How much rates vary
Facilitymedian $30 · 10th to 90th $13 to $479Professionalmedian $32 · 10th to 90th $10 to $288
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 $23.99 Median $30.90 Typical High $57.54 | Facility | None | $23.99 | $30.90 | $57.54 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $19.95 Median $33.88 Typical High $213.80 | Facility | TC · Technical part | $19.95 | $33.88 | $213.80 |
Aetna Setting Professional Modifier None (both parts) Typical Low $25.70 Median $32.36 Typical High $53.70 | Professional | None (both parts) | $25.70 | $32.36 | $53.70 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $8.51 Median $11.22 Typical High $19.50 | Professional | 26 · Professional part | $8.51 | $11.22 | $19.50 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $16.98 Median $20.89 Typical High $33.88 | Professional | TC · Technical part | $16.98 | $20.89 | $33.88 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $26.92 Median $32.36 Typical High $51.29 | Professional | None (both parts) | $26.92 | $32.36 | $51.29 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $9.33 Median $11.22 Typical High $17.78 | Professional | 26 · Professional part | $9.33 | $11.22 | $17.78 |
Ambetter Setting Professional Modifier TC · Technical part Typical Low $25.12 Median $25.12 Typical High $25.12 | Professional | TC · Technical part | $25.12 | $25.12 | $25.12 |
BCBS Texas Setting Facility Modifier None Typical Low $12.02 Median $32.36 Typical High $87.10 | Facility | None | $12.02 | $32.36 | $87.10 |
BCBS Texas Setting Professional Modifier None (both parts) Typical Low $10.96 Median $30.20 Typical High $38.90 | Professional | None (both parts) | $10.96 | $30.20 | $38.90 |
Baylor Scott & White Setting Professional Modifier None (both parts) Typical Low $38.90 Median $39.81 Typical High $54.95 | Professional | None (both parts) | $38.90 | $39.81 | $54.95 |
Christus Setting Facility Modifier None Typical Low $13.49 Median $13.49 Typical High $13.49 | Facility | None | $13.49 | $13.49 | $13.49 |
Christus Setting Professional Modifier 26 · Professional part Typical Low $12.59 Median $14.45 Typical High $14.45 | Professional | 26 · Professional part | $12.59 | $14.45 | $14.45 |
Cigna Setting Facility Modifier None Typical Low $38.90 Median $91.20 Typical High $114.82 | Facility | None | $38.90 | $91.20 | $114.82 |
Cigna Setting Professional Modifier None (both parts) Typical Low $21.88 Median $33.11 Typical High $53.70 | Professional | None (both parts) | $21.88 | $33.11 | $53.70 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $7.76 Median $12.02 Typical High $21.88 | Professional | 26 · Professional part | $7.76 | $12.02 | $21.88 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $14.13 Median $20.89 Typical High $30.90 | Professional | TC · Technical part | $14.13 | $20.89 | $30.90 |
Health Smart Setting Professional Modifier None (both parts) Typical Low $42.66 Median $46.77 Typical High $60.26 | Professional | None (both parts) | $42.66 | $46.77 | $60.26 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $288.40 Median $288.40 Typical High $346.74 | Professional | None (both parts) | $288.40 | $288.40 | $346.74 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $114.82 Median $204.17 Typical High $204.17 | Professional | 26 · Professional part | $114.82 | $204.17 | $204.17 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $229.09 Median $229.09 Typical High $234.42 | Professional | TC · Technical part | $229.09 | $229.09 | $234.42 |
Moda Health Setting Facility Modifier None Typical Low $40.74 Median $478.63 Typical High $954.99 | Facility | None | $40.74 | $478.63 | $954.99 |
Moda Health Setting Facility Modifier TC · Technical part Typical Low $20.89 Median $34.67 Typical High $346.74 | Facility | TC · Technical part | $20.89 | $34.67 | $346.74 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $25.70 Median $32.36 Typical High $53.70 | Professional | None (both parts) | $25.70 | $32.36 | $53.70 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $8.51 Median $11.22 Typical High $22.39 | Professional | 26 · Professional part | $8.51 | $11.22 | $22.39 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $16.98 Median $20.89 Typical High $33.88 | Professional | TC · Technical part | $16.98 | $20.89 | $33.88 |
