How much rates vary
Facilitymedian $191 · 10th to 90th $81 to $457Professionalmedian $98 · 10th to 90th $18 to $741
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 $97.72 Typical High $194.98 | Facility | None | $75.86 | $97.72 | $194.98 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $66.07 Median $112.20 Typical High $660.69 | Facility | TC · Technical part | $66.07 | $112.20 | $660.69 |
Aetna Setting Professional Modifier None (both parts) Typical Low $75.86 Median $95.50 Typical High $141.25 | Professional | None (both parts) | $75.86 | $95.50 | $141.25 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $29.51 Typical High $39.81 | Professional | 26 · Professional part | $22.91 | $29.51 | $39.81 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $52.48 Median $66.07 Typical High $107.15 | Professional | TC · Technical part | $52.48 | $66.07 | $107.15 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $93.33 Median $93.33 Typical High $93.33 | Professional | None (both parts) | $93.33 | $93.33 | $93.33 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $26.92 Typical High $36.31 | Professional | 26 · Professional part | $26.92 | $26.92 | $36.31 |
BCBS Texas Setting Facility Modifier None Typical Low $85.11 Median $229.09 Typical High $457.09 | Facility | None | $85.11 | $229.09 | $457.09 |
BCBS Texas Setting Professional Modifier None (both parts) Typical Low $27.54 Median $97.72 Typical High $131.83 | Professional | None (both parts) | $27.54 | $97.72 | $131.83 |
Baylor Scott & White Setting Facility Modifier None Typical Low $104.71 Median $104.71 Typical High $223.87 | Facility | None | $104.71 | $104.71 | $223.87 |
Baylor Scott & White Setting Professional Modifier None (both parts) Typical Low $117.49 Median $123.03 Typical High $151.36 | Professional | None (both parts) | $117.49 | $123.03 | $151.36 |
Christus Setting Facility Modifier None Typical Low $81.28 Median $81.28 Typical High $81.28 | Facility | None | $81.28 | $81.28 | $81.28 |
Christus Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $33.11 Typical High $33.88 | Professional | 26 · Professional part | $33.11 | $33.11 | $33.88 |
Cigna Setting Facility Modifier None Typical Low $91.20 Median $338.84 Typical High $549.54 | Facility | None | $91.20 | $338.84 | $549.54 |
Cigna Setting Professional Modifier None (both parts) Typical Low $75.86 Median $117.49 Typical High $199.53 | Professional | None (both parts) | $75.86 | $117.49 | $199.53 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $20.42 Median $30.90 Typical High $56.23 | Professional | 26 · Professional part | $20.42 | $30.90 | $56.23 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $56.23 Median $87.10 Typical High $147.91 | Professional | TC · Technical part | $56.23 | $87.10 | $147.91 |
Health Smart Setting Professional Modifier None (both parts) Typical Low $95.50 Median $169.82 Typical High $169.82 | Professional | None (both parts) | $95.50 | $169.82 | $169.82 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $741.31 Median $741.31 Typical High $1,071.52 | Professional | None (both parts) | $741.31 | $741.31 | $1,071.52 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $269.15 Median $269.15 Typical High $281.84 | Professional | 26 · Professional part | $269.15 | $269.15 | $281.84 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $512.86 Median $512.86 Typical High $776.25 | Professional | TC · Technical part | $512.86 | $512.86 | $776.25 |
Moda Health Setting Facility Modifier None Typical Low $117.49 Median $416.87 Typical High $616.60 | Facility | None | $117.49 | $416.87 | $616.60 |
Moda Health Setting Facility Modifier TC · Technical part Typical Low $66.07 Median $104.71 Typical High $257.04 | Facility | TC · Technical part | $66.07 | $104.71 | $257.04 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $75.86 Median $95.50 Typical High $169.82 | Professional | None (both parts) | $75.86 | $95.50 | $169.82 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $29.51 Typical High $54.95 | Professional | 26 · Professional part | $22.91 | $29.51 | $54.95 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $52.48 Median $66.07 Typical High $114.82 | Professional | TC · Technical part | $52.48 | $66.07 | $114.82 |
