How much rates vary
Facilitymedian $200 · 10th to 90th $72 to $389Professionalmedian $69 · 10th to 90th $12 to $132
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 $52.48 Median $100.00 Typical High $512.86 | Facility | None | $52.48 | $100.00 | $512.86 |
Aetna Setting Professional Modifier None Typical Low $47.86 Median $52.48 Typical High $97.72 | Professional | None | $47.86 | $52.48 | $97.72 |
Ambetter Setting Professional Modifier None Typical Low $54.95 Median $54.95 Typical High $54.95 | Professional | None | $54.95 | $54.95 | $54.95 |
BCBS Texas Setting Facility Modifier None Typical Low $87.10 Median $229.09 Typical High $380.19 | Facility | None | $87.10 | $229.09 | $380.19 |
BCBS Texas Setting Professional Modifier None Typical Low $60.26 Median $100.00 Typical High $123.03 | Professional | None | $60.26 | $100.00 | $123.03 |
Cigna Setting Facility Modifier None Typical Low $79.43 Median $239.88 Typical High $436.52 | Facility | None | $79.43 | $239.88 | $436.52 |
Cigna Setting Professional Modifier None Typical Low $60.26 Median $74.13 Typical High $128.82 | Professional | None | $60.26 | $74.13 | $128.82 |
Lucent Health Setting Professional Modifier None Typical Low $1,412.54 Median $1,412.54 Typical High $1,412.54 | Professional | None | $1,412.54 | $1,412.54 | $1,412.54 |
Moda Health Setting Facility Modifier None Typical Low $52.48 Median $89.13 Typical High $223.87 | Facility | None | $52.48 | $89.13 | $223.87 |
Moda Health Setting Professional Modifier None Typical Low $47.86 Median $52.48 Typical High $102.33 | Professional | None | $47.86 | $52.48 | $102.33 |
Molina Setting Professional Modifier None Typical Low $10.23 Median $58.88 Typical High $74.13 | Professional | None | $10.23 | $58.88 | $74.13 |
Providence Setting Facility Modifier None Typical Low $67.61 Median $89.13 Typical High $436.52 | Facility | None | $67.61 | $89.13 | $436.52 |
Providence Setting Professional Modifier None Typical Low $60.26 Median $74.13 Typical High $125.89 | Professional | None | $60.26 | $74.13 | $125.89 |
United Setting Professional Modifier None Typical Low $60.26 Median $85.11 Typical High $117.49 | Professional | None | $60.26 | $85.11 | $117.49 |
Wellpoint Setting Professional Modifier None Typical Low $69.18 Median $69.18 Typical High $69.18 | Professional | None | $69.18 | $69.18 | $69.18 |
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 $26.30 Median $50.12 Typical High $257.04 | Facility | 52 · Reduced service | $26.30 | $50.12 | $257.04 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $10.47 Median $20.42 Typical High $102.33 | Facility | 53 · Discontinued | $10.47 | $20.42 | $102.33 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $41.69 Median $72.44 Typical High $281.84 | Facility | FX · Film X-ray | $41.69 | $72.44 | $281.84 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $23.44 Median $26.30 Typical High $35.48 | Professional | 52 · Reduced service | $23.44 | $26.30 | $35.48 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $9.55 Median $10.47 Typical High $14.13 | Professional | 53 · Discontinued | $9.55 | $10.47 | $14.13 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $38.02 Median $40.74 Typical High $56.23 | Professional | FX · Film X-ray | $38.02 | $40.74 | $56.23 |
Moda Health Setting Facility Modifier 52 · Reduced service Typical Low $26.30 Median $47.86 Typical High $147.91 | Facility | 52 · Reduced service | $26.30 | $47.86 | $147.91 |
Moda Health Setting Facility Modifier 53 · Discontinued Typical Low $10.47 Median $19.05 Typical High $58.88 | Facility | 53 · Discontinued | $10.47 | $19.05 | $58.88 |
Moda Health Setting Facility Modifier FX · Film X-ray Typical Low $41.69 Median $75.86 Typical High $281.84 | Facility | FX · Film X-ray | $41.69 | $75.86 | $281.84 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $23.44 Median $26.30 Typical High $34.67 | Professional | 52 · Reduced service | $23.44 | $26.30 | $34.67 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $9.55 Median $10.47 Typical High $13.80 | Professional | 53 · Discontinued | $9.55 | $10.47 | $13.80 |
Where Texas sits
The same service costs 4.2 times more in Alaska than in New York. 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· 48th of 51
$70.79
AK $282NY $67.61
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.