How much rates vary
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 $52.48 Median $87.10 Typical High $239.88 | Facility | None | $52.48 | $87.10 | $239.88 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $44.67 Median $74.13 Typical High $446.68 | Facility | TC · Technical part | $44.67 | $74.13 | $446.68 |
Aetna Setting Professional Modifier None (both parts) Typical Low $75.86 Median $97.72 Typical High $109.65 | Professional | None (both parts) | $75.86 | $97.72 | $109.65 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $53.70 Typical High $70.79 | Professional | 26 · Professional part | $40.74 | $53.70 | $70.79 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $34.67 Median $43.65 Typical High $52.48 | Professional | TC · Technical part | $34.67 | $43.65 | $52.48 |
BCBS Texas Setting Facility Modifier None Typical Low $93.33 Median $218.78 Typical High $389.05 | Facility | None | $93.33 | $218.78 | $389.05 |
BCBS Texas Setting Professional Modifier None (both parts) Typical Low $46.77 Median $89.13 Typical High $134.90 | Professional | None (both parts) | $46.77 | $89.13 | $134.90 |
Christus Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $58.88 Typical High $63.10 | Professional | 26 · Professional part | $58.88 | $58.88 | $63.10 |
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 $67.61 Median $100.00 Typical High $147.91 | Professional | None (both parts) | $67.61 | $100.00 | $147.91 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $54.95 Typical High $81.28 | Professional | 26 · Professional part | $36.31 | $54.95 | $81.28 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $30.90 Median $45.71 Typical High $66.07 | Professional | TC · Technical part | $30.90 | $45.71 | $66.07 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $741.31 Median $1,023.29 Typical High $1,023.29 | Professional | None (both parts) | $741.31 | $1,023.29 | $1,023.29 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $407.38 Median $407.38 Typical High $537.03 | Professional | 26 · Professional part | $407.38 | $407.38 | $537.03 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $562.34 Median $562.34 Typical High $562.34 | Professional | TC · Technical part | $562.34 | $562.34 | $562.34 |
Moda Health Setting Facility Modifier None Typical Low $63.10 Median $95.50 Typical High $218.78 | Facility | None | $63.10 | $95.50 | $218.78 |
Moda Health Setting Facility Modifier TC · Technical part Typical Low $44.67 Median $69.18 Typical High $213.80 | Facility | TC · Technical part | $44.67 | $69.18 | $213.80 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $75.86 Median $97.72 Typical High $102.33 | Professional | None (both parts) | $75.86 | $97.72 | $102.33 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $53.70 Typical High $75.86 | Professional | 26 · Professional part | $40.74 | $53.70 | $75.86 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $34.67 Median $43.65 Typical High $46.77 | Professional | TC · Technical part | $34.67 | $43.65 | $46.77 |
Molina Setting Professional Modifier None (both parts) Typical Low $64.57 Median $70.79 Typical High $85.11 | Professional | None (both parts) | $64.57 | $70.79 | $85.11 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $158.49 Median $158.49 Typical High $169.82 | Professional | None (both parts) | $158.49 | $158.49 | $169.82 |
Providence Setting Facility Modifier None Typical Low $63.10 Median $125.89 Typical High $251.19 | Facility | None | $63.10 | $125.89 | $251.19 |
Providence Setting Professional Modifier None (both parts) Typical Low $67.61 Median $100.00 Typical High $141.25 | Professional | None (both parts) | $67.61 | $100.00 | $141.25 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $54.95 Typical High $72.44 | Professional | 26 · Professional part | $36.31 | $54.95 | $72.44 |
Providence Setting Professional Modifier TC · Technical part Typical Low $30.90 Median $45.71 Typical High $58.88 | Professional | TC · Technical part | $30.90 | $45.71 | $58.88 |
United Setting Professional Modifier None (both parts) Typical Low $102.33 Median $134.90 Typical High $213.80 | Professional | None (both parts) | $102.33 | $134.90 | $213.80 |
United Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $69.18 Typical High $107.15 | Professional | 26 · Professional part | $51.29 | $69.18 | $107.15 |
United Setting Professional Modifier TC · Technical part Typical Low $51.29 Median $67.61 Typical High $107.15 | Professional | TC · Technical part | $51.29 | $67.61 | $107.15 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $134.90 Median $134.90 Typical High $134.90 | Professional | None (both parts) | $134.90 | $134.90 | $134.90 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $64.57 Typical High $64.57 | Professional | 26 · Professional part | $64.57 | $64.57 | $64.57 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $63.10 Typical High $63.10 | Professional | TC · Technical part | $63.10 | $63.10 | $63.10 |
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 $25.12 Median $43.65 Typical High $223.87 | Facility | 52 · Reduced service | $25.12 | $43.65 | $223.87 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $10.23 Median $17.38 Typical High $89.13 | Facility | 53 · Discontinued | $10.23 | $17.38 | $89.13 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $38.90 Median $57.54 Typical High $204.17 | Facility | FX · Film X-ray | $38.90 | $57.54 | $204.17 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $38.02 Median $48.98 Typical High $54.95 | Professional | 52 · Reduced service | $38.02 | $48.98 | $54.95 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $15.14 Median $19.50 Typical High $21.88 | Professional | 53 · Discontinued | $15.14 | $19.50 | $21.88 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $60.26 Median $77.62 Typical High $81.28 | Professional | FX · Film X-ray | $60.26 | $77.62 | $81.28 |
Moda Health Setting Facility Modifier 52 · Reduced service Typical Low $23.99 Median $40.74 Typical High $107.15 | Facility | 52 · Reduced service | $23.99 | $40.74 | $107.15 |
Moda Health Setting Facility Modifier 53 · Discontinued Typical Low $9.77 Median $16.22 Typical High $42.66 | Facility | 53 · Discontinued | $9.77 | $16.22 | $42.66 |
Moda Health Setting Facility Modifier FX · Film X-ray Typical Low $36.31 Median $54.95 Typical High $213.80 | Facility | FX · Film X-ray | $36.31 | $54.95 | $213.80 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $38.02 Median $48.98 Typical High $51.29 | Professional | 52 · Reduced service | $38.02 | $48.98 | $51.29 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $15.14 Median $19.50 Typical High $20.89 | Professional | 53 · Discontinued | $15.14 | $19.50 | $20.89 |
Where Texas sits
The same service costs 4.5 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
$107
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.