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 $29.51 Median $38.02 Typical High $69.18 | Facility | None | $29.51 | $38.02 | $69.18 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $26.92 Median $45.71 Typical High $263.03 | Facility | TC · Technical part | $26.92 | $45.71 | $263.03 |
Aetna Setting Professional Modifier None (both parts) Typical Low $29.51 Median $37.15 Typical High $57.54 | Professional | None (both parts) | $29.51 | $37.15 | $57.54 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $8.32 Median $10.96 Typical High $17.38 | Professional | 26 · Professional part | $8.32 | $10.96 | $17.38 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $20.89 Median $25.70 Typical High $41.69 | Professional | TC · Technical part | $20.89 | $25.70 | $41.69 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $26.30 Median $35.48 Typical High $53.70 | Professional | None (both parts) | $26.30 | $35.48 | $53.70 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $10.23 Median $10.23 Typical High $17.78 | Professional | 26 · Professional part | $10.23 | $10.23 | $17.78 |
BCBS Texas Setting Facility Modifier None Typical Low $134.90 Median $338.84 Typical High $537.03 | Facility | None | $134.90 | $338.84 | $537.03 |
BCBS Texas Setting Professional Modifier None (both parts) Typical Low $10.23 Median $35.48 Typical High $46.77 | Professional | None (both parts) | $10.23 | $35.48 | $46.77 |
Baylor Scott & White Setting Facility Modifier None Typical Low $70.79 Median $186.21 Typical High $407.38 | Facility | None | $70.79 | $186.21 | $407.38 |
Baylor Scott & White Setting Professional Modifier None (both parts) Typical Low $44.67 Median $45.71 Typical High $56.23 | Professional | None (both parts) | $44.67 | $45.71 | $56.23 |
Christus Setting Facility Modifier None Typical Low $77.62 Median $77.62 Typical High $77.62 | Facility | None | $77.62 | $77.62 | $77.62 |
Christus Setting Professional Modifier 26 · Professional part Typical Low $10.72 Median $10.72 Typical High $12.30 | Professional | 26 · Professional part | $10.72 | $10.72 | $12.30 |
Cigna Setting Facility Modifier None Typical Low $47.86 Median $114.82 Typical High $467.74 | Facility | None | $47.86 | $114.82 | $467.74 |
Cigna Setting Professional Modifier None (both parts) Typical Low $25.70 Median $38.90 Typical High $67.61 | Professional | None (both parts) | $25.70 | $38.90 | $67.61 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $7.59 Median $11.48 Typical High $22.39 | Professional | 26 · Professional part | $7.59 | $11.48 | $22.39 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $18.20 Median $27.54 Typical High $45.71 | Professional | TC · Technical part | $18.20 | $27.54 | $45.71 |
Health Smart Setting Professional Modifier None (both parts) Typical Low $38.02 Median $60.26 Typical High $60.26 | Professional | None (both parts) | $38.02 | $60.26 | $60.26 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $288.40 Median $288.40 Typical High $398.11 | Professional | None (both parts) | $288.40 | $288.40 | $398.11 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $83.18 Typical High $109.65 | Professional | 26 · Professional part | $83.18 | $83.18 | $109.65 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $208.93 Median $208.93 Typical High $295.12 | Professional | TC · Technical part | $208.93 | $208.93 | $295.12 |
Moda Health Setting Facility Modifier None Typical Low $40.74 Median $199.53 Typical High $331.13 | Facility | None | $40.74 | $199.53 | $331.13 |
Moda Health Setting Facility Modifier TC · Technical part Typical Low $26.92 Median $51.29 Typical High $398.11 | Facility | TC · Technical part | $26.92 | $51.29 | $398.11 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $29.51 Median $37.15 Typical High $64.57 | Professional | None (both parts) | $29.51 | $37.15 | $64.57 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $8.32 Median $10.96 Typical High $18.20 | Professional | 26 · Professional part | $8.32 | $10.96 | $18.20 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $20.89 Median $25.70 Typical High $43.65 | Professional | TC · Technical part | $20.89 | $25.70 | $43.65 |
Molina Setting Professional Modifier None (both parts) Typical Low $4.90 Median $28.18 Typical High $36.31 | Professional | None (both parts) | $4.90 | $28.18 | $36.31 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $14.13 Median $37.15 Typical High $85.11 | Professional | None (both parts) | $14.13 | $37.15 | $85.11 |
Providence Setting Facility Modifier None Typical Low $35.48 Median $112.20 Typical High $467.74 | Facility | None | $35.48 | $112.20 | $467.74 |
Providence Setting Professional Modifier None (both parts) Typical Low $25.70 Median $38.90 Typical High $67.61 | Professional | None (both parts) | $25.70 | $38.90 | $67.61 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $7.59 Median $11.48 Typical High $20.89 | Professional | 26 · Professional part | $7.59 | $11.48 | $20.89 |
Providence Setting Professional Modifier TC · Technical part Typical Low $18.20 Median $26.92 Typical High $40.74 | Professional | TC · Technical part | $18.20 | $26.92 | $40.74 |
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 $33.11 Median $40.74 Typical High $61.66 | Professional | None (both parts) | $33.11 | $40.74 | $61.66 |
United Setting Professional Modifier 26 · Professional part Typical Low $10.96 Median $13.80 Typical High $21.88 | Professional | 26 · Professional part | $10.96 | $13.80 | $21.88 |
United Setting Professional Modifier TC · Technical part Typical Low $20.42 Median $27.54 Typical High $40.74 | Professional | TC · Technical part | $20.42 | $27.54 | $40.74 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $46.77 Median $46.77 Typical High $46.77 | Professional | None (both parts) | $46.77 | $46.77 | $46.77 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $12.88 Median $12.88 Typical High $12.88 | Professional | 26 · Professional part | $12.88 | $12.88 | $12.88 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $33.11 Median $33.11 Typical High $33.11 | Professional | TC · Technical part | $33.11 | $33.11 | $33.11 |
7 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 $14.79 Median $22.91 Typical High $131.83 | Facility | 52 · Reduced service | $14.79 | $22.91 | $131.83 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $23.44 Median $33.88 Typical High $123.03 | Facility | FX · Film X-ray | $23.44 | $33.88 | $123.03 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $14.79 Median $18.62 Typical High $22.91 | Professional | 52 · Reduced service | $14.79 | $18.62 | $22.91 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $23.44 Median $30.20 Typical High $34.67 | Professional | FX · Film X-ray | $23.44 | $30.20 | $34.67 |
Moda Health Setting Facility Modifier 52 · Reduced service Typical Low $14.79 Median $20.89 Typical High $64.57 | Facility | 52 · Reduced service | $14.79 | $20.89 | $64.57 |
Moda Health Setting Facility Modifier FX · Film X-ray Typical Low $21.38 Median $33.88 Typical High $128.82 | Facility | FX · Film X-ray | $21.38 | $33.88 | $128.82 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $14.79 Median $18.62 Typical High $21.38 | Professional | 52 · Reduced service | $14.79 | $18.62 | $21.38 |
Where Texas sits
The same service costs 4.0 times more in Alaska than in Utah. 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· 49th of 51
$35.48
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.