How much rates vary
Facilitymedian $224 · 10th to 90th $87 to $501Professionalmedian $100 · 10th to 90th $19 to $209
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 $83.18 Median $107.15 Typical High $549.54 | Facility | None | $83.18 | $107.15 | $549.54 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $22.91 Median $29.51 Typical High $44.67 | Facility | 26 · Professional part | $22.91 | $29.51 | $44.67 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $64.57 Median $100.00 Typical High $467.74 | Facility | TC · Technical part | $64.57 | $100.00 | $467.74 |
Aetna Setting Professional Modifier None (both parts) Typical Low $83.18 Median $107.15 Typical High $173.78 | Professional | None (both parts) | $83.18 | $107.15 | $173.78 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $30.20 Typical High $50.12 | Professional | 26 · Professional part | $22.91 | $30.20 | $50.12 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $77.62 Typical High $125.89 | Professional | TC · Technical part | $60.26 | $77.62 | $125.89 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $75.86 Median $97.72 Typical High $128.82 | Professional | None (both parts) | $75.86 | $97.72 | $128.82 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $30.90 Typical High $67.61 | Professional | 26 · Professional part | $26.92 | $30.90 | $67.61 |
Ambetter Setting Professional Modifier TC · Technical part Typical Low $51.29 Median $69.18 Typical High $93.33 | Professional | TC · Technical part | $51.29 | $69.18 | $93.33 |
BCBS Texas Setting Facility Modifier None Typical Low $102.33 Median $257.04 Typical High $446.68 | Facility | None | $102.33 | $257.04 | $446.68 |
BCBS Texas Setting Professional Modifier None (both parts) Typical Low $28.18 Median $100.00 Typical High $134.90 | Professional | None (both parts) | $28.18 | $100.00 | $134.90 |
Baylor Scott & White Setting Facility Modifier None Typical Low $173.78 Median $173.78 Typical High $173.78 | Facility | None | $173.78 | $173.78 | $173.78 |
Baylor Scott & White Setting Professional Modifier None (both parts) Typical Low $85.11 Median $120.23 Typical High $194.98 | Professional | None (both parts) | $85.11 | $120.23 | $194.98 |
Christus Setting Facility Modifier None Typical Low $87.10 Median $87.10 Typical High $87.10 | Facility | None | $87.10 | $87.10 | $87.10 |
Christus Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $38.02 Typical High $38.02 | Professional | 26 · Professional part | $34.67 | $38.02 | $38.02 |
Cigna Setting Facility Modifier None Typical Low $186.21 Median $323.59 Typical High $457.09 | Facility | None | $186.21 | $323.59 | $457.09 |
Cigna Setting Professional Modifier None (both parts) Typical Low $72.44 Median $112.20 Typical High $213.80 | Professional | None (both parts) | $72.44 | $112.20 | $213.80 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $20.89 Median $31.62 Typical High $58.88 | Professional | 26 · Professional part | $20.89 | $31.62 | $58.88 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $52.48 Median $81.28 Typical High $154.88 | Professional | TC · Technical part | $52.48 | $81.28 | $154.88 |
Health Smart Setting Professional Modifier None (both parts) Typical Low $138.04 Median $154.88 Typical High $194.98 | Professional | None (both parts) | $138.04 | $154.88 | $194.98 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $831.76 Median $831.76 Typical High $1,096.48 | Professional | None (both parts) | $831.76 | $831.76 | $1,096.48 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $229.09 Median $295.12 Typical High $295.12 | Professional | 26 · Professional part | $229.09 | $295.12 | $295.12 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $602.56 Median $794.33 Typical High $794.33 | Professional | TC · Technical part | $602.56 | $794.33 | $794.33 |
Moda Health Setting Facility Modifier None Typical Low $107.15 Median $239.88 Typical High $549.54 | Facility | None | $107.15 | $239.88 | $549.54 |
Moda Health Setting Facility Modifier 26 · Professional part Typical Low $22.91 Median $29.51 Typical High $48.98 | Facility | 26 · Professional part | $22.91 | $29.51 | $48.98 |
