How much rates vary
Facilitymedian $575 · 10th to 90th $191 to $1,047Professionalmedian $89 · 10th to 90th $18 to $417
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 $75.86 Median $89.13 Typical High $112.20 | Facility | None | $75.86 | $89.13 | $112.20 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $64.57 Median $112.20 Typical High $691.83 | Facility | TC · Technical part | $64.57 | $112.20 | $691.83 |
Aetna Setting Professional Modifier None (both parts) Typical Low $75.86 Median $97.72 Typical High $158.49 | Professional | None (both parts) | $75.86 | $97.72 | $158.49 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $22.39 Median $28.84 Typical High $46.77 | Professional | 26 · Professional part | $22.39 | $28.84 | $46.77 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $54.95 Median $67.61 Typical High $112.20 | Professional | TC · Technical part | $54.95 | $67.61 | $112.20 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $79.43 Median $112.20 Typical High $112.20 | Professional | None (both parts) | $79.43 | $112.20 | $112.20 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $33.88 Typical High $40.74 | Professional | 26 · Professional part | $33.88 | $33.88 | $40.74 |
BCBS Texas Setting Facility Modifier None Typical Low $288.40 Median $691.83 Typical High $1,122.02 | Facility | None | $288.40 | $691.83 | $1,122.02 |
BCBS Texas Setting Professional Modifier None (both parts) Typical Low $26.30 Median $89.13 Typical High $114.82 | Professional | None (both parts) | $26.30 | $89.13 | $114.82 |
Christus Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $32.36 Typical High $33.88 | Professional | 26 · Professional part | $32.36 | $32.36 | $33.88 |
Cigna Setting Facility Modifier None Typical Low $173.78 Median $331.13 Typical High $1,023.29 | Facility | None | $173.78 | $331.13 | $1,023.29 |
Cigna Setting Professional Modifier None (both parts) Typical Low $64.57 Median $100.00 Typical High $177.83 | Professional | None (both parts) | $64.57 | $100.00 | $177.83 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $19.50 Median $30.20 Typical High $54.95 | Professional | 26 · Professional part | $19.50 | $30.20 | $54.95 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $45.71 Median $70.79 Typical High $123.03 | Professional | TC · Technical part | $45.71 | $70.79 | $123.03 |
Health Smart Setting Professional Modifier None (both parts) Typical Low $120.23 Median $151.36 Typical High $151.36 | Professional | None (both parts) | $120.23 | $151.36 | $151.36 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $758.58 Median $758.58 Typical High $1,000.00 | Professional | None (both parts) | $758.58 | $758.58 | $1,000.00 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $346.74 Median $346.74 Typical High $346.74 | Professional | 26 · Professional part | $346.74 | $346.74 | $346.74 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $537.03 Median $537.03 Typical High $724.44 | Professional | TC · Technical part | $537.03 | $537.03 | $724.44 |
Moda Health Setting Facility Modifier None Typical Low $89.13 Median $154.88 Typical High $537.03 | Facility | None | $89.13 | $154.88 | $537.03 |
Moda Health Setting Facility Modifier TC · Technical part Typical Low $69.18 Median $109.65 Typical High $398.11 | Facility | TC · Technical part | $69.18 | $109.65 | $398.11 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $75.86 Median $97.72 Typical High $158.49 | Professional | None (both parts) | $75.86 | $97.72 | $158.49 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $22.39 Median $28.84 Typical High $46.77 | Professional | 26 · Professional part | $22.39 | $28.84 | $46.77 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $54.95 Median $67.61 Typical High $112.20 | Professional | TC · Technical part | $54.95 | $67.61 | $112.20 |
Molina Setting Professional Modifier None (both parts) Typical Low $10.00 Median $52.48 Typical High $131.83 | Professional | None (both parts) | $10.00 | $52.48 | $131.83 |
Providence Setting Facility Modifier None Typical Low $104.71 Median $309.03 Typical High $1,023.29 | Facility | None | $104.71 | $309.03 | $1,023.29 |
Providence Setting Professional Modifier None (both parts) Typical Low $64.57 Median $100.00 Typical High $177.83 | Professional | None (both parts) | $64.57 | $100.00 | $177.83 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $19.50 Median $29.51 Typical High $50.12 | Professional | 26 · Professional part | $19.50 | $29.51 | $50.12 |
Providence Setting Professional Modifier TC · Technical part Typical Low $45.71 Median $70.79 Typical High $112.20 | Professional | TC · Technical part | $45.71 | $70.79 | $112.20 |
United Setting Facility Modifier None Typical Low $363.08 Median $380.19 Typical High $501.19 | Facility | None | $363.08 | $380.19 | $501.19 |
United Setting Professional Modifier None (both parts) Typical Low $91.20 Median $120.23 Typical High $186.21 | Professional | None (both parts) | $91.20 | $120.23 | $186.21 |
United Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $37.15 Typical High $56.23 | Professional | 26 · Professional part | $28.18 | $37.15 | $56.23 |
United Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $85.11 Typical High $125.89 | Professional | TC · Technical part | $63.10 | $85.11 | $125.89 |
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 $34.67 Median $34.67 Typical High $34.67 | Professional | 26 · Professional part | $34.67 | $34.67 | $34.67 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $83.18 Typical High $83.18 | Professional | TC · Technical part | $83.18 | $83.18 | $83.18 |
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 $38.02 Median $58.88 Typical High $346.74 | Facility | 52 · Reduced service | $38.02 | $58.88 | $346.74 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $15.49 Median $23.44 Typical High $138.04 | Facility | 53 · Discontinued | $15.49 | $23.44 | $138.04 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $61.66 Median $87.10 Typical High $323.59 | Facility | FX · Film X-ray | $61.66 | $87.10 | $323.59 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $38.02 Median $47.86 Typical High $51.29 | Professional | 52 · Reduced service | $38.02 | $47.86 | $51.29 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $15.49 Median $19.50 Typical High $20.89 | Professional | 53 · Discontinued | $15.49 | $19.50 | $20.89 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $61.66 Median $77.62 Typical High $79.43 | Professional | FX · Film X-ray | $61.66 | $77.62 | $79.43 |
Ambetter Setting Professional Modifier 59 · Distinct service Typical Low $95.50 Median $95.50 Typical High $95.50 | Professional | 59 · Distinct service | $95.50 | $95.50 | $95.50 |
Moda Health Setting Facility Modifier 52 · Reduced service Typical Low $38.02 Median $54.95 Typical High $169.82 | Facility | 52 · Reduced service | $38.02 | $54.95 | $169.82 |
Moda Health Setting Facility Modifier 53 · Discontinued Typical Low $15.14 Median $21.88 Typical High $67.61 | Facility | 53 · Discontinued | $15.14 | $21.88 | $67.61 |
Moda Health Setting Facility Modifier FX · Film X-ray Typical Low $56.23 Median $87.10 Typical High $338.84 | Facility | FX · Film X-ray | $56.23 | $87.10 | $338.84 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $38.02 Median $47.86 Typical High $48.98 | Professional | 52 · Reduced service | $38.02 | $47.86 | $48.98 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $15.49 Median $19.50 Typical High $19.95 | Professional | 53 · Discontinued | $15.49 | $19.50 | $19.95 |
Where Texas sits
The same service costs 3.9 times more in Alaska than in Texas. 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· 51st of 51
$89.13
AK $347TX $89.13
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.