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 $281.84 Median $354.81 Typical High $354.81 | Facility | None | $281.84 | $354.81 | $354.81 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $186.21 Median $354.81 Typical High $1,819.70 | Facility | TC · Technical part | $186.21 | $354.81 | $1,819.70 |
Aetna Setting Professional Modifier None (both parts) Typical Low $323.59 Median $354.81 Typical High $741.31 | Professional | None (both parts) | $323.59 | $354.81 | $741.31 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $151.36 Median $165.96 Typical High $331.13 | Professional | 26 · Professional part | $151.36 | $165.96 | $331.13 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $169.82 Median $190.55 Typical High $416.87 | Professional | TC · Technical part | $169.82 | $190.55 | $416.87 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $371.54 Median $398.11 Typical High $512.86 | Professional | None (both parts) | $371.54 | $398.11 | $512.86 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $154.88 Median $229.09 Typical High $371.54 | Professional | 26 · Professional part | $154.88 | $229.09 | $371.54 |
BCBS Texas Setting Facility Modifier None Typical Low $338.84 Median $977.24 Typical High $2,344.23 | Facility | None | $338.84 | $977.24 | $2,344.23 |
BCBS Texas Setting Professional Modifier None (both parts) Typical Low $223.87 Median $407.38 Typical High $676.08 | Professional | None (both parts) | $223.87 | $407.38 | $676.08 |
Baylor Scott & White Setting Professional Modifier None (both parts) Typical Low $467.74 Median $489.78 Typical High $616.60 | Professional | None (both parts) | $467.74 | $489.78 | $616.60 |
Christus Setting Facility Modifier None Typical Low $1,412.54 Median $1,412.54 Typical High $1,412.54 | Facility | None | $1,412.54 | $1,412.54 | $1,412.54 |
Christus Setting Professional Modifier 26 · Professional part Typical Low $229.09 Median $229.09 Typical High $229.09 | Professional | 26 · Professional part | $229.09 | $229.09 | $229.09 |
Cigna Setting Facility Modifier None Typical Low $707.95 Median $1,737.80 Typical High $6,309.57 | Facility | None | $707.95 | $1,737.80 | $6,309.57 |
Cigna Setting Professional Modifier None (both parts) Typical Low $407.38 Median $501.19 Typical High $870.96 | Professional | None (both parts) | $407.38 | $501.19 | $870.96 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $190.55 Median $234.42 Typical High $407.38 | Professional | 26 · Professional part | $190.55 | $234.42 | $407.38 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $213.80 Median $263.03 Typical High $478.63 | Professional | TC · Technical part | $213.80 | $263.03 | $478.63 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $7,585.78 Median $7,585.78 Typical High $7,585.78 | Professional | None (both parts) | $7,585.78 | $7,585.78 | $7,585.78 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $1,698.24 Median $1,698.24 Typical High $1,862.09 | Professional | 26 · Professional part | $1,698.24 | $1,698.24 | $1,862.09 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $6,456.54 Median $6,456.54 Typical High $6,456.54 | Professional | TC · Technical part | $6,456.54 | $6,456.54 | $6,456.54 |
Moda Health Setting Facility Modifier None Typical Low $354.81 Median $2,344.23 Typical High $5,128.61 | Facility | None | $354.81 | $2,344.23 | $5,128.61 |
Moda Health Setting Facility Modifier TC · Technical part Typical Low $186.21 Median $407.38 Typical High $3,467.37 | Facility | TC · Technical part | $186.21 | $407.38 | $3,467.37 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $323.59 Median $407.38 Typical High $933.25 | Professional | None (both parts) | $323.59 | $407.38 | $933.25 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $151.36 Median $165.96 Typical High $436.52 | Professional | 26 · Professional part | $151.36 | $165.96 | $436.52 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $169.82 Median $190.55 Typical High $436.52 | Professional | TC · Technical part | $169.82 | $190.55 | $436.52 |