Molina Setting Professional Modifier None (both parts) Typical Low $4.90 Median $26.92 Typical High $36.31 | Professional | None (both parts) | $4.90 | $26.92 | $36.31 |
Oscar Health Setting Facility Modifier None Typical Low $1,513.56 Median $1,698.24 Typical High $3,548.13 | Facility | None | $1,513.56 | $1,698.24 | $3,548.13 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $14.79 Median $37.15 Typical High $79.43 | Professional | None (both parts) | $14.79 | $37.15 | $79.43 |
Providence Setting Facility Modifier None Typical Low $33.11 Median $43.65 Typical High $91.20 | Facility | None | $33.11 | $43.65 | $91.20 |
Providence Setting Professional Modifier None (both parts) Typical Low $21.88 Median $33.11 Typical High $51.29 | Professional | None (both parts) | $21.88 | $33.11 | $51.29 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $7.76 Median $11.75 Typical High $19.05 | Professional | 26 · Professional part | $7.76 | $11.75 | $19.05 |
Providence Setting Professional Modifier TC · Technical part Typical Low $14.13 Median $20.42 Typical High $27.54 | Professional | TC · Technical part | $14.13 | $20.42 | $27.54 |
United Setting Professional Modifier None (both parts) Typical Low $28.18 Median $36.31 Typical High $53.70 | Professional | None (both parts) | $28.18 | $36.31 | $53.70 |
United Setting Professional Modifier 26 · Professional part Typical Low $11.22 Median $14.79 Typical High $22.39 | Professional | 26 · Professional part | $11.22 | $14.79 | $22.39 |
United Setting Professional Modifier TC · Technical part Typical Low $15.85 Median $21.38 Typical High $30.90 | Professional | TC · Technical part | $15.85 | $21.38 | $30.90 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $40.74 Median $40.74 Typical High $40.74 | Professional | None (both parts) | $40.74 | $40.74 | $40.74 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $13.80 Median $13.80 Typical High $13.80 | Professional | 26 · Professional part | $13.80 | $13.80 | $13.80 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $26.92 Median $26.92 Typical High $26.92 | Professional | TC · Technical part | $26.92 | $26.92 | $26.92 |
13 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 $12.02 Median $18.20 Typical High $107.15 | Facility | 52 · Reduced service | $12.02 | $18.20 | $107.15 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $4.79 Median $7.24 Typical High $42.66 | Facility | 53 · Discontinued | $4.79 | $7.24 | $42.66 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $19.05 Median $26.92 Typical High $100.00 | Facility | FX · Film X-ray | $19.05 | $26.92 | $100.00 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $12.88 Median $16.22 Typical High $17.38 | Professional | 52 · Reduced service | $12.88 | $16.22 | $17.38 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.13 Median $6.46 Typical High $6.92 | Professional | 53 · Discontinued | $5.13 | $6.46 | $6.92 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $20.42 Median $25.70 Typical High $26.30 | Professional | FX · Film X-ray | $20.42 | $25.70 | $26.30 |
Ambetter Setting Professional Modifier 59 · Distinct service Typical Low $26.92 Median $31.62 Typical High $40.74 | Professional | 59 · Distinct service | $26.92 | $31.62 | $40.74 |
Ambetter Setting Professional Modifier XS · Separate structure Typical Low $30.90 Median $30.90 Typical High $30.90 | Professional | XS · Separate structure | $30.90 | $30.90 | $30.90 |
Moda Health Setting Facility Modifier 52 · Reduced service Typical Low $11.75 Median $16.98 Typical High $52.48 | Facility | 52 · Reduced service | $11.75 | $16.98 | $52.48 |
Moda Health Setting Facility Modifier 53 · Discontinued Typical Low $4.79 Median $6.76 Typical High $20.89 | Facility | 53 · Discontinued | $4.79 | $6.76 | $20.89 |
Moda Health Setting Facility Modifier FX · Film X-ray Typical Low $17.38 Median $26.92 Typical High $104.71 | Facility | FX · Film X-ray | $17.38 | $26.92 | $104.71 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $12.88 Median $16.22 Typical High $16.60 | Professional | 52 · Reduced service | $12.88 | $16.22 | $16.60 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $5.13 Median $6.46 Typical High $6.61 | Professional | 53 · Discontinued | $5.13 | $6.46 | $6.61 |
Where Texas sits
The same service costs 4.1 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· 50th of 51
$31.62
AK $117FL $28.84
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.