Moda Health Setting Facility Modifier TC · Technical part Typical Low $72.44 Median $229.09 Typical High $467.74 | Facility | TC · Technical part | $72.44 | $229.09 | $467.74 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $83.18 Median $107.15 Typical High $218.78 | Professional | None (both parts) | $83.18 | $107.15 | $218.78 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $30.20 Typical High $56.23 | Professional | 26 · Professional part | $22.91 | $30.20 | $56.23 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $77.62 Typical High $134.90 | Professional | TC · Technical part | $60.26 | $77.62 | $134.90 |
Molina Setting Professional Modifier None (both parts) Typical Low $15.49 Median $83.18 Typical High $134.90 | Professional | None (both parts) | $15.49 | $83.18 | $134.90 |
Oscar Health Setting Facility Modifier None Typical Low $134.90 Median $380.19 Typical High $380.19 | Facility | None | $134.90 | $380.19 | $380.19 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $37.15 Median $102.33 Typical High $229.09 | Professional | None (both parts) | $37.15 | $102.33 | $229.09 |
Providence Setting Facility Modifier None Typical Low $107.15 Median $295.12 Typical High $457.09 | Facility | None | $107.15 | $295.12 | $457.09 |
Providence Setting Professional Modifier None (both parts) Typical Low $72.44 Median $109.65 Typical High $218.78 | Professional | None (both parts) | $72.44 | $109.65 | $218.78 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $20.89 Median $31.62 Typical High $57.54 | Professional | 26 · Professional part | $20.89 | $31.62 | $57.54 |
Providence Setting Professional Modifier TC · Technical part Typical Low $52.48 Median $79.43 Typical High $147.91 | Professional | TC · Technical part | $52.48 | $79.43 | $147.91 |
United Setting Facility Modifier None Typical Low $72.44 Median $72.44 Typical High $100.00 | Facility | None | $72.44 | $72.44 | $100.00 |
United Setting Professional Modifier None (both parts) Typical Low $104.71 Median $138.04 Typical High $208.93 | Professional | None (both parts) | $104.71 | $138.04 | $208.93 |
United Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $38.90 Typical High $57.54 | Professional | 26 · Professional part | $29.51 | $38.90 | $57.54 |
United Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $100.00 Typical High $151.36 | Professional | TC · Technical part | $75.86 | $100.00 | $151.36 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $125.89 Median $125.89 Typical High $125.89 | Professional | None (both parts) | $125.89 | $125.89 | $125.89 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $34.67 Typical High $34.67 | Professional | 26 · Professional part | $34.67 | $34.67 | $34.67 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $91.20 Typical High $91.20 | Professional | TC · Technical part | $91.20 | $91.20 | $91.20 |
6 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 FX · Film X-ray Typical Low $67.61 Median $97.72 Typical High $354.81 | Facility | FX · Film X-ray | $67.61 | $97.72 | $354.81 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $67.61 Median $85.11 Typical High $107.15 | Professional | FX · Film X-ray | $67.61 | $85.11 | $107.15 |
Ambetter Setting Professional Modifier 52 · Reduced service Typical Low $23.99 Median $23.99 Typical High $25.12 | Professional | 52 · Reduced service | $23.99 | $23.99 | $25.12 |
Ambetter Setting Professional Modifier 59 · Distinct service Typical Low $97.72 Median $97.72 Typical High $125.89 | Professional | 59 · Distinct service | $97.72 | $97.72 | $125.89 |
Moda Health Setting Facility Modifier 52 · Reduced service Typical Low $79.43 Median $91.20 Typical High $95.50 | Facility | 52 · Reduced service | $79.43 | $91.20 | $95.50 |
Moda Health Setting Facility Modifier FX · Film X-ray Typical Low $61.66 Median $97.72 Typical High $371.54 | Facility | FX · Film X-ray | $61.66 | $97.72 | $371.54 |
Where Texas sits
The same service costs 5.4 times more in Vermont 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
$102
VT $550TX $102
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.