health Setting Facility Modifier TC · Technical part Typical Low $67.61 Median $138.04 Typical High $467.74 | Facility | TC · Technical part | $67.61 | $138.04 | $467.74 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $79.43 Median $100.00 Typical High $218.78 | Professional | None (both parts) | $79.43 | $100.00 | $218.78 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $20.89 Median $27.54 Typical High $56.23 | Professional | 26 · Professional part | $20.89 | $27.54 | $56.23 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $57.54 Median $72.44 Typical High $120.23 | Professional | TC · Technical part | $57.54 | $72.44 | $120.23 |
Molina Setting Professional Modifier None (both parts) Typical Low $14.79 Median $75.86 Typical High $134.90 | Professional | None (both parts) | $14.79 | $75.86 | $134.90 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $34.67 Median $112.20 Typical High $234.42 | Professional | None (both parts) | $34.67 | $112.20 | $234.42 |
Providence Setting Facility Modifier None Typical Low $102.33 Median $302.00 Typical High $501.19 | Facility | None | $102.33 | $302.00 | $501.19 |
Providence Setting Professional Modifier None (both parts) Typical Low $67.61 Median $102.33 Typical High $165.96 | Professional | None (both parts) | $67.61 | $102.33 | $165.96 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $18.62 Median $28.18 Typical High $46.77 | Professional | 26 · Professional part | $18.62 | $28.18 | $46.77 |
Providence Setting Professional Modifier TC · Technical part Typical Low $47.86 Median $74.13 Typical High $107.15 | Professional | TC · Technical part | $47.86 | $74.13 | $107.15 |
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 $125.89 Typical High $190.55 | Professional | None (both parts) | $93.33 | $125.89 | $190.55 |
United Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $35.48 Typical High $53.70 | Professional | 26 · Professional part | $26.92 | $35.48 | $53.70 |
United Setting Professional Modifier TC · Technical part Typical Low $67.61 Median $89.13 Typical High $134.90 | Professional | TC · Technical part | $67.61 | $89.13 | $134.90 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $117.49 Median $117.49 Typical High $117.49 | Professional | None (both parts) | $117.49 | $117.49 | $117.49 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $32.36 Typical High $32.36 | Professional | 26 · Professional part | $32.36 | $32.36 | $32.36 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $85.11 Typical High $85.11 | Professional | TC · Technical part | $85.11 | $85.11 | $85.11 |
14 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 $39.81 Median $63.10 Typical High $363.08 | Facility | 52 · Reduced service | $39.81 | $63.10 | $363.08 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $15.85 Median $25.12 Typical High $144.54 | Facility | 53 · Discontinued | $15.85 | $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 $39.81 Median $50.12 Typical High $53.70 | Professional | 52 · Reduced service | $39.81 | $50.12 | $53.70 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $15.85 Median $19.95 Typical High $21.38 | Professional | 53 · Discontinued | $15.85 | $19.95 | $21.38 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $63.10 Median $79.43 Typical High $81.28 | Professional | FX · Film X-ray | $63.10 | $79.43 | $81.28 |
Ambetter Setting Professional Modifier 59 · Distinct service Typical Low $79.43 Median $95.50 Typical High $112.20 | Professional | 59 · Distinct service | $79.43 | $95.50 | $112.20 |
Ambetter Setting Professional Modifier Q6 · Substitute physician, paid per time Typical Low $89.13 Median $89.13 Typical High $89.13 | Professional | Q6 · Substitute physician, paid per time | $89.13 | $89.13 | $89.13 |
Moda Health Setting Facility Modifier 52 · Reduced service Typical Low $39.81 Median $57.54 Typical High $177.83 | Facility | 52 · Reduced service | $39.81 | $57.54 | $177.83 |
Moda Health Setting Facility Modifier 53 · Discontinued Typical Low $15.85 Median $22.91 Typical High $70.79 | Facility | 53 · Discontinued | $15.85 | $22.91 | $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 $39.81 Median $50.12 Typical High $51.29 | Professional | 52 · Reduced service | $39.81 | $50.12 | $51.29 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $15.85 Median $19.95 Typical High $20.42 | Professional | 53 · Discontinued | $15.85 | $19.95 | $20.42 |
Moda Health Setting Professional Modifier 59 · Distinct service Typical Low $47.86 Median $128.82 Typical High $524.81 | Professional | 59 · Distinct service | $47.86 | $128.82 | $524.81 |
Where Texas sits
The same service costs 3.6 times more in Alaska than in Florida. 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· 49th of 51
$100
AK $355FL $97.72
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.