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 $21.88 Median $58.88 Typical High $75.86 | Facility | None | $21.88 | $58.88 | $75.86 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $21.38 Median $37.15 Typical High $213.80 | Facility | TC · Technical part | $21.38 | $37.15 | $213.80 |
Aetna Setting Professional Modifier None (both parts) Typical Low $58.88 Median $72.44 Typical High $107.15 | Professional | None (both parts) | $58.88 | $72.44 | $107.15 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $48.98 Typical High $67.61 | Professional | 26 · Professional part | $42.66 | $48.98 | $67.61 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $16.98 Median $20.89 Typical High $45.71 | Professional | TC · Technical part | $16.98 | $20.89 | $45.71 |
BCBS Texas Setting Facility Modifier None Typical Low $15.14 Median $47.86 Typical High $134.90 | Facility | None | $15.14 | $47.86 | $134.90 |
BCBS Texas Setting Professional Modifier None (both parts) Typical Low $56.23 Median $77.62 Typical High $112.20 | Professional | None (both parts) | $56.23 | $77.62 | $112.20 |
Christus Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $63.10 Typical High $67.61 | Professional | 26 · Professional part | $63.10 | $63.10 | $67.61 |
Cigna Setting Facility Modifier None Typical Low $125.89 Median $295.12 Typical High $371.54 | Facility | None | $125.89 | $295.12 | $371.54 |
Cigna Setting Professional Modifier None (both parts) Typical Low $54.95 Median $81.28 Typical High $151.36 | Professional | None (both parts) | $54.95 | $81.28 | $151.36 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $57.54 Typical High $95.50 | Professional | 26 · Professional part | $38.90 | $57.54 | $95.50 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $15.85 Median $23.44 Typical High $54.95 | Professional | TC · Technical part | $15.85 | $23.44 | $54.95 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $1,737.80 Median $1,737.80 Typical High $1,737.80 | Professional | None (both parts) | $1,737.80 | $1,737.80 | $1,737.80 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $512.86 Median $512.86 Typical High $562.34 | Professional | 26 · Professional part | $512.86 | $512.86 | $562.34 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $1,412.54 Median $1,412.54 Typical High $1,412.54 | Professional | TC · Technical part | $1,412.54 | $1,412.54 | $1,412.54 |
Moda Health Setting Facility Modifier None Typical Low $33.11 Median $97.72 Typical High $691.83 | Facility | None | $33.11 | $97.72 | $691.83 |
Moda Health Setting Facility Modifier TC · Technical part Typical Low $21.88 Median $33.88 Typical High $104.71 | Facility | TC · Technical part | $21.88 | $33.88 | $104.71 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $58.88 Median $75.86 Typical High $125.89 | Professional | None (both parts) | $58.88 | $75.86 | $125.89 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $51.29 Typical High $85.11 | Professional | 26 · Professional part | $42.66 | $51.29 | $85.11 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $16.98 Median $20.89 Typical High $45.71 | Professional | TC · Technical part | $16.98 | $20.89 | $45.71 |
Molina Setting Professional Modifier None (both parts) Typical Low $5.75 Median $30.90 Typical High $93.33 | Professional | None (both parts) | $5.75 | $30.90 | $93.33 |
Providence Setting Facility Modifier None Typical Low $83.18 Median $109.65 Typical High $371.54 | Facility | None | $83.18 | $109.65 | $371.54 |
Providence Setting Professional Modifier None (both parts) Typical Low $54.95 Median $81.28 Typical High $158.49 | Professional | None (both parts) | $54.95 | $81.28 | $158.49 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $57.54 Typical High $95.50 | Professional | 26 · Professional part | $38.90 | $57.54 | $95.50 |
Providence Setting Professional Modifier TC · Technical part Typical Low $15.85 Median $23.44 Typical High $48.98 | Professional | TC · Technical part | $15.85 | $23.44 | $48.98 |
United Setting Professional Modifier None (both parts) Typical Low $70.79 Median $95.50 Typical High $213.80 | Professional | None (both parts) | $70.79 | $95.50 | $213.80 |
United Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $69.18 Typical High $95.50 | Professional | 26 · Professional part | $52.48 | $69.18 | $95.50 |
United Setting Professional Modifier TC · Technical part Typical Low $19.05 Median $25.70 Typical High $144.54 | Professional | TC · Technical part | $19.05 | $25.70 | $144.54 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $95.50 Median $95.50 Typical High $95.50 | Professional | None (both parts) | $95.50 | $95.50 | $95.50 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $67.61 Typical High $67.61 | Professional | 26 · Professional part | $67.61 | $67.61 | $67.61 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $28.84 Median $28.84 Typical High $28.84 | Professional | TC · Technical part | $28.84 | $28.84 | $28.84 |
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 $12.59 Median $29.51 Typical High $107.15 | Facility | 52 · Reduced service | $12.59 | $29.51 | $107.15 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $5.01 Median $12.02 Typical High $42.66 | Facility | 53 · Discontinued | $5.01 | $12.02 | $42.66 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $19.05 Median $31.62 Typical High $100.00 | Facility | FX · Film X-ray | $19.05 | $31.62 | $100.00 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $29.51 Median $38.02 Typical High $45.71 | Professional | 52 · Reduced service | $29.51 | $38.02 | $45.71 |
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 $47.86 Median $61.66 Typical High $70.79 | Professional | FX · Film X-ray | $47.86 | $61.66 | $70.79 |
Moda Health Setting Facility Modifier 52 · Reduced service Typical Low $12.02 Median $20.42 Typical High $52.48 | Facility | 52 · Reduced service | $12.02 | $20.42 | $52.48 |
Moda Health Setting Facility Modifier 53 · Discontinued Typical Low $6.76 Median $12.88 Typical High $25.12 | Facility | 53 · Discontinued | $6.76 | $12.88 | $25.12 |
Moda Health Setting Facility Modifier FX · Film X-ray Typical Low $17.38 Median $27.54 Typical High $104.71 | Facility | FX · Film X-ray | $17.38 | $27.54 | $104.71 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $29.51 Median $38.02 Typical High $42.66 | Professional | 52 · Reduced service | $29.51 | $38.02 | $42.66 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $12.02 Median $15.14 Typical High $17.38 | Professional | 53 · Discontinued | $12.02 | $15.14 | $17.38 |
Where Texas sits
The same service costs 5.2 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
$58.88
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.