How much rates vary
Facilitymedian $575 · 10th to 90th $437 to $2,089Professionalmedian $427 · 10th to 90th $79 to $5,129
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 $302.00 Median $562.34 Typical High $3,090.30 | Facility | None | $302.00 | $562.34 | $3,090.30 |
Aetna Setting Professional Modifier None Typical Low $281.84 Median $316.23 Typical High $630.96 | Professional | None | $281.84 | $316.23 | $630.96 |
Ambetter Setting Professional Modifier None Typical Low $416.87 Median $446.68 Typical High $588.84 | Professional | None | $416.87 | $446.68 | $588.84 |
BCBS Texas Setting Professional Modifier None Typical Low $380.19 Median $602.56 Typical High $794.33 | Professional | None | $380.19 | $602.56 | $794.33 |
Christus Setting Facility Modifier None Typical Low $575.44 Median $575.44 Typical High $575.44 | Facility | None | $575.44 | $575.44 | $575.44 |
Cigna Setting Facility Modifier None Typical Low $436.52 Median $44,668.36 Typical High $51,286.14 | Facility | None | $436.52 | $44,668.36 | $51,286.14 |
Cigna Setting Professional Modifier None Typical Low $354.81 Median $446.68 Typical High $724.44 | Professional | None | $354.81 | $446.68 | $724.44 |
Lucent Health Setting Professional Modifier None Typical Low $5,128.61 Median $14,791.08 Typical High $14,791.08 | Professional | None | $5,128.61 | $14,791.08 | $14,791.08 |
Moda Health Setting Facility Modifier None Typical Low $316.23 Median $512.86 Typical High $1,071.52 | Facility | None | $316.23 | $512.86 | $1,071.52 |
Moda Health Setting Professional Modifier None Typical Low $281.84 Median $316.23 Typical High $676.08 | Professional | None | $281.84 | $316.23 | $676.08 |
Molina Setting Professional Modifier None Typical Low $67.61 Median $380.19 Typical High $489.78 | Professional | None | $67.61 | $380.19 | $489.78 |
Providence Setting Facility Modifier None Typical Low $389.05 Median $588.84 Typical High $51,286.14 | Facility | None | $389.05 | $588.84 | $51,286.14 |
Providence Setting Professional Modifier None Typical Low $346.74 Median $436.52 Typical High $724.44 | Professional | None | $346.74 | $436.52 | $724.44 |
United Setting Professional Modifier None Typical Low $354.81 Median $478.63 Typical High $676.08 | Professional | None | $354.81 | $478.63 | $676.08 |
Wellpoint Setting Professional Modifier None Typical Low $426.58 Median $426.58 Typical High $426.58 | Professional | None | $426.58 | $426.58 | $426.58 |
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 $154.88 Median $302.00 Typical High $1,548.82 | Facility | 52 · Reduced service | $154.88 | $302.00 | $1,548.82 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $63.10 Median $120.23 Typical High $616.60 | Facility | 53 · Discontinued | $63.10 | $120.23 | $616.60 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $251.19 Median $426.58 Typical High $1,659.59 | Facility | FX · Film X-ray | $251.19 | $426.58 | $1,659.59 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $141.25 Median $154.88 Typical High $213.80 | Professional | 52 · Reduced service | $141.25 | $154.88 | $213.80 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $56.23 Median $63.10 Typical High $85.11 | Professional | 53 · Discontinued | $56.23 | $63.10 | $85.11 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $223.87 Median $245.47 Typical High $331.13 | Professional | FX · Film X-ray | $223.87 | $245.47 | $331.13 |
Moda Health Setting Facility Modifier 52 · Reduced service Typical Low $154.88 Median $281.84 Typical High $870.96 | Facility | 52 · Reduced service | $154.88 | $281.84 | $870.96 |
Moda Health Setting Facility Modifier 53 · Discontinued Typical Low $63.10 Median $114.82 Typical High $354.81 | Facility | 53 · Discontinued | $63.10 | $114.82 | $354.81 |
Moda Health Setting Facility Modifier FX · Film X-ray Typical Low $251.19 Median $446.68 Typical High $1,698.24 | Facility | FX · Film X-ray | $251.19 | $446.68 | $1,698.24 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $141.25 Median $154.88 Typical High $208.93 | Professional | 52 · Reduced service | $141.25 | $154.88 | $208.93 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $56.23 Median $63.10 Typical High $83.18 | Professional | 53 · Discontinued | $56.23 | $63.10 | $83.18 |
Where Texas sits
The same service costs 4.2 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
$447
AK $1,698NY $407
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.