How much rates vary
Facilitymedian $912 · 10th to 90th $331 to $2,692Professionalmedian $251 · 10th to 90th $166 to $2,344
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 $165.96 Median $331.13 Typical High $1,778.28 | Facility | None | $165.96 | $331.13 | $1,778.28 |
Aetna Setting Professional Modifier None Typical Low $162.18 Median $181.97 Typical High $575.44 | Professional | None | $162.18 | $181.97 | $575.44 |
Ambetter Setting Professional Modifier None Typical Low $295.12 Median $338.84 Typical High $338.84 | Professional | None | $295.12 | $338.84 | $338.84 |
BCBS Texas Setting Facility Modifier None Typical Low $645.65 Median $1,819.70 Typical High $3,235.94 | Facility | None | $645.65 | $1,819.70 | $3,235.94 |
BCBS Texas Setting Professional Modifier None Typical Low $177.83 Median $177.83 Typical High $177.83 | Professional | None | $177.83 | $177.83 | $177.83 |
Baylor Scott & White Setting Professional Modifier None Typical Low $436.52 Median $524.81 Typical High $707.95 | Professional | None | $436.52 | $524.81 | $707.95 |
Christus Setting Facility Modifier None Typical Low $331.13 Median $331.13 Typical High $331.13 | Facility | None | $331.13 | $331.13 | $331.13 |
Cigna Setting Facility Modifier None Typical Low $281.84 Median $977.24 Typical High $1,659.59 | Facility | None | $281.84 | $977.24 | $1,659.59 |
Cigna Setting Professional Modifier None Typical Low $186.21 Median $229.09 Typical High $389.05 | Professional | None | $186.21 | $229.09 | $389.05 |
Health Smart Setting Professional Modifier None Typical Low $144.54 Median $275.42 Typical High $363.08 | Professional | None | $144.54 | $275.42 | $363.08 |
Lucent Health Setting Professional Modifier None Typical Low $2,344.23 Median $2,344.23 Typical High $3,890.45 | Professional | None | $2,344.23 | $2,344.23 | $3,890.45 |
Moda Health Setting Facility Modifier None Typical Low $181.97 Median $660.69 Typical High $1,659.59 | Facility | None | $181.97 | $660.69 | $1,659.59 |
Moda Health Setting Professional Modifier None Typical Low $165.96 Median $181.97 Typical High $645.65 | Professional | None | $165.96 | $181.97 | $645.65 |
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 Facility Modifier None Typical Low $489.78 Median $575.44 Typical High $954.99 | Facility | None | $489.78 | $575.44 | $954.99 |
Providence Setting Facility Modifier None Typical Low $181.97 Median $776.25 Typical High $1,412.54 | Facility | None | $181.97 | $776.25 | $1,412.54 |
Providence Setting Professional Modifier None Typical Low $186.21 Median $229.09 Typical High $389.05 | Professional | None | $186.21 | $229.09 | $389.05 |
United Setting Facility Modifier None Typical Low $831.76 Median $870.96 Typical High $1,148.15 | Facility | None | $831.76 | $870.96 | $1,148.15 |
United Setting Professional Modifier None Typical Low $208.93 Median $269.15 Typical High $416.87 | Professional | None | $208.93 | $269.15 | $416.87 |
Wellpoint Setting Professional Modifier None Typical Low $446.68 Median $446.68 Typical High $446.68 | Professional | None | $446.68 | $446.68 | $446.68 |
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 $89.13 Median $169.82 Typical High $891.25 | Facility | 52 · Reduced service | $89.13 | $169.82 | $891.25 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $36.31 Median $67.61 Typical High $354.81 | Facility | 53 · Discontinued | $36.31 | $67.61 | $354.81 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $144.54 Median $257.04 Typical High $954.99 | Facility | FX · Film X-ray | $144.54 | $257.04 | $954.99 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $79.43 Median $89.13 Typical High $141.25 | Professional | 52 · Reduced service | $79.43 | $89.13 | $141.25 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $31.62 Median $36.31 Typical High $57.54 | Professional | 53 · Discontinued | $31.62 | $36.31 | $57.54 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $128.82 Median $144.54 Typical High $190.55 | Professional | FX · Film X-ray | $128.82 | $144.54 | $190.55 |
Moda Health Setting Facility Modifier 52 · Reduced service Typical Low $89.13 Median $165.96 Typical High $512.86 | Facility | 52 · Reduced service | $89.13 | $165.96 | $512.86 |
Moda Health Setting Facility Modifier 53 · Discontinued Typical Low $36.31 Median $66.07 Typical High $204.17 | Facility | 53 · Discontinued | $36.31 | $66.07 | $204.17 |
Moda Health Setting Facility Modifier FX · Film X-ray Typical Low $144.54 Median $257.04 Typical High $977.24 | Facility | FX · Film X-ray | $144.54 | $257.04 | $977.24 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $79.43 Median $89.13 Typical High $117.49 | Professional | 52 · Reduced service | $79.43 | $89.13 | $117.49 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $31.62 Median $36.31 Typical High $46.77 | Professional | 53 · Discontinued | $31.62 | $36.31 | $46.77 |
Where Texas sits
The same service costs 5.1 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· 25th of 51
$417
AK $933KY $182
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.