Molina Setting Professional Modifier None (both parts) Typical Low $36.31 Median $204.17 Typical High $467.74 | Professional | None (both parts) | $36.31 | $204.17 | $467.74 |
Providence Setting Facility Modifier None Typical Low $467.74 Median $1,096.48 Typical High $6,309.57 | Facility | None | $467.74 | $1,096.48 | $6,309.57 |
Providence Setting Professional Modifier None (both parts) Typical Low $407.38 Median $501.19 Typical High $851.14 | Professional | None (both parts) | $407.38 | $501.19 | $851.14 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $190.55 Median $234.42 Typical High $407.38 | Professional | 26 · Professional part | $190.55 | $234.42 | $407.38 |
Providence Setting Professional Modifier TC · Technical part Typical Low $213.80 Median $263.03 Typical High $457.09 | Professional | TC · Technical part | $213.80 | $263.03 | $457.09 |
United Setting Facility Modifier None Typical Low $2,089.30 Median $2,187.76 Typical High $2,884.03 | Facility | None | $2,089.30 | $2,187.76 | $2,884.03 |
United Setting Professional Modifier None (both parts) Typical Low $407.38 Median $602.56 Typical High $1,148.15 | Professional | None (both parts) | $407.38 | $602.56 | $1,148.15 |
United Setting Professional Modifier 26 · Professional part Typical Low $186.21 Median $269.15 Typical High $354.81 | Professional | 26 · Professional part | $186.21 | $269.15 | $354.81 |
United Setting Professional Modifier TC · Technical part Typical Low $218.78 Median $323.59 Typical High $870.96 | Professional | TC · Technical part | $218.78 | $323.59 | $870.96 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $489.78 Median $489.78 Typical High $489.78 | Professional | None (both parts) | $489.78 | $489.78 | $489.78 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $223.87 Median $223.87 Typical High $223.87 | Professional | 26 · Professional part | $223.87 | $223.87 | $223.87 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $263.03 Median $263.03 Typical High $263.03 | Professional | TC · Technical part | $263.03 | $263.03 | $263.03 |
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 $120.23 Median $186.21 Typical High $912.01 | Facility | 52 · Reduced service | $120.23 | $186.21 | $912.01 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $47.86 Median $74.13 Typical High $363.08 | Facility | 53 · Discontinued | $47.86 | $74.13 | $363.08 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $162.18 Median $275.42 Typical High $977.24 | Facility | FX · Film X-ray | $162.18 | $275.42 | $977.24 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $158.49 Median $177.83 Typical High $251.19 | Professional | 52 · Reduced service | $158.49 | $177.83 | $251.19 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $63.10 Median $70.79 Typical High $100.00 | Professional | 53 · Discontinued | $63.10 | $70.79 | $100.00 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $251.19 Median $281.84 Typical High $371.54 | Professional | FX · Film X-ray | $251.19 | $281.84 | $371.54 |
Moda Health Setting Facility Modifier 52 · Reduced service Typical Low $102.33 Median $177.83 Typical High $537.03 | Facility | 52 · Reduced service | $102.33 | $177.83 | $537.03 |
Moda Health Setting Facility Modifier 53 · Discontinued Typical Low $40.74 Median $70.79 Typical High $213.80 | Facility | 53 · Discontinued | $40.74 | $70.79 | $213.80 |
Moda Health Setting Facility Modifier FX · Film X-ray Typical Low $147.91 Median $269.15 Typical High $1,000.00 | Facility | FX · Film X-ray | $147.91 | $269.15 | $1,000.00 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $158.49 Median $177.83 Typical High $234.42 | Professional | 52 · Reduced service | $158.49 | $177.83 | $234.42 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $63.10 Median $70.79 Typical High $93.33 | Professional | 53 · Discontinued | $63.10 | $70.79 | $93.33 |
Where Texas sits
The same service costs 4.9 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· 50th of 51
$407
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.