How much rates vary
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 $39.81 Median $91.20 Typical High $177.83 | Facility | None | $39.81 | $91.20 | $177.83 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $21.38 Median $39.81 Typical High $208.93 | Facility | TC · Technical part | $21.38 | $39.81 | $208.93 |
Aetna Setting Professional Modifier None (both parts) Typical Low $91.20 Median $100.00 Typical High $239.88 | Professional | None (both parts) | $91.20 | $100.00 | $239.88 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $72.44 Median $79.43 Typical High $173.78 | Professional | 26 · Professional part | $72.44 | $79.43 | $173.78 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $19.50 Median $21.88 Typical High $89.13 | Professional | TC · Technical part | $19.50 | $21.88 | $89.13 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $97.72 Median $141.25 Typical High $151.36 | Professional | None (both parts) | $97.72 | $141.25 | $151.36 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $72.44 Median $107.15 Typical High $181.97 | Professional | 26 · Professional part | $72.44 | $107.15 | $181.97 |
BCBS Texas Setting Facility Modifier None Typical Low $33.88 Median $97.72 Typical High $501.19 | Facility | None | $33.88 | $97.72 | $501.19 |
BCBS Texas Setting Professional Modifier None (both parts) Typical Low $104.71 Median $169.82 Typical High $239.88 | Professional | None (both parts) | $104.71 | $169.82 | $239.88 |
Baylor Scott & White Setting Facility Modifier None Typical Low $177.83 Median $776.25 Typical High $1,122.02 | Facility | None | $177.83 | $776.25 | $1,122.02 |
Baylor Scott & White Setting Professional Modifier None (both parts) Typical Low $141.25 Median $144.54 Typical High $177.83 | Professional | None (both parts) | $141.25 | $144.54 | $177.83 |
Christus Setting Facility Modifier None Typical Low $724.44 Median $724.44 Typical High $724.44 | Facility | None | $724.44 | $724.44 | $724.44 |
Christus Setting Professional Modifier 26 · Professional part Typical Low $107.15 Median $107.15 Typical High $107.15 | Professional | 26 · Professional part | $107.15 | $107.15 | $107.15 |
Cigna Setting Facility Modifier None Typical Low $123.03 Median $537.03 Typical High $2,691.53 | Facility | None | $123.03 | $537.03 | $2,691.53 |
Cigna Setting Professional Modifier None (both parts) Typical Low $120.23 Median $151.36 Typical High $288.40 | Professional | None (both parts) | $120.23 | $151.36 | $288.40 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $91.20 Median $112.20 Typical High $190.55 | Professional | 26 · Professional part | $91.20 | $112.20 | $190.55 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $25.12 Median $39.81 Typical High $104.71 | Professional | TC · Technical part | $25.12 | $39.81 | $104.71 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $3,090.30 Median $3,162.28 Typical High $3,162.28 | Professional | None (both parts) | $3,090.30 | $3,162.28 | $3,162.28 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $891.25 Median $1,047.13 Typical High $1,047.13 | Professional | 26 · Professional part | $891.25 | $1,047.13 | $1,047.13 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $2,570.40 Median $2,570.40 Typical High $2,570.40 | Professional | TC · Technical part | $2,570.40 | $2,570.40 | $2,570.40 |
Moda Health Setting Facility Modifier None Typical Low $91.20 Median $660.69 Typical High $1,949.84 | Facility | None | $91.20 | $660.69 | $1,949.84 |
Moda Health Setting Facility Modifier TC · Technical part Typical Low $21.38 Median $39.81 Typical High $144.54 | Facility | TC · Technical part | $21.38 | $39.81 | $144.54 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $91.20 Median $112.20 Typical High $281.84 | Professional | None (both parts) | $91.20 | $112.20 | $281.84 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $72.44 Median $83.18 Typical High $208.93 | Professional | 26 · Professional part | $72.44 | $83.18 | $208.93 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $19.50 Median $21.88 Typical High $83.18 | Professional | TC · Technical part | $19.50 | $21.88 | $83.18 |
Molina Setting Professional Modifier None (both parts) Typical Low $6.46 Median $34.67 Typical High $131.83 | Professional | None (both parts) | $6.46 | $34.67 | $131.83 |
Providence Setting Facility Modifier None Typical Low $100.00 Median $281.84 Typical High $2,691.53 | Facility | None | $100.00 | $281.84 | $2,691.53 |
Providence Setting Professional Modifier None (both parts) Typical Low $120.23 Median $151.36 Typical High $275.42 | Professional | None (both parts) | $120.23 | $151.36 | $275.42 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $87.10 Median $112.20 Typical High $190.55 | Professional | 26 · Professional part | $87.10 | $112.20 | $190.55 |
Providence Setting Professional Modifier TC · Technical part Typical Low $25.12 Median $39.81 Typical High $97.72 | Professional | TC · Technical part | $25.12 | $39.81 | $97.72 |
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 (both parts) Typical Low $123.03 Median $177.83 Typical High $446.68 | Professional | None (both parts) | $123.03 | $177.83 | $446.68 |
United Setting Professional Modifier 26 · Professional part Typical Low $89.13 Median $125.89 Typical High $169.82 | Professional | 26 · Professional part | $89.13 | $125.89 | $169.82 |
United Setting Professional Modifier TC · Technical part Typical Low $23.99 Median $46.77 Typical High $323.59 | Professional | TC · Technical part | $23.99 | $46.77 | $323.59 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $144.54 Median $144.54 Typical High $144.54 | Professional | None (both parts) | $144.54 | $144.54 | $144.54 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $107.15 Median $107.15 Typical High $107.15 | Professional | 26 · Professional part | $107.15 | $107.15 | $107.15 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $38.90 Median $38.90 Typical High $38.90 | Professional | TC · Technical part | $38.90 | $38.90 | $38.90 |
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 $13.80 Median $40.74 Typical High $104.71 | Facility | 52 · Reduced service | $13.80 | $40.74 | $104.71 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $5.50 Median $16.22 Typical High $42.66 | Facility | 53 · Discontinued | $5.50 | $16.22 | $42.66 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $19.05 Median $31.62 Typical High $117.49 | Facility | FX · Film X-ray | $19.05 | $31.62 | $117.49 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $45.71 Median $50.12 Typical High $66.07 | Professional | 52 · Reduced service | $45.71 | $50.12 | $66.07 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $18.20 Median $19.95 Typical High $26.92 | Professional | 53 · Discontinued | $18.20 | $19.95 | $26.92 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $72.44 Median $79.43 Typical High $107.15 | Professional | FX · Film X-ray | $72.44 | $79.43 | $107.15 |
Moda Health Setting Facility Modifier 52 · Reduced service Typical Low $11.75 Median $23.99 Typical High $70.79 | Facility | 52 · Reduced service | $11.75 | $23.99 | $70.79 |
Moda Health Setting Facility Modifier 53 · Discontinued Typical Low $9.55 Median $14.79 Typical High $30.90 | Facility | 53 · Discontinued | $9.55 | $14.79 | $30.90 |
Moda Health Setting Facility Modifier FX · Film X-ray Typical Low $16.98 Median $30.90 Typical High $117.49 | Facility | FX · Film X-ray | $16.98 | $30.90 | $117.49 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $45.71 Median $50.12 Typical High $66.07 | Professional | 52 · Reduced service | $45.71 | $50.12 | $66.07 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $18.20 Median $19.95 Typical High $26.92 | Professional | 53 · Discontinued | $18.20 | $19.95 | $26.92 |
Where Texas sits
The same service costs 5.1 times more in Alaska than in Florida. 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· 49th of 51
$120
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.