Molina Setting Professional Modifier None (both parts) Typical Low $15.14 Median $77.62 Typical High $131.83 | Professional | None (both parts) | $15.14 | $77.62 | $131.83 |
Providence Setting Facility Modifier None Typical Low $91.20 Median $302.00 Typical High $562.34 | Facility | None | $91.20 | $302.00 | $562.34 |
Providence Setting Professional Modifier None (both parts) Typical Low $75.86 Median $117.49 Typical High $194.98 | Professional | None (both parts) | $75.86 | $117.49 | $194.98 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $20.42 Median $30.20 Typical High $50.12 | Professional | 26 · Professional part | $20.42 | $30.20 | $50.12 |
Providence Setting Professional Modifier TC · Technical part Typical Low $56.23 Median $87.10 Typical High $134.90 | Professional | TC · Technical part | $56.23 | $87.10 | $134.90 |
United Setting Facility Modifier None Typical Low $131.83 Median $138.04 Typical High $181.97 | Facility | None | $131.83 | $138.04 | $181.97 |
United Setting Professional Modifier None (both parts) Typical Low $109.65 Median $144.54 Typical High $218.78 | Professional | None (both parts) | $109.65 | $144.54 | $218.78 |
United Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $38.02 Typical High $57.54 | Professional | 26 · Professional part | $28.84 | $38.02 | $57.54 |
United Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $107.15 Typical High $162.18 | Professional | TC · Technical part | $81.28 | $107.15 | $162.18 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $123.03 Median $123.03 Typical High $123.03 | Professional | None (both parts) | $123.03 | $123.03 | $123.03 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $33.88 Typical High $33.88 | Professional | 26 · Professional part | $33.88 | $33.88 | $33.88 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $89.13 Median $89.13 Typical High $89.13 | Professional | TC · Technical part | $89.13 | $89.13 | $89.13 |
11 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 $37.15 Median $56.23 Typical High $331.13 | Facility | 52 · Reduced service | $37.15 | $56.23 | $331.13 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $14.79 Median $22.39 Typical High $131.83 | Facility | 53 · Discontinued | $14.79 | $22.39 | $131.83 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $58.88 Median $83.18 Typical High $309.03 | Facility | FX · Film X-ray | $58.88 | $83.18 | $309.03 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $37.15 Median $47.86 Typical High $50.12 | Professional | 52 · Reduced service | $37.15 | $47.86 | $50.12 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $15.14 Median $19.05 Typical High $19.95 | Professional | 53 · Discontinued | $15.14 | $19.05 | $19.95 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $60.26 Median $75.86 Typical High $77.62 | Professional | FX · Film X-ray | $60.26 | $75.86 | $77.62 |
Moda Health Setting Facility Modifier 52 · Reduced service Typical Low $36.31 Median $52.48 Typical High $162.18 | Facility | 52 · Reduced service | $36.31 | $52.48 | $162.18 |
Moda Health Setting Facility Modifier 53 · Discontinued Typical Low $14.79 Median $20.89 Typical High $64.57 | Facility | 53 · Discontinued | $14.79 | $20.89 | $64.57 |
Moda Health Setting Facility Modifier FX · Film X-ray Typical Low $53.70 Median $83.18 Typical High $323.59 | Facility | FX · Film X-ray | $53.70 | $83.18 | $323.59 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $37.15 Median $47.86 Typical High $47.86 | Professional | 52 · Reduced service | $37.15 | $47.86 | $47.86 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $15.14 Median $19.05 Typical High $19.50 | Professional | 53 · Discontinued | $15.14 | $19.05 | $19.50 |
Where Texas sits
The same service costs 3.7 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
$97.72
AK $363TX $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.