How much rates vary
Facilitymedian $302 · 10th to 90th $120 to $550Professionalmedian $138 · 10th to 90th $93 to $1,445
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 $100.00 Median $131.83 Typical High $131.83 | Facility | None | $100.00 | $131.83 | $131.83 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $48.98 Median $83.18 Typical High $489.78 | Facility | TC · Technical part | $48.98 | $83.18 | $489.78 |
Aetna Setting Professional Modifier None (both parts) Typical Low $100.00 Median $128.82 Typical High $151.36 | Professional | None (both parts) | $100.00 | $128.82 | $151.36 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $81.28 Typical High $117.49 | Professional | 26 · Professional part | $61.66 | $81.28 | $117.49 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $38.90 Median $48.98 Typical High $58.88 | Professional | TC · Technical part | $38.90 | $48.98 | $58.88 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $100.00 Median $100.00 Typical High $141.25 | Professional | 26 · Professional part | $100.00 | $100.00 | $141.25 |
BCBS Texas Setting Facility Modifier None Typical Low $138.04 Median $316.23 Typical High $562.34 | Facility | None | $138.04 | $316.23 | $562.34 |
BCBS Texas Setting Professional Modifier None (both parts) Typical Low $83.18 Median $91.20 Typical High $177.83 | Professional | None (both parts) | $83.18 | $91.20 | $177.83 |
Christus Setting Professional Modifier 26 · Professional part Typical Low $93.33 Median $93.33 Typical High $100.00 | Professional | 26 · Professional part | $93.33 | $93.33 | $100.00 |
Cigna Setting Facility Modifier None Typical Low $107.15 Median $257.04 Typical High $323.59 | Facility | None | $107.15 | $257.04 | $323.59 |
Cigna Setting Professional Modifier None (both parts) Typical Low $93.33 Median $134.90 Typical High $199.53 | Professional | None (both parts) | $93.33 | $134.90 | $199.53 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $85.11 Typical High $123.03 | Professional | 26 · Professional part | $58.88 | $85.11 | $123.03 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $35.48 Median $51.29 Typical High $74.13 | Professional | TC · Technical part | $35.48 | $51.29 | $74.13 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $1,047.13 Median $1,445.44 Typical High $1,445.44 | Professional | None (both parts) | $1,047.13 | $1,445.44 | $1,445.44 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $630.96 Median $630.96 Typical High $870.96 | Professional | 26 · Professional part | $630.96 | $630.96 | $870.96 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $776.25 Median $776.25 Typical High $776.25 | Professional | TC · Technical part | $776.25 | $776.25 | $776.25 |
Moda Health Setting Facility Modifier None Typical Low $100.00 Median $131.83 Typical High $218.78 | Facility | None | $100.00 | $131.83 | $218.78 |
Moda Health Setting Facility Modifier TC · Technical part Typical Low $50.12 Median $77.62 Typical High $147.91 | Facility | TC · Technical part | $50.12 | $77.62 | $147.91 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $100.00 Median $128.82 Typical High $147.91 | Professional | None (both parts) | $100.00 | $128.82 | $147.91 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $81.28 Typical High $131.83 | Professional | 26 · Professional part | $61.66 | $81.28 | $131.83 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $38.90 Median $48.98 Typical High $54.95 | Professional | TC · Technical part | $38.90 | $48.98 | $54.95 |
Molina Setting Professional Modifier None (both parts) Typical Low $97.72 Median $107.15 Typical High $131.83 | Professional | None (both parts) | $97.72 | $107.15 | $131.83 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $194.98 Median $371.54 Typical High $380.19 | Professional | None (both parts) | $194.98 | $371.54 | $380.19 |
Providence Setting Facility Modifier None Typical Low $100.00 Median $154.88 Typical High $309.03 | Facility | None | $100.00 | $154.88 | $309.03 |
Providence Setting Professional Modifier None (both parts) Typical Low $93.33 Median $134.90 Typical High $186.21 | Professional | None (both parts) | $93.33 | $134.90 | $186.21 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $85.11 Typical High $112.20 | Professional | 26 · Professional part | $58.88 | $85.11 | $112.20 |
Providence Setting Professional Modifier TC · Technical part Typical Low $35.48 Median $51.29 Typical High $66.07 | Professional | TC · Technical part | $35.48 | $51.29 | $66.07 |
United Setting Professional Modifier None (both parts) Typical Low $134.90 Median $181.97 Typical High $281.84 | Professional | None (both parts) | $134.90 | $181.97 | $281.84 |
United Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $104.71 Typical High $165.96 | Professional | 26 · Professional part | $79.43 | $104.71 | $165.96 |
United Setting Professional Modifier TC · Technical part Typical Low $56.23 Median $74.13 Typical High $114.82 | Professional | TC · Technical part | $56.23 | $74.13 | $114.82 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $177.83 Median $177.83 Typical High $177.83 | Professional | None (both parts) | $177.83 | $177.83 | $177.83 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $102.33 Median $102.33 Typical High $102.33 | Professional | 26 · Professional part | $102.33 | $102.33 | $102.33 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $69.18 Typical High $69.18 | Professional | TC · Technical part | $69.18 | $69.18 | $69.18 |
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 $57.54 Typical High $245.47 | Facility | 52 · Reduced service | $28.18 | $57.54 | $245.47 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $11.22 Median $22.91 Typical High $100.00 | Facility | 53 · Discontinued | $11.22 | $22.91 | $100.00 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $43.65 Median $67.61 Typical High $229.09 | Facility | FX · Film X-ray | $43.65 | $67.61 | $229.09 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $50.12 Median $64.57 Typical High $74.13 | Professional | 52 · Reduced service | $50.12 | $64.57 | $74.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.95 Median $26.30 Typical High $30.20 | Professional | 53 · Discontinued | $19.95 | $26.30 | $30.20 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $81.28 Median $104.71 Typical High $112.20 | Professional | FX · Film X-ray | $81.28 | $104.71 | $112.20 |
Moda Health Setting Facility Modifier 52 · Reduced service Typical Low $26.92 Median $46.77 Typical High $120.23 | Facility | 52 · Reduced service | $26.92 | $46.77 | $120.23 |
Moda Health Setting Facility Modifier 53 · Discontinued Typical Low $10.96 Median $18.62 Typical High $47.86 | Facility | 53 · Discontinued | $10.96 | $18.62 | $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 $50.12 Median $64.57 Typical High $69.18 | Professional | 52 · Reduced service | $50.12 | $64.57 | $69.18 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $19.95 Median $26.30 Typical High $27.54 | Professional | 53 · Discontinued | $19.95 | $26.30 | $27.54 |
Where Texas sits
The same service costs 4.2 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
$138
AK $501FL $120
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.