How much rates vary
Facilitymedian $178 · 10th to 90th $54 to $437Professionalmedian $54 · 10th to 90th $9 to $115
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 $43.65 Median $47.86 Typical High $85.11 | Facility | None | $43.65 | $47.86 | $85.11 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $22.39 Median $44.67 Typical High $239.88 | Facility | TC · Technical part | $22.39 | $44.67 | $239.88 |
Aetna Setting Professional Modifier None (both parts) Typical Low $43.65 Median $50.12 Typical High $107.15 | Professional | None (both parts) | $43.65 | $50.12 | $107.15 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $23.99 Typical High $53.70 | Professional | 26 · Professional part | $21.88 | $23.99 | $53.70 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $21.38 Median $25.12 Typical High $60.26 | Professional | TC · Technical part | $21.38 | $25.12 | $60.26 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $45.71 Median $54.95 Typical High $70.79 | Professional | None (both parts) | $45.71 | $54.95 | $70.79 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $22.39 Median $32.36 Typical High $54.95 | Professional | 26 · Professional part | $22.39 | $32.36 | $54.95 |
BCBS Setting Facility Modifier None Typical Low $43.65 Median $125.89 Typical High $275.42 | Facility | None | $43.65 | $125.89 | $275.42 |
BCBS Setting Professional Modifier None (both parts) Typical Low $32.36 Median $57.54 Typical High $93.33 | Professional | None (both parts) | $32.36 | $57.54 | $93.33 |
Baylor Scott & White Setting Professional Modifier None (both parts) Typical Low $64.57 Median $67.61 Typical High $81.28 | Professional | None (both parts) | $64.57 | $67.61 | $81.28 |
Christus Setting Facility Modifier None Typical Low $380.19 Median $380.19 Typical High $380.19 | Facility | None | $380.19 | $380.19 | $380.19 |
Christus Setting Professional Modifier 26 · Professional part Typical Low $97.72 Median $97.72 Typical High $97.72 | Professional | 26 · Professional part | $97.72 | $97.72 | $97.72 |
Cigna Setting Facility Modifier None Typical Low $83.18 Median $213.80 Typical High $575.44 | Facility | None | $83.18 | $213.80 | $575.44 |
Cigna Setting Professional Modifier None (both parts) Typical Low $56.23 Median $69.18 Typical High $120.23 | Professional | None (both parts) | $56.23 | $69.18 | $120.23 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $34.67 Typical High $57.54 | Professional | 26 · Professional part | $27.54 | $34.67 | $57.54 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $28.84 Median $35.48 Typical High $61.66 | Professional | TC · Technical part | $28.84 | $35.48 | $61.66 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $478.63 Median $478.63 Typical High $575.44 | Professional | None (both parts) | $478.63 | $478.63 | $575.44 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $389.05 Median $389.05 Typical High $389.05 | Professional | 26 · Professional part | $389.05 | $389.05 | $389.05 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $389.05 Median $389.05 Typical High $389.05 | Professional | TC · Technical part | $389.05 | $389.05 | $389.05 |
Moda Health Setting Facility Modifier None Typical Low $64.57 Median $398.11 Typical High $933.25 | Facility | None | $64.57 | $398.11 | $933.25 |
Moda Health Setting Facility Modifier TC · Technical part Typical Low $23.99 Median $64.57 Typical High $389.05 | Facility | TC · Technical part | $23.99 | $64.57 | $389.05 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $44.67 Median $56.23 Typical High $131.83 | Professional | None (both parts) | $44.67 | $56.23 | $131.83 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $26.92 Typical High $66.07 | Professional | 26 · Professional part | $21.88 | $26.92 | $66.07 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $21.38 Median $25.12 Typical High $63.10 | Professional | TC · Technical part | $21.38 | $25.12 | $63.10 |
Molina Setting Professional Modifier None (both parts) Typical Low $5.50 Median $31.62 Typical High $67.61 | Professional | None (both parts) | $5.50 | $31.62 | $67.61 |
Oscar Health Setting Facility Modifier None Typical Low $2,137.96 Median $6,918.31 Typical High $6,918.31 | Facility | None | $2,137.96 | $6,918.31 | $6,918.31 |
Providence Setting Facility Modifier None Typical Low $47.86 Median $141.25 Typical High $616.60 | Facility | None | $47.86 | $141.25 | $616.60 |
Providence Setting Professional Modifier None (both parts) Typical Low $54.95 Median $69.18 Typical High $120.23 | Professional | None (both parts) | $54.95 | $69.18 | $120.23 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $34.67 Typical High $56.23 | Professional | 26 · Professional part | $26.92 | $34.67 | $56.23 |
Providence Setting Professional Modifier TC · Technical part Typical Low $27.54 Median $35.48 Typical High $60.26 | Professional | TC · Technical part | $27.54 | $35.48 | $60.26 |
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 $56.23 Median $81.28 Typical High $109.65 | Professional | None (both parts) | $56.23 | $81.28 | $109.65 |
United Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $37.15 Typical High $51.29 | Professional | 26 · Professional part | $26.92 | $37.15 | $51.29 |
United Setting Professional Modifier TC · Technical part Typical Low $28.84 Median $41.69 Typical High $60.26 | Professional | TC · Technical part | $28.84 | $41.69 | $60.26 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $67.61 Median $67.61 Typical High $67.61 | Professional | None (both parts) | $67.61 | $67.61 | $67.61 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $32.36 Typical High $32.36 | Professional | 26 · Professional part | $32.36 | $32.36 | $32.36 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $34.67 Median $34.67 Typical High $34.67 | Professional | TC · Technical part | $34.67 | $34.67 | $34.67 |
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 $15.85 Median $23.99 Typical High $120.23 | Facility | 52 · Reduced service | $15.85 | $23.99 | $120.23 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $6.31 Median $9.77 Typical High $47.86 | Facility | 53 · Discontinued | $6.31 | $9.77 | $47.86 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $21.38 Median $35.48 Typical High $128.82 | Facility | FX · Film X-ray | $21.38 | $35.48 | $128.82 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $21.88 Median $23.99 Typical High $34.67 | Professional | 52 · Reduced service | $21.88 | $23.99 | $34.67 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.71 Median $9.55 Typical High $13.80 | Professional | 53 · Discontinued | $8.71 | $9.55 | $13.80 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $34.67 Median $38.90 Typical High $51.29 | Professional | FX · Film X-ray | $34.67 | $38.90 | $51.29 |
Moda Health Setting Facility Modifier 52 · Reduced service Typical Low $13.18 Median $23.99 Typical High $69.18 | Facility | 52 · Reduced service | $13.18 | $23.99 | $69.18 |
Moda Health Setting Facility Modifier 53 · Discontinued Typical Low $5.37 Median $9.55 Typical High $27.54 | Facility | 53 · Discontinued | $5.37 | $9.55 | $27.54 |
Moda Health Setting Facility Modifier FX · Film X-ray Typical Low $19.50 Median $34.67 Typical High $131.83 | Facility | FX · Film X-ray | $19.50 | $34.67 | $131.83 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $21.88 Median $23.99 Typical High $31.62 | Professional | 52 · Reduced service | $21.88 | $23.99 | $31.62 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $8.71 Median $9.55 Typical High $12.88 | Professional | 53 · Discontinued | $8.71 | $9.55 | $12.88 |
Where Texas sits
The same service costs 4.7 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
$61.66
AK $257FL $54.95
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.