How much rates vary
Facilitymedian $19 · 10th to 90th $5 to $468Professionalmedian $8 · 10th to 90th $4 to $776
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 $3.98 Median $5.89 Typical High $20.42 | Facility | None | $3.98 | $5.89 | $20.42 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $3.63 Median $6.03 Typical High $35.48 | Facility | TC · Technical part | $3.63 | $6.03 | $35.48 |
Aetna Setting Professional Modifier None (both parts) Typical Low $4.37 Median $5.62 Typical High $7.76 | Professional | None (both parts) | $4.37 | $5.62 | $7.76 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $1.66 Median $2.19 Typical High $2.69 | Professional | 26 · Professional part | $1.66 | $2.19 | $2.69 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $2.75 Median $3.47 Typical High $4.90 | Professional | TC · Technical part | $2.75 | $3.47 | $4.90 |
BCBS Texas Setting Professional Modifier None (both parts) Typical Low $2.34 Median $5.75 Typical High $8.91 | Professional | None (both parts) | $2.34 | $5.75 | $8.91 |
Christus Setting Professional Modifier 26 · Professional part Typical Low $2.51 Median $2.51 Typical High $2.63 | Professional | 26 · Professional part | $2.51 | $2.51 | $2.63 |
Cigna Setting Facility Modifier None Typical Low $13.18 Median $41.69 Typical High $467.74 | Facility | None | $13.18 | $41.69 | $467.74 |
Cigna Setting Professional Modifier None (both parts) Typical Low $4.27 Median $6.46 Typical High $15.49 | Professional | None (both parts) | $4.27 | $6.46 | $15.49 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $1.58 Median $2.34 Typical High $4.68 | Professional | 26 · Professional part | $1.58 | $2.34 | $4.68 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $2.69 Median $3.98 Typical High $10.23 | Professional | TC · Technical part | $2.69 | $3.98 | $10.23 |
Health Smart Setting Professional Modifier None (both parts) Typical Low $10.00 Median $10.00 Typical High $10.00 | Professional | None (both parts) | $10.00 | $10.00 | $10.00 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $758.58 Median $776.25 Typical High $776.25 | Professional | None (both parts) | $758.58 | $776.25 | $776.25 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $74.13 Median $81.28 Typical High $81.28 | Professional | 26 · Professional part | $74.13 | $81.28 | $81.28 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $741.31 Median $758.58 Typical High $758.58 | Professional | TC · Technical part | $741.31 | $758.58 | $758.58 |
Moda Health Setting Facility Modifier None Typical Low $3.98 Median $6.61 Typical High $25.70 | Facility | None | $3.98 | $6.61 | $25.70 |
Moda Health Setting Facility Modifier TC · Technical part Typical Low $3.63 Median $5.62 Typical High $16.98 | Facility | TC · Technical part | $3.63 | $5.62 | $16.98 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $4.37 Median $5.62 Typical High $8.91 | Professional | None (both parts) | $4.37 | $5.62 | $8.91 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $1.66 Median $2.19 Typical High $3.02 | Professional | 26 · Professional part | $1.66 | $2.19 | $3.02 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $2.75 Median $3.47 Typical High $5.89 | Professional | TC · Technical part | $2.75 | $3.47 | $5.89 |
Molina Setting Professional Modifier None (both parts) Typical Low $2.14 Median $3.89 Typical High $6.17 | Professional | None (both parts) | $2.14 | $3.89 | $6.17 |
Providence Setting Facility Modifier None Typical Low $7.41 Median $21.38 Typical High $467.74 | Facility | None | $7.41 | $21.38 | $467.74 |
Providence Setting Professional Modifier None (both parts) Typical Low $4.27 Median $6.31 Typical High $14.13 | Professional | None (both parts) | $4.27 | $6.31 | $14.13 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $1.58 Median $2.34 Typical High $4.27 | Professional | 26 · Professional part | $1.58 | $2.34 | $4.27 |
Providence Setting Professional Modifier TC · Technical part Typical Low $2.69 Median $3.98 Typical High $8.32 | Professional | TC · Technical part | $2.69 | $3.98 | $8.32 |
United Setting Facility Modifier None Typical Low $158.49 Median $165.96 Typical High $218.78 | Facility | None | $158.49 | $165.96 | $218.78 |
United Setting Professional Modifier None (both parts) Typical Low $5.75 Median $7.59 Typical High $23.99 | Professional | None (both parts) | $5.75 | $7.59 | $23.99 |
United Setting Professional Modifier 26 · Professional part Typical Low $2.19 Median $2.88 Typical High $4.57 | Professional | 26 · Professional part | $2.19 | $2.88 | $4.57 |
United Setting Professional Modifier TC · Technical part Typical Low $3.47 Median $4.57 Typical High $21.38 | Professional | TC · Technical part | $3.47 | $4.57 | $21.38 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $7.76 Median $7.76 Typical High $7.76 | Professional | None (both parts) | $7.76 | $7.76 | $7.76 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $2.69 Median $2.69 Typical High $2.69 | Professional | 26 · Professional part | $2.69 | $2.69 | $2.69 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $5.01 Median $5.01 Typical High $5.01 | Professional | TC · Technical part | $5.01 | $5.01 | $5.01 |
12 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 $2.04 Median $2.95 Typical High $17.78 | Facility | 52 · Reduced service | $2.04 | $2.95 | $17.78 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $0.81 Median $1.20 Typical High $7.08 | Facility | 53 · Discontinued | $0.81 | $1.20 | $7.08 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $3.09 Median $4.57 Typical High $16.22 | Facility | FX · Film X-ray | $3.09 | $4.57 | $16.22 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $2.19 Median $2.82 Typical High $3.80 | Professional | 52 · Reduced service | $2.19 | $2.82 | $3.80 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.87 Median $1.12 Typical High $1.51 | Professional | 53 · Discontinued | $0.87 | $1.12 | $1.51 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $3.55 Median $4.57 Typical High $5.75 | Professional | FX · Film X-ray | $3.55 | $4.57 | $5.75 |
Ambetter Setting Professional Modifier 59 · Distinct service Typical Low $5.13 Median $5.13 Typical High $6.03 | Professional | 59 · Distinct service | $5.13 | $5.13 | $6.03 |
Moda Health Setting Facility Modifier 52 · Reduced service Typical Low $1.95 Median $2.95 Typical High $8.51 | Facility | 52 · Reduced service | $1.95 | $2.95 | $8.51 |
Moda Health Setting Facility Modifier 53 · Discontinued Typical Low $0.78 Median $1.17 Typical High $3.39 | Facility | 53 · Discontinued | $0.78 | $1.17 | $3.39 |
Moda Health Setting Facility Modifier FX · Film X-ray Typical Low $2.88 Median $4.47 Typical High $16.98 | Facility | FX · Film X-ray | $2.88 | $4.47 | $16.98 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $2.19 Median $2.82 Typical High $3.80 | Professional | 52 · Reduced service | $2.19 | $2.82 | $3.80 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $0.87 Median $1.12 Typical High $1.51 | Professional | 53 · Discontinued | $0.87 | $1.12 | $1.51 |
Where Texas sits
The same service costs 4.2 times more in Kansas 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· 46th of 51
$7.59
KS $23.99FL $5.75
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.