How much rates vary
Facilitymedian $324 · 10th to 90th $110 to $589Professionalmedian $105 · 10th to 90th $19 to $204
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 $79.43 Median $154.88 Typical High $776.25 | Facility | None | $79.43 | $154.88 | $776.25 |
Aetna Setting Professional Modifier None Typical Low $72.44 Median $79.43 Typical High $151.36 | Professional | None | $72.44 | $79.43 | $151.36 |
BCBS Texas Setting Facility Modifier None Typical Low $141.25 Median $346.74 Typical High $575.44 | Facility | None | $141.25 | $346.74 | $575.44 |
BCBS Texas Setting Professional Modifier None Typical Low $107.15 Median $154.88 Typical High $194.98 | Professional | None | $107.15 | $154.88 | $194.98 |
Cigna Setting Facility Modifier None Typical Low $120.23 Median $363.08 Typical High $660.69 | Facility | None | $120.23 | $363.08 | $660.69 |
Cigna Setting Professional Modifier None Typical Low $91.20 Median $114.82 Typical High $194.98 | Professional | None | $91.20 | $114.82 | $194.98 |
Lucent Health Setting Professional Modifier None Typical Low $1,862.09 Median $1,862.09 Typical High $1,862.09 | Professional | None | $1,862.09 | $1,862.09 | $1,862.09 |
Moda Health Setting Facility Modifier None Typical Low $79.43 Median $134.90 Typical High $269.15 | Facility | None | $79.43 | $134.90 | $269.15 |
Moda Health Setting Professional Modifier None Typical Low $72.44 Median $79.43 Typical High $162.18 | Professional | None | $72.44 | $79.43 | $162.18 |
Molina Setting Professional Modifier None Typical Low $15.49 Median $89.13 Typical High $112.20 | Professional | None | $15.49 | $89.13 | $112.20 |
Providence Setting Facility Modifier None Typical Low $102.33 Median $134.90 Typical High $660.69 | Facility | None | $102.33 | $134.90 | $660.69 |
Providence Setting Professional Modifier None Typical Low $91.20 Median $114.82 Typical High $194.98 | Professional | None | $91.20 | $114.82 | $194.98 |
United Setting Professional Modifier None Typical Low $91.20 Median $128.82 Typical High $177.83 | Professional | None | $91.20 | $128.82 | $177.83 |
Wellpoint Setting Professional Modifier None Typical Low $107.15 Median $107.15 Typical High $107.15 | Professional | None | $107.15 | $107.15 | $107.15 |
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 $39.81 Median $75.86 Typical High $389.05 | Facility | 52 · Reduced service | $39.81 | $75.86 | $389.05 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $15.85 Median $30.90 Typical High $154.88 | Facility | 53 · Discontinued | $15.85 | $30.90 | $154.88 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $63.10 Median $109.65 Typical High $426.58 | Facility | FX · Film X-ray | $63.10 | $109.65 | $426.58 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $36.31 Median $39.81 Typical High $54.95 | Professional | 52 · Reduced service | $36.31 | $39.81 | $54.95 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $14.45 Median $15.85 Typical High $21.88 | Professional | 53 · Discontinued | $14.45 | $15.85 | $21.88 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $57.54 Median $61.66 Typical High $85.11 | Professional | FX · Film X-ray | $57.54 | $61.66 | $85.11 |
Moda Health Setting Facility Modifier 52 · Reduced service Typical Low $39.81 Median $72.44 Typical High $223.87 | Facility | 52 · Reduced service | $39.81 | $72.44 | $223.87 |
Moda Health Setting Facility Modifier 53 · Discontinued Typical Low $15.85 Median $28.84 Typical High $89.13 | Facility | 53 · Discontinued | $15.85 | $28.84 | $89.13 |
Moda Health Setting Facility Modifier FX · Film X-ray Typical Low $63.10 Median $114.82 Typical High $426.58 | Facility | FX · Film X-ray | $63.10 | $114.82 | $426.58 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $36.31 Median $39.81 Typical High $52.48 | Professional | 52 · Reduced service | $36.31 | $39.81 | $52.48 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $14.45 Median $15.85 Typical High $21.38 | Professional | 53 · Discontinued | $14.45 | $15.85 | $21.38 |
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· 47th of 51
$110
AK $437NY $105
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.