How much rates vary
Facilitymedian $102 · 10th to 90th $41 to $166Professionalmedian $100 · 10th to 90th $34 to $955
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 $60.26 Median $79.43 Typical High $79.43 | Facility | None | $60.26 | $79.43 | $79.43 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $50.12 Median $83.18 Typical High $489.78 | Facility | TC · Technical part | $50.12 | $83.18 | $489.78 |
Aetna Setting Professional Modifier None (both parts) Typical Low $60.26 Median $75.86 Typical High $81.28 | Professional | None (both parts) | $60.26 | $75.86 | $81.28 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $22.39 Median $28.18 Typical High $35.48 | Professional | 26 · Professional part | $22.39 | $28.18 | $35.48 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $38.90 Median $47.86 Typical High $60.26 | Professional | TC · Technical part | $38.90 | $47.86 | $60.26 |
BCBS Texas Setting Facility Modifier None Typical Low $43.65 Median $102.33 Typical High $162.18 | Facility | None | $43.65 | $102.33 | $162.18 |
BCBS Texas Setting Professional Modifier None (both parts) Typical Low $28.84 Median $31.62 Typical High $100.00 | Professional | None (both parts) | $28.84 | $31.62 | $100.00 |
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 $107.15 Median $251.19 Typical High $323.59 | Facility | None | $107.15 | $251.19 | $323.59 |
Cigna Setting Professional Modifier None (both parts) Typical Low $54.95 Median $81.28 Typical High $131.83 | Professional | None (both parts) | $54.95 | $81.28 | $131.83 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $20.42 Median $30.20 Typical High $48.98 | Professional | 26 · Professional part | $20.42 | $30.20 | $48.98 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $34.67 Median $51.29 Typical High $81.28 | Professional | TC · Technical part | $34.67 | $51.29 | $81.28 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $831.76 Median $954.99 Typical High $954.99 | Professional | None (both parts) | $831.76 | $954.99 | $954.99 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $245.47 Median $245.47 Typical High $281.84 | Professional | 26 · Professional part | $245.47 | $245.47 | $281.84 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $676.08 Median $758.58 Typical High $758.58 | Professional | TC · Technical part | $676.08 | $758.58 | $758.58 |
Moda Health Setting Facility Modifier None Typical Low $33.11 Median $79.43 Typical High $154.88 | Facility | None | $33.11 | $79.43 | $154.88 |
Moda Health Setting Facility Modifier TC · Technical part Typical Low $50.12 Median $77.62 Typical High $239.88 | Facility | TC · Technical part | $50.12 | $77.62 | $239.88 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $60.26 Median $75.86 Typical High $83.18 | Professional | None (both parts) | $60.26 | $75.86 | $83.18 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $22.39 Median $28.84 Typical High $44.67 | Professional | 26 · Professional part | $22.39 | $28.84 | $44.67 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $38.90 Median $47.86 Typical High $51.29 | Professional | TC · Technical part | $38.90 | $47.86 | $51.29 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $37.15 Typical High $57.54 | Professional | None (both parts) | $33.11 | $37.15 | $57.54 |
Providence Setting Facility Modifier None Typical Low $33.11 Median $109.65 Typical High $251.19 | Facility | None | $33.11 | $109.65 | $251.19 |
Providence Setting Professional Modifier None (both parts) Typical Low $54.95 Median $81.28 Typical High $128.82 | Professional | None (both parts) | $54.95 | $81.28 | $128.82 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $20.42 Median $30.20 Typical High $47.86 | Professional | 26 · Professional part | $20.42 | $30.20 | $47.86 |
Providence Setting Professional Modifier TC · Technical part Typical Low $34.67 Median $51.29 Typical High $79.43 | Professional | TC · Technical part | $34.67 | $51.29 | $79.43 |
United Setting Professional Modifier None (both parts) Typical Low $77.62 Median $102.33 Typical High $141.25 | Professional | None (both parts) | $77.62 | $102.33 | $141.25 |
United Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $35.48 Typical High $47.86 | Professional | 26 · Professional part | $26.30 | $35.48 | $47.86 |
United Setting Professional Modifier TC · Technical part Typical Low $51.29 Median $67.61 Typical High $93.33 | Professional | TC · Technical part | $51.29 | $67.61 | $93.33 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $102.33 Median $102.33 Typical High $102.33 | Professional | None (both parts) | $102.33 | $102.33 | $102.33 |
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 $67.61 Median $67.61 Typical High $67.61 | Professional | TC · Technical part | $67.61 | $67.61 | $67.61 |
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 $28.18 Median $41.69 Typical High $245.47 | Facility | 52 · Reduced service | $28.18 | $41.69 | $245.47 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $11.22 Median $16.60 Typical High $97.72 | Facility | 53 · Discontinued | $11.22 | $16.60 | $97.72 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $42.66 Median $63.10 Typical High $223.87 | Facility | FX · Film X-ray | $42.66 | $63.10 | $223.87 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $30.20 Median $38.02 Typical High $46.77 | Professional | 52 · Reduced service | $30.20 | $38.02 | $46.77 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.02 Median $15.14 Typical High $18.62 | Professional | 53 · Discontinued | $12.02 | $15.14 | $18.62 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $48.98 Median $61.66 Typical High $66.07 | Professional | FX · Film X-ray | $48.98 | $61.66 | $66.07 |
Moda Health Setting Facility Modifier 52 · Reduced service Typical Low $26.92 Median $39.81 Typical High $120.23 | Facility | 52 · Reduced service | $26.92 | $39.81 | $120.23 |
Moda Health Setting Facility Modifier 53 · Discontinued Typical Low $10.72 Median $15.85 Typical High $47.86 | Facility | 53 · Discontinued | $10.72 | $15.85 | $47.86 |
Moda Health Setting Facility Modifier FX · Film X-ray Typical Low $39.81 Median $61.66 Typical High $239.88 | Facility | FX · Film X-ray | $39.81 | $61.66 | $239.88 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $30.20 Median $37.15 Typical High $39.81 | Professional | 52 · Reduced service | $30.20 | $37.15 | $39.81 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $12.02 Median $15.14 Typical High $15.85 | Professional | 53 · Discontinued | $12.02 | $15.14 | $15.85 |
Where Texas sits
The same service costs 4.6 times more in Alaska than in Oregon. 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· 37th of 51
$100
AK $282OR $61.66
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.