How much rates vary
Facilitymedian $347 · 10th to 90th $145 to $871Professionalmedian $166 · 10th to 90th $33 to $316
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 $123.03 Median $234.42 Typical High $1,230.27 | Facility | None | $123.03 | $234.42 | $1,230.27 |
Aetna Setting Professional Modifier None Typical Low $112.20 Median $123.03 Typical High $302.00 | Professional | None | $112.20 | $123.03 | $302.00 |
Ambetter Setting Professional Modifier None Typical Low $114.82 Median $162.18 Typical High $257.04 | Professional | None | $114.82 | $162.18 | $257.04 |
BCBS Texas Setting Facility Modifier None Typical Low $204.17 Median $549.54 Typical High $977.24 | Facility | None | $204.17 | $549.54 | $977.24 |
BCBS Texas Setting Professional Modifier None Typical Low $131.83 Median $218.78 Typical High $295.12 | Professional | None | $131.83 | $218.78 | $295.12 |
Baylor Scott & White Setting Professional Modifier None Typical Low $165.96 Median $169.82 Typical High $213.80 | Professional | None | $165.96 | $169.82 | $213.80 |
Christus Setting Facility Modifier None Typical Low $144.54 Median $144.54 Typical High $144.54 | Facility | None | $144.54 | $144.54 | $144.54 |
Cigna Setting Facility Modifier None Typical Low $177.83 Median $537.03 Typical High $977.24 | Facility | None | $177.83 | $537.03 | $977.24 |
Cigna Setting Professional Modifier None Typical Low $141.25 Median $177.83 Typical High $295.12 | Professional | None | $141.25 | $177.83 | $295.12 |
Lucent Health Setting Professional Modifier None Typical Low $2,511.89 Median $2,511.89 Typical High $2,511.89 | Professional | None | $2,511.89 | $2,511.89 | $2,511.89 |
Moda Health Setting Facility Modifier None Typical Low $123.03 Median $204.17 Typical High $426.58 | Facility | None | $123.03 | $204.17 | $426.58 |
Moda Health Setting Professional Modifier None Typical Low $112.20 Median $147.91 Typical High $363.08 | Professional | None | $112.20 | $147.91 | $363.08 |
Molina Setting Professional Modifier None Typical Low $25.70 Median $144.54 Typical High $186.21 | Professional | None | $25.70 | $144.54 | $186.21 |
Providence Setting Facility Modifier None Typical Low $151.36 Median $204.17 Typical High $977.24 | Facility | None | $151.36 | $204.17 | $977.24 |
Providence Setting Professional Modifier None Typical Low $138.04 Median $173.78 Typical High $288.40 | Professional | None | $138.04 | $173.78 | $288.40 |
United Setting Professional Modifier None Typical Low $138.04 Median $190.55 Typical High $269.15 | Professional | None | $138.04 | $190.55 | $269.15 |
Wellpoint Setting Professional Modifier None Typical Low $169.82 Median $169.82 Typical High $169.82 | Professional | None | $169.82 | $169.82 | $169.82 |
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 $61.66 Median $120.23 Typical High $616.60 | Facility | 52 · Reduced service | $61.66 | $120.23 | $616.60 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $24.55 Median $47.86 Typical High $245.47 | Facility | 53 · Discontinued | $24.55 | $47.86 | $245.47 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $100.00 Median $169.82 Typical High $660.69 | Facility | FX · Film X-ray | $100.00 | $169.82 | $660.69 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $56.23 Median $61.66 Typical High $85.11 | Professional | 52 · Reduced service | $56.23 | $61.66 | $85.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $22.39 Median $24.55 Typical High $33.88 | Professional | 53 · Discontinued | $22.39 | $24.55 | $33.88 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $89.13 Median $95.50 Typical High $131.83 | Professional | FX · Film X-ray | $89.13 | $95.50 | $131.83 |
Moda Health Setting Facility Modifier 52 · Reduced service Typical Low $61.66 Median $112.20 Typical High $346.74 | Facility | 52 · Reduced service | $61.66 | $112.20 | $346.74 |
Moda Health Setting Facility Modifier 53 · Discontinued Typical Low $24.55 Median $44.67 Typical High $138.04 | Facility | 53 · Discontinued | $24.55 | $44.67 | $138.04 |
Moda Health Setting Facility Modifier FX · Film X-ray Typical Low $100.00 Median $177.83 Typical High $660.69 | Facility | FX · Film X-ray | $100.00 | $177.83 | $660.69 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $56.23 Median $61.66 Typical High $83.18 | Professional | 52 · Reduced service | $56.23 | $61.66 | $83.18 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $22.39 Median $24.55 Typical High $33.11 | Professional | 53 · Discontinued | $22.39 | $24.55 | $33.11 |
Where Texas sits
The same service costs 4.5 times more in Alaska 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· 49th of 51
$170
AK $676FL $151
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.