How much rates vary
Facilitymedian $229 · 10th to 90th $95 to $603Professionalmedian $87 · 10th to 90th $19 to $708
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 $56.23 Median $112.20 Typical High $602.56 | Facility | None | $56.23 | $112.20 | $602.56 |
Aetna Setting Professional Modifier None Typical Low $47.86 Median $61.66 Typical High $131.83 | Professional | None | $47.86 | $61.66 | $131.83 |
Ambetter Setting Professional Modifier None Typical Low $61.66 Median $70.79 Typical High $93.33 | Professional | None | $61.66 | $70.79 | $93.33 |
BCBS Texas Setting Facility Modifier None Typical Low $95.50 Median $275.42 Typical High $588.84 | Facility | None | $95.50 | $275.42 | $588.84 |
BCBS Texas Setting Professional Modifier None Typical Low $75.86 Median $81.28 Typical High $131.83 | Professional | None | $75.86 | $81.28 | $131.83 |
Baylor Scott & White Setting Facility Modifier None Typical Low $134.90 Median $134.90 Typical High $363.08 | Facility | None | $134.90 | $134.90 | $363.08 |
Baylor Scott & White Setting Professional Modifier None Typical Low $87.10 Median $91.20 Typical High $141.25 | Professional | None | $87.10 | $91.20 | $141.25 |
Christus Setting Facility Modifier None Typical Low $173.78 Median $173.78 Typical High $173.78 | Facility | None | $173.78 | $173.78 | $173.78 |
Cigna Setting Facility Modifier None Typical Low $125.89 Median $416.87 Typical High $870.96 | Facility | None | $125.89 | $416.87 | $870.96 |
Cigna Setting Professional Modifier None Typical Low $60.26 Median $83.18 Typical High $138.04 | Professional | None | $60.26 | $83.18 | $138.04 |
Health Smart Setting Professional Modifier None Typical Low $100.00 Median $128.82 Typical High $257.04 | Professional | None | $100.00 | $128.82 | $257.04 |
Lucent Health Setting Professional Modifier None Typical Low $707.95 Median $707.95 Typical High $812.83 | Professional | None | $707.95 | $707.95 | $812.83 |
Moda Health Setting Facility Modifier None Typical Low $79.43 Median $416.87 Typical High $1,995.26 | Facility | None | $79.43 | $416.87 | $1,995.26 |
Moda Health Setting Professional Modifier None Typical Low $53.70 Median $61.66 Typical High $144.54 | Professional | None | $53.70 | $61.66 | $144.54 |
Molina Setting Professional Modifier None Typical Low $15.14 Median $85.11 Typical High $112.20 | Professional | None | $15.14 | $85.11 | $112.20 |
Oscar Health Setting Facility Modifier None Typical Low $602.56 Median $977.24 Typical High $977.24 | Facility | None | $602.56 | $977.24 | $977.24 |
Providence Setting Facility Modifier None Typical Low $79.43 Median $331.13 Typical High $616.60 | Facility | None | $79.43 | $331.13 | $616.60 |
Providence Setting Professional Modifier None Typical Low $58.88 Median $83.18 Typical High $128.82 | Professional | None | $58.88 | $83.18 | $128.82 |
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 Typical Low $58.88 Median $93.33 Typical High $128.82 | Professional | None | $58.88 | $93.33 | $128.82 |
Wellpoint Setting Professional Modifier None Typical Low $91.20 Median $91.20 Typical High $91.20 | Professional | None | $91.20 | $91.20 | $91.20 |
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 $30.90 Median $57.54 Typical High $302.00 | Facility | 52 · Reduced service | $30.90 | $57.54 | $302.00 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $12.30 Median $22.91 Typical High $120.23 | Facility | 53 · Discontinued | $12.30 | $22.91 | $120.23 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $48.98 Median $87.10 Typical High $323.59 | Facility | FX · Film X-ray | $48.98 | $87.10 | $323.59 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $26.92 Median $30.90 Typical High $43.65 | Professional | 52 · Reduced service | $26.92 | $30.90 | $43.65 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.72 Median $12.30 Typical High $17.78 | Professional | 53 · Discontinued | $10.72 | $12.30 | $17.78 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $42.66 Median $48.98 Typical High $66.07 | Professional | FX · Film X-ray | $42.66 | $48.98 | $66.07 |
Moda Health Setting Facility Modifier 52 · Reduced service Typical Low $30.90 Median $56.23 Typical High $173.78 | Facility | 52 · Reduced service | $30.90 | $56.23 | $173.78 |
Moda Health Setting Facility Modifier 53 · Discontinued Typical Low $12.30 Median $22.39 Typical High $69.18 | Facility | 53 · Discontinued | $12.30 | $22.39 | $69.18 |
Moda Health Setting Facility Modifier FX · Film X-ray Typical Low $48.98 Median $87.10 Typical High $331.13 | Facility | FX · Film X-ray | $48.98 | $87.10 | $331.13 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $26.92 Median $30.90 Typical High $39.81 | Professional | 52 · Reduced service | $26.92 | $30.90 | $39.81 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $10.72 Median $12.30 Typical High $15.85 | Professional | 53 · Discontinued | $10.72 | $12.30 | $15.85 |
Where Texas sits
The same service costs 4.5 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· 39th of 51
$100
AK $363KY $81.28
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.