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 $48.98 Median $67.61 Typical High $79.43 | Facility | None | $48.98 | $67.61 | $79.43 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $39.81 Median $69.18 Typical High $398.11 | Facility | TC · Technical part | $39.81 | $69.18 | $398.11 |
Aetna Setting Professional Modifier None (both parts) Typical Low $38.02 Median $54.95 Typical High $85.11 | Professional | None (both parts) | $38.02 | $54.95 | $85.11 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $17.78 Median $21.88 Typical High $34.67 | Professional | 26 · Professional part | $17.78 | $21.88 | $34.67 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $19.95 Median $33.11 Typical High $57.54 | Professional | TC · Technical part | $19.95 | $33.11 | $57.54 |
BCBS Texas Setting Facility Modifier None Typical Low $22.39 Median $53.70 Typical High $169.82 | Facility | None | $22.39 | $53.70 | $169.82 |
BCBS Texas Setting Professional Modifier None (both parts) Typical Low $26.30 Median $66.07 Typical High $112.20 | Professional | None (both parts) | $26.30 | $66.07 | $112.20 |
Christus Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $29.51 Typical High $32.36 | Professional | 26 · Professional part | $29.51 | $29.51 | $32.36 |
Cigna Setting Facility Modifier None Typical Low $46.77 Median $104.71 Typical High $134.90 | Facility | None | $46.77 | $104.71 | $134.90 |
Cigna Setting Professional Modifier None (both parts) Typical Low $43.65 Median $63.10 Typical High $89.13 | Professional | None (both parts) | $43.65 | $63.10 | $89.13 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $17.78 Median $26.92 Typical High $35.48 | Professional | 26 · Professional part | $17.78 | $26.92 | $35.48 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $22.39 Median $36.31 Typical High $51.29 | Professional | TC · Technical part | $22.39 | $36.31 | $51.29 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $891.25 Median $891.25 Typical High $891.25 | Professional | None (both parts) | $891.25 | $891.25 | $891.25 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $263.03 Median $263.03 Typical High $269.15 | Professional | 26 · Professional part | $263.03 | $263.03 | $269.15 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $724.44 Median $724.44 Typical High $724.44 | Professional | TC · Technical part | $724.44 | $724.44 | $724.44 |
Moda Health Setting Facility Modifier None Typical Low $52.48 Median $79.43 Typical High $131.83 | Facility | None | $52.48 | $79.43 | $131.83 |
Moda Health Setting Facility Modifier TC · Technical part Typical Low $40.74 Median $63.10 Typical High $194.98 | Facility | TC · Technical part | $40.74 | $63.10 | $194.98 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $38.02 Median $54.95 Typical High $109.65 | Professional | None (both parts) | $38.02 | $54.95 | $109.65 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $17.78 Median $23.44 Typical High $43.65 | Professional | 26 · Professional part | $17.78 | $23.44 | $43.65 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $19.95 Median $35.48 Typical High $67.61 | Professional | TC · Technical part | $19.95 | $35.48 | $67.61 |
Molina Setting Professional Modifier None (both parts) Typical Low $5.25 Median $28.84 Typical High $97.72 | Professional | None (both parts) | $5.25 | $28.84 | $97.72 |
Providence Setting Facility Modifier None Typical Low $52.48 Median $83.18 Typical High $134.90 | Facility | None | $52.48 | $83.18 | $134.90 |
Providence Setting Professional Modifier None (both parts) Typical Low $43.65 Median $63.10 Typical High $93.33 | Professional | None (both parts) | $43.65 | $63.10 | $93.33 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $17.78 Median $26.92 Typical High $35.48 | Professional | 26 · Professional part | $17.78 | $26.92 | $35.48 |
Providence Setting Professional Modifier TC · Technical part Typical Low $22.91 Median $35.48 Typical High $51.29 | Professional | TC · Technical part | $22.91 | $35.48 | $51.29 |
United Setting Professional Modifier None (both parts) Typical Low $38.02 Median $69.18 Typical High $102.33 | Professional | None (both parts) | $38.02 | $69.18 | $102.33 |
United Setting Professional Modifier 26 · Professional part Typical Low $19.05 Median $30.20 Typical High $41.69 | Professional | 26 · Professional part | $19.05 | $30.20 | $41.69 |
United Setting Professional Modifier TC · Technical part Typical Low $17.38 Median $41.69 Typical High $57.54 | Professional | TC · Technical part | $17.38 | $41.69 | $57.54 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $81.28 Median $81.28 Typical High $81.28 | Professional | None (both parts) | $81.28 | $81.28 | $81.28 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $32.36 Typical High $32.36 | Professional | 26 · Professional part | $32.36 | $32.36 | $32.36 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $50.12 Median $50.12 Typical High $50.12 | Professional | TC · Technical part | $50.12 | $50.12 | $50.12 |
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 $22.39 Median $34.67 Typical High $199.53 | Facility | 52 · Reduced service | $22.39 | $34.67 | $199.53 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $8.91 Median $13.80 Typical High $79.43 | Facility | 53 · Discontinued | $8.91 | $13.80 | $79.43 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $32.36 Median $51.29 Typical High $186.21 | Facility | FX · Film X-ray | $32.36 | $51.29 | $186.21 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $26.30 Median $33.11 Typical High $40.74 | Professional | 52 · Reduced service | $26.30 | $33.11 | $40.74 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.47 Median $13.18 Typical High $16.22 | Professional | 53 · Discontinued | $10.47 | $13.18 | $16.22 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $41.69 Median $53.70 Typical High $61.66 | Professional | FX · Film X-ray | $41.69 | $53.70 | $61.66 |
Moda Health Setting Facility Modifier 52 · Reduced service Typical Low $20.42 Median $33.11 Typical High $97.72 | Facility | 52 · Reduced service | $20.42 | $33.11 | $97.72 |
Moda Health Setting Facility Modifier 53 · Discontinued Typical Low $8.13 Median $13.18 Typical High $38.90 | Facility | 53 · Discontinued | $8.13 | $13.18 | $38.90 |
Moda Health Setting Facility Modifier FX · Film X-ray Typical Low $32.36 Median $51.29 Typical High $194.98 | Facility | FX · Film X-ray | $32.36 | $51.29 | $194.98 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $26.30 Median $32.36 Typical High $35.48 | Professional | 52 · Reduced service | $26.30 | $32.36 | $35.48 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $10.47 Median $13.18 Typical High $14.13 | Professional | 53 · Discontinued | $10.47 | $13.18 | $14.13 |
Where Texas sits
The same service costs 5.9 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
$41.69
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.