How much rates vary
Facilitymedian $148 · 10th to 90th $79 to $562Professionalmedian $107 · 10th to 90th $19 to $661
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 $79.43 Median $151.36 Typical High $776.25 | Facility | None | $79.43 | $151.36 | $776.25 |
Aetna Setting Professional Modifier None Typical Low $70.79 Median $79.43 Typical High $162.18 | Professional | None | $70.79 | $79.43 | $162.18 |
Ambetter Setting Professional Modifier None Typical Low $107.15 Median $107.15 Typical High $107.15 | Professional | None | $107.15 | $107.15 | $107.15 |
BCBS Texas Setting Professional Modifier None Typical Low $95.50 Median $154.88 Typical High $199.53 | Professional | None | $95.50 | $154.88 | $199.53 |
Cigna Setting Facility Modifier None Typical Low $107.15 Median $331.13 Typical High $602.56 | Facility | None | $107.15 | $331.13 | $602.56 |
Cigna Setting Professional Modifier None Typical Low $89.13 Median $112.20 Typical High $181.97 | Professional | None | $89.13 | $112.20 | $181.97 |
Lucent Health Setting Professional Modifier None Typical Low $660.69 Median $660.69 Typical High $891.25 | Professional | None | $660.69 | $660.69 | $891.25 |
Moda Health Setting Facility Modifier None Typical Low $79.43 Median $125.89 Typical High $269.15 | Facility | None | $79.43 | $125.89 | $269.15 |
Moda Health Setting Professional Modifier None Typical Low $72.44 Median $79.43 Typical High $177.83 | Professional | None | $72.44 | $79.43 | $177.83 |
Molina Setting Professional Modifier None Typical Low $15.49 Median $89.13 Typical High $112.20 | Professional | None | $15.49 | $89.13 | $112.20 |
Providence Setting Facility Modifier None Typical Low $91.20 Median $125.89 Typical High $602.56 | Facility | None | $91.20 | $125.89 | $602.56 |
Providence Setting Professional Modifier None Typical Low $87.10 Median $109.65 Typical High $181.97 | Professional | None | $87.10 | $109.65 | $181.97 |
United Setting Professional Modifier None Typical Low $87.10 Median $114.82 Typical High $165.96 | Professional | None | $87.10 | $114.82 | $165.96 |
Wellpoint Setting Professional Modifier None Typical Low $107.15 Median $107.15 Typical High $107.15 | Professional | None | $107.15 | $107.15 | $107.15 |
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 $38.90 Median $75.86 Typical High $389.05 | Facility | 52 · Reduced service | $38.90 | $75.86 | $389.05 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $15.85 Median $30.20 Typical High $154.88 | Facility | 53 · Discontinued | $15.85 | $30.20 | $154.88 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $63.10 Median $107.15 Typical High $416.87 | Facility | FX · Film X-ray | $63.10 | $107.15 | $416.87 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $35.48 Median $38.90 Typical High $54.95 | Professional | 52 · Reduced service | $35.48 | $38.90 | $54.95 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $14.13 Median $15.85 Typical High $21.88 | Professional | 53 · Discontinued | $14.13 | $15.85 | $21.88 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $56.23 Median $61.66 Typical High $83.18 | Professional | FX · Film X-ray | $56.23 | $61.66 | $83.18 |
Moda Health Setting Facility Modifier 52 · Reduced service Typical Low $38.90 Median $72.44 Typical High $223.87 | Facility | 52 · Reduced service | $38.90 | $72.44 | $223.87 |
Moda Health Setting Facility Modifier 53 · Discontinued Typical Low $15.85 Median $28.84 Typical High $89.13 | Facility | 53 · Discontinued | $15.85 | $28.84 | $89.13 |
Moda Health Setting Facility Modifier FX · Film X-ray Typical Low $63.10 Median $112.20 Typical High $426.58 | Facility | FX · Film X-ray | $63.10 | $112.20 | $426.58 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $35.48 Median $38.90 Typical High $52.48 | Professional | 52 · Reduced service | $35.48 | $38.90 | $52.48 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $14.13 Median $15.85 Typical High $20.89 | Professional | 53 · Discontinued | $14.13 | $15.85 | $20.89 |
Where Texas sits
The same service costs 4.4 times more in Alaska than in New York. 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· 46th of 51
$107
AK $437NY $100
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.