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 $275.42 Median $338.84 Typical High $346.74 | Facility | None | $275.42 | $338.84 | $346.74 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $263.03 Median $524.81 Typical High $2,754.23 | Facility | TC · Technical part | $263.03 | $524.81 | $2,754.23 |
Aetna Setting Professional Modifier None (both parts) Typical Low $309.03 Median $346.74 Typical High $724.44 | Professional | None (both parts) | $309.03 | $346.74 | $724.44 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $60.26 Typical High $131.83 | Professional | 26 · Professional part | $54.95 | $60.26 | $131.83 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $251.19 Median $288.40 Typical High $630.96 | Professional | TC · Technical part | $251.19 | $288.40 | $630.96 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $338.84 Median $446.68 Typical High $478.63 | Professional | None (both parts) | $338.84 | $446.68 | $478.63 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $89.13 Typical High $123.03 | Professional | 26 · Professional part | $79.43 | $89.13 | $123.03 |
BCBS Texas Setting Facility Modifier None Typical Low $501.19 Median $1,380.38 Typical High $2,454.71 | Facility | None | $501.19 | $1,380.38 | $2,454.71 |
BCBS Texas Setting Professional Modifier None (both parts) Typical Low $74.13 Median $346.74 Typical High $575.44 | Professional | None (both parts) | $74.13 | $346.74 | $575.44 |
Baylor Scott & White Setting Professional Modifier None (both parts) Typical Low $426.58 Median $436.52 Typical High $549.54 | Professional | None (both parts) | $426.58 | $436.52 | $549.54 |
Christus Setting Facility Modifier None Typical Low $363.08 Median $363.08 Typical High $363.08 | Facility | None | $363.08 | $363.08 | $363.08 |
Christus Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $83.18 Typical High $83.18 | Professional | 26 · Professional part | $83.18 | $83.18 | $83.18 |
Cigna Setting Facility Modifier None Typical Low $549.54 Median $1,513.56 Typical High $2,398.83 | Facility | None | $549.54 | $1,513.56 | $2,398.83 |
Cigna Setting Professional Modifier None (both parts) Typical Low $371.54 Median $457.09 Typical High $870.96 | Professional | None (both parts) | $371.54 | $457.09 | $870.96 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $85.11 Typical High $141.25 | Professional | 26 · Professional part | $69.18 | $85.11 | $141.25 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $302.00 Median $363.08 Typical High $707.95 | Professional | TC · Technical part | $302.00 | $363.08 | $707.95 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $4,466.84 Median $4,466.84 Typical High $4,466.84 | Professional | None (both parts) | $4,466.84 | $4,466.84 | $4,466.84 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $1,348.96 Median $1,348.96 Typical High $1,348.96 | Professional | 26 · Professional part | $1,348.96 | $1,348.96 | $1,348.96 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $3,162.28 Median $3,162.28 Typical High $3,162.28 | Professional | TC · Technical part | $3,162.28 | $3,162.28 | $3,162.28 |
Moda Health Setting Facility Modifier None Typical Low $338.84 Median $1,380.38 Typical High $2,137.96 | Facility | None | $338.84 | $1,380.38 | $2,137.96 |
Moda Health Setting Facility Modifier TC · Technical part Typical Low $263.03 Median $524.81 Typical High $1,621.81 | Facility | TC · Technical part | $263.03 | $524.81 | $1,621.81 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $316.23 Median $380.19 Typical High $831.76 | Professional | None (both parts) | $316.23 | $380.19 | $831.76 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $60.26 Typical High $151.36 | Professional | 26 · Professional part | $56.23 | $60.26 | $151.36 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $257.04 Median $281.84 Typical High $630.96 | Professional | TC · Technical part | $257.04 | $281.84 | $630.96 |
Molina Setting Professional Modifier None (both parts) Typical Low $19.95 Median $104.71 Typical High $467.74 | Professional | None (both parts) | $19.95 | $104.71 | $467.74 |
Providence Setting Facility Modifier None Typical Low $389.05 Median $1,288.25 Typical High $2,630.27 | Facility | None | $389.05 | $1,288.25 | $2,630.27 |
Providence Setting Professional Modifier None (both parts) Typical Low $371.54 Median $457.09 Typical High $870.96 | Professional | None (both parts) | $371.54 | $457.09 | $870.96 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $85.11 Typical High $141.25 | Professional | 26 · Professional part | $66.07 | $85.11 | $141.25 |
Providence Setting Professional Modifier TC · Technical part Typical Low $302.00 Median $363.08 Typical High $724.44 | Professional | TC · Technical part | $302.00 | $363.08 | $724.44 |
United Setting Facility Modifier None Typical Low $562.34 Median $588.84 Typical High $776.25 | Facility | None | $562.34 | $588.84 | $776.25 |
United Setting Professional Modifier None (both parts) Typical Low $407.38 Median $575.44 Typical High $812.83 | Professional | None (both parts) | $407.38 | $575.44 | $812.83 |
United Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $93.33 Typical High $128.82 | Professional | 26 · Professional part | $67.61 | $93.33 | $128.82 |
United Setting Professional Modifier TC · Technical part Typical Low $338.84 Median $478.63 Typical High $660.69 | Professional | TC · Technical part | $338.84 | $478.63 | $660.69 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $436.52 Median $436.52 Typical High $436.52 | Professional | None (both parts) | $436.52 | $436.52 | $436.52 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $81.28 Typical High $81.28 | Professional | 26 · Professional part | $81.28 | $81.28 | $81.28 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $363.08 Median $363.08 Typical High $363.08 | Professional | TC · Technical part | $363.08 | $363.08 | $363.08 |
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 $158.49 Median $269.15 Typical High $1,380.38 | Facility | 52 · Reduced service | $158.49 | $269.15 | $1,380.38 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $63.10 Median $107.15 Typical High $549.54 | Facility | 53 · Discontinued | $63.10 | $107.15 | $549.54 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $245.47 Median $407.38 Typical High $1,479.11 | Facility | FX · Film X-ray | $245.47 | $407.38 | $1,479.11 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $151.36 Median $169.82 Typical High $263.03 | Professional | 52 · Reduced service | $151.36 | $169.82 | $263.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $61.66 Median $69.18 Typical High $104.71 | Professional | 53 · Discontinued | $61.66 | $69.18 | $104.71 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $245.47 Median $275.42 Typical High $363.08 | Professional | FX · Film X-ray | $245.47 | $275.42 | $363.08 |
Moda Health Setting Facility Modifier 52 · Reduced service Typical Low $154.88 Median $263.03 Typical High $812.83 | Facility | 52 · Reduced service | $154.88 | $263.03 | $812.83 |
Moda Health Setting Facility Modifier 53 · Discontinued Typical Low $61.66 Median $104.71 Typical High $323.59 | Facility | 53 · Discontinued | $61.66 | $104.71 | $323.59 |
Moda Health Setting Facility Modifier FX · Film X-ray Typical Low $223.87 Median $407.38 Typical High $1,548.82 | Facility | FX · Film X-ray | $223.87 | $407.38 | $1,548.82 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $151.36 Median $169.82 Typical High $223.87 | Professional | 52 · Reduced service | $151.36 | $169.82 | $223.87 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $61.66 Median $69.18 Typical High $89.13 | Professional | 53 · Discontinued | $61.66 | $69.18 | $89.13 |
Where Texas sits
The same service costs 4.6 times more in Alaska than in Texas. 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· 51st of 51
$372
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.