How much rates vary
Facilitymedian $741 · 10th to 90th $355 to $1,905Professionalmedian $209 · 10th to 90th $135 to $1,622
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 $134.90 Median $251.19 Typical High $1,318.26 | Facility | None | $134.90 | $251.19 | $1,318.26 |
Aetna Setting Professional Modifier None Typical Low $123.03 Median $134.90 Typical High $478.63 | Professional | None | $123.03 | $134.90 | $478.63 |
Ambetter Setting Professional Modifier None Typical Low $186.21 Median $251.19 Typical High $323.59 | Professional | None | $186.21 | $251.19 | $323.59 |
BCBS Setting Facility Modifier None Typical Low $426.58 Median $1,258.93 Typical High $2,137.96 | Facility | None | $426.58 | $1,258.93 | $2,137.96 |
BCBS Setting Professional Modifier None Typical Low $186.21 Median $186.21 Typical High $186.21 | Professional | None | $186.21 | $186.21 | $186.21 |
Baylor Scott & White Setting Professional Modifier None Typical Low $309.03 Median $371.54 Typical High $501.19 | Professional | None | $309.03 | $371.54 | $501.19 |
Christus Setting Facility Modifier None Typical Low $537.03 Median $537.03 Typical High $537.03 | Facility | None | $537.03 | $537.03 | $537.03 |
Cigna Setting Facility Modifier None Typical Low $275.42 Median $977.24 Typical High $1,659.59 | Facility | None | $275.42 | $977.24 | $1,659.59 |
Cigna Setting Professional Modifier None Typical Low $141.25 Median $173.78 Typical High $309.03 | Professional | None | $141.25 | $173.78 | $309.03 |
Health Smart Setting Professional Modifier None Typical Low $131.83 Median $239.88 Typical High $371.54 | Professional | None | $131.83 | $239.88 | $371.54 |
Lucent Health Setting Professional Modifier None Typical Low $1,621.81 Median $1,621.81 Typical High $2,691.53 | Professional | None | $1,621.81 | $1,621.81 | $2,691.53 |
Moda Health Setting Facility Modifier None Typical Low $134.90 Median $338.84 Typical High $2,344.23 | Facility | None | $134.90 | $338.84 | $2,344.23 |
Moda Health Setting Professional Modifier None Typical Low $123.03 Median $138.04 Typical High $588.84 | Professional | None | $123.03 | $138.04 | $588.84 |
Molina Setting Professional Modifier None Typical Low $30.20 Median $30.20 Typical High $44.67 | Professional | None | $30.20 | $30.20 | $44.67 |
Oscar Health Setting Professional Modifier None Typical Low $309.03 Median $446.68 Typical High $741.31 | Professional | None | $309.03 | $446.68 | $741.31 |
Providence Setting Facility Modifier None Typical Low $158.49 Median $676.08 Typical High $1,445.44 | Facility | None | $158.49 | $676.08 | $1,445.44 |
Providence Setting Professional Modifier None Typical Low $141.25 Median $173.78 Typical High $302.00 | Professional | None | $141.25 | $173.78 | $302.00 |
United Setting Facility Modifier None Typical Low $588.84 Median $602.56 Typical High $794.33 | Facility | None | $588.84 | $602.56 | $794.33 |
United Setting Professional Modifier None Typical Low $158.49 Median $208.93 Typical High $316.23 | Professional | None | $158.49 | $208.93 | $316.23 |
Wellpoint Setting Professional Modifier None Typical Low $309.03 Median $309.03 Typical High $309.03 | Professional | None | $309.03 | $309.03 | $309.03 |
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 $67.61 Median $134.90 Typical High $660.69 | Facility | 52 · Reduced service | $67.61 | $134.90 | $660.69 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $26.92 Median $53.70 Typical High $269.15 | Facility | 53 · Discontinued | $26.92 | $53.70 | $269.15 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $107.15 Median $194.98 Typical High $724.44 | Facility | FX · Film X-ray | $107.15 | $194.98 | $724.44 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $60.26 Median $67.61 Typical High $107.15 | Professional | 52 · Reduced service | $60.26 | $67.61 | $107.15 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $23.99 Median $26.92 Typical High $42.66 | Professional | 53 · Discontinued | $23.99 | $26.92 | $42.66 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $95.50 Median $107.15 Typical High $141.25 | Professional | FX · Film X-ray | $95.50 | $107.15 | $141.25 |
Moda Health Setting Facility Modifier 52 · Reduced service Typical Low $67.61 Median $125.89 Typical High $389.05 | Facility | 52 · Reduced service | $67.61 | $125.89 | $389.05 |
Moda Health Setting Facility Modifier 53 · Discontinued Typical Low $26.92 Median $50.12 Typical High $154.88 | Facility | 53 · Discontinued | $26.92 | $50.12 | $154.88 |
Moda Health Setting Facility Modifier FX · Film X-ray Typical Low $107.15 Median $194.98 Typical High $741.31 | Facility | FX · Film X-ray | $107.15 | $194.98 | $741.31 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $60.26 Median $67.61 Typical High $89.13 | Professional | 52 · Reduced service | $60.26 | $67.61 | $89.13 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $23.99 Median $26.92 Typical High $35.48 | Professional | 53 · Discontinued | $23.99 | $26.92 | $35.48 |
Where Texas sits
The same service costs 4.3 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· 5th of 51
$468
AK $708KY $166
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.