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 $181.97 Median $199.53 Typical High $234.42 | Facility | None | $181.97 | $199.53 | $234.42 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $162.18 Median $323.59 Typical High $1,698.24 | Facility | TC · Technical part | $162.18 | $323.59 | $1,698.24 |
Aetna Setting Professional Modifier None (both parts) Typical Low $169.82 Median $199.53 Typical High $380.19 | Professional | None (both parts) | $169.82 | $199.53 | $380.19 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $28.18 Typical High $51.29 | Professional | 26 · Professional part | $25.12 | $28.18 | $51.29 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $141.25 Median $173.78 Typical High $331.13 | Professional | TC · Technical part | $141.25 | $173.78 | $331.13 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $177.83 Median $213.80 Typical High $281.84 | Professional | None (both parts) | $177.83 | $213.80 | $281.84 |
BCBS Texas Setting Facility Modifier None Typical Low $275.42 Median $758.58 Typical High $1,258.93 | Facility | None | $275.42 | $758.58 | $1,258.93 |
BCBS Texas Setting Professional Modifier None (both parts) Typical Low $36.31 Median $204.17 Typical High $295.12 | Professional | None (both parts) | $36.31 | $204.17 | $295.12 |
Baylor Scott & White Setting Facility Modifier None Typical Low $229.09 Median $245.47 Typical High $407.38 | Facility | None | $229.09 | $245.47 | $407.38 |
Baylor Scott & White Setting Professional Modifier None (both parts) Typical Low $257.04 Median $269.15 Typical High $338.84 | Professional | None (both parts) | $257.04 | $269.15 | $338.84 |
Christus Setting Facility Modifier None Typical Low $165.96 Median $165.96 Typical High $165.96 | Facility | None | $165.96 | $165.96 | $165.96 |
Christus Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $38.02 Typical High $38.02 | Professional | 26 · Professional part | $38.02 | $38.02 | $38.02 |
Cigna Setting Facility Modifier None Typical Low $213.80 Median $616.60 Typical High $1,412.54 | Facility | None | $213.80 | $616.60 | $1,412.54 |
Cigna Setting Professional Modifier None (both parts) Typical Low $208.93 Median $263.03 Typical High $426.58 | Professional | None (both parts) | $208.93 | $263.03 | $426.58 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $38.90 Typical High $64.57 | Professional | 26 · Professional part | $30.90 | $38.90 | $64.57 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $173.78 Median $229.09 Typical High $363.08 | Professional | TC · Technical part | $173.78 | $229.09 | $363.08 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $2,398.83 Median $2,398.83 Typical High $2,398.83 | Professional | None (both parts) | $2,398.83 | $2,398.83 | $2,398.83 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $724.44 Median $724.44 Typical High $724.44 | Professional | 26 · Professional part | $724.44 | $724.44 | $724.44 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $1,659.59 Median $1,659.59 Typical High $2,041.74 | Professional | TC · Technical part | $1,659.59 | $1,659.59 | $2,041.74 |
Moda Health Setting Facility Modifier None Typical Low $199.53 Median $724.44 Typical High $1,513.56 | Facility | None | $199.53 | $724.44 | $1,513.56 |
Moda Health Setting Facility Modifier TC · Technical part Typical Low $165.96 Median $323.59 Typical High $660.69 | Facility | TC · Technical part | $165.96 | $323.59 | $660.69 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $169.82 Median $199.53 Typical High $457.09 | Professional | None (both parts) | $169.82 | $199.53 | $457.09 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $28.18 Typical High $72.44 | Professional | 26 · Professional part | $25.12 | $28.18 | $72.44 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $138.04 Median $173.78 Typical High $354.81 | Professional | TC · Technical part | $138.04 | $173.78 | $354.81 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.88 Median $199.53 Typical High $281.84 | Professional | None (both parts) | $33.88 | $199.53 | $281.84 |
Providence Setting Facility Modifier None Typical Low $186.21 Median $575.44 Typical High $977.24 | Facility | None | $186.21 | $575.44 | $977.24 |
Providence Setting Professional Modifier None (both parts) Typical Low $204.17 Median $263.03 Typical High $426.58 | Professional | None (both parts) | $204.17 | $263.03 | $426.58 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $38.90 Typical High $63.10 | Professional | 26 · Professional part | $30.20 | $38.90 | $63.10 |
Providence Setting Professional Modifier TC · Technical part Typical Low $169.82 Median $223.87 Typical High $346.74 | Professional | TC · Technical part | $169.82 | $223.87 | $346.74 |
United Setting Facility Modifier None Typical Low $204.17 Median $213.80 Typical High $281.84 | Facility | None | $204.17 | $213.80 | $281.84 |
United Setting Professional Modifier None (both parts) Typical Low $213.80 Median $275.42 Typical High $416.87 | Professional | None (both parts) | $213.80 | $275.42 | $416.87 |
United Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $41.69 Typical High $57.54 | Professional | 26 · Professional part | $30.90 | $41.69 | $57.54 |
United Setting Professional Modifier TC · Technical part Typical Low $177.83 Median $239.88 Typical High $363.08 | Professional | TC · Technical part | $177.83 | $239.88 | $363.08 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $269.15 Median $269.15 Typical High $269.15 | Professional | None (both parts) | $269.15 | $269.15 | $269.15 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $37.15 Typical High $37.15 | Professional | 26 · Professional part | $37.15 | $37.15 | $37.15 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $234.42 Median $234.42 Typical High $234.42 | Professional | TC · Technical part | $234.42 | $234.42 | $234.42 |
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 $93.33 Median $162.18 Typical High $851.14 | Facility | 52 · Reduced service | $93.33 | $162.18 | $851.14 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $37.15 Median $66.07 Typical High $338.84 | Facility | 53 · Discontinued | $37.15 | $66.07 | $338.84 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $151.36 Median $251.19 Typical High $912.01 | Facility | FX · Film X-ray | $151.36 | $251.19 | $912.01 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $89.13 Median $100.00 Typical High $154.88 | Professional | 52 · Reduced service | $89.13 | $100.00 | $154.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $35.48 Median $39.81 Typical High $61.66 | Professional | 53 · Discontinued | $35.48 | $39.81 | $61.66 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $144.54 Median $162.18 Typical High $208.93 | Professional | FX · Film X-ray | $144.54 | $162.18 | $208.93 |
Moda Health Setting Facility Modifier 52 · Reduced service Typical Low $93.33 Median $162.18 Typical High $501.19 | Facility | 52 · Reduced service | $93.33 | $162.18 | $501.19 |
Moda Health Setting Facility Modifier 53 · Discontinued Typical Low $37.15 Median $64.57 Typical High $199.53 | Facility | 53 · Discontinued | $37.15 | $64.57 | $199.53 |
Moda Health Setting Facility Modifier FX · Film X-ray Typical Low $138.04 Median $251.19 Typical High $933.25 | Facility | FX · Film X-ray | $138.04 | $251.19 | $933.25 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $89.13 Median $100.00 Typical High $131.83 | Professional | 52 · Reduced service | $89.13 | $100.00 | $131.83 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $35.48 Median $39.81 Typical High $52.48 | Professional | 53 · Discontinued | $35.48 | $39.81 | $52.48 |
Where Texas sits
The same service costs 4.4 times more in Alaska than in Kentucky. 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
$234
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.