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 $234.42 Median $234.42 Typical High $234.42 | Facility | None | $234.42 | $234.42 | $234.42 |
Aetna Setting Facility Modifier 52 · Reduced service Typical Low $380.19 Median $724.44 Typical High $3,715.35 | Facility | 52 · Reduced service | $380.19 | $724.44 | $3,715.35 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $151.36 Median $288.40 Typical High $1,513.56 | Facility | 53 · Discontinued | $151.36 | $288.40 | $1,513.56 |
Aetna Setting Professional Modifier None Typical Low $831.76 Median $1,000.00 Typical High $2,630.27 | Professional | None | $831.76 | $1,000.00 | $2,630.27 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $338.84 Median $380.19 Typical High $562.34 | Professional | 52 · Reduced service | $338.84 | $380.19 | $562.34 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $134.90 Median $151.36 Typical High $223.87 | Professional | 53 · Discontinued | $134.90 | $151.36 | $223.87 |
Ambetter Setting Professional Modifier None Typical Low $3,090.30 Median $3,090.30 Typical High $3,801.89 | Professional | None | $3,090.30 | $3,090.30 | $3,801.89 |
BCBS Texas Setting Facility Modifier None Typical Low $1,513.56 Median $3,981.07 Typical High $7,762.47 | Facility | None | $1,513.56 | $3,981.07 | $7,762.47 |
BCBS Texas Setting Professional Modifier None Typical Low $269.15 Median $933.25 Typical High $933.25 | Professional | None | $269.15 | $933.25 | $933.25 |
Baylor Scott & White Setting Professional Modifier None Typical Low $1,000.00 Median $1,023.29 Typical High $1,737.80 | Professional | None | $1,000.00 | $1,023.29 | $1,737.80 |
Cigna Setting Facility Modifier None Typical Low $1,348.96 Median $5,011.87 Typical High $6,918.31 | Facility | None | $1,348.96 | $5,011.87 | $6,918.31 |
Cigna Setting Professional Modifier None Typical Low $933.25 Median $1,047.13 Typical High $1,819.70 | Professional | None | $933.25 | $1,047.13 | $1,819.70 |
Lucent Health Setting Professional Modifier None Typical Low $7,413.10 Median $7,413.10 Typical High $9,549.93 | Professional | None | $7,413.10 | $7,413.10 | $9,549.93 |
Moda Health Setting Facility Modifier None Typical Low $707.95 Median $1,047.13 Typical High $4,570.88 | Facility | None | $707.95 | $1,047.13 | $4,570.88 |
Moda Health Setting Facility Modifier 52 · Reduced service Typical Low $380.19 Median $707.95 Typical High $2,187.76 | Facility | 52 · Reduced service | $380.19 | $707.95 | $2,187.76 |
Moda Health Setting Facility Modifier 53 · Discontinued Typical Low $151.36 Median $281.84 Typical High $870.96 | Facility | 53 · Discontinued | $151.36 | $281.84 | $870.96 |
Moda Health Setting Professional Modifier None Typical Low $831.76 Median $1,000.00 Typical High $2,398.83 | Professional | None | $831.76 | $1,000.00 | $2,398.83 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $338.84 Median $380.19 Typical High $501.19 | Professional | 52 · Reduced service | $338.84 | $380.19 | $501.19 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $134.90 Median $151.36 Typical High $199.53 | Professional | 53 · Discontinued | $134.90 | $151.36 | $199.53 |
Molina Setting Professional Modifier None Typical Low $891.25 Median $891.25 Typical High $1,023.29 | Professional | None | $891.25 | $891.25 | $1,023.29 |
Providence Setting Facility Modifier None Typical Low $977.24 Median $3,981.07 Typical High $7,413.10 | Facility | None | $977.24 | $3,981.07 | $7,413.10 |
Providence Setting Professional Modifier None Typical Low $933.25 Median $1,047.13 Typical High $1,819.70 | Professional | None | $933.25 | $1,047.13 | $1,819.70 |
United Setting Facility Modifier None Typical Low $1,905.46 Median $1,949.84 Typical High $2,570.40 | Facility | None | $1,905.46 | $1,949.84 | $2,570.40 |
United Setting Professional Modifier None Typical Low $117.49 Median $1,023.29 Typical High $1,513.56 | Professional | None | $117.49 | $1,023.29 | $1,513.56 |
Wellpoint Setting Professional Modifier None Typical Low $933.25 Median $933.25 Typical High $933.25 | Professional | None | $933.25 | $933.25 | $933.25 |
3 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 FX · Film X-ray Typical Low $616.60 Median $1,096.48 Typical High $3,981.07 | Facility | FX · Film X-ray | $616.60 | $1,096.48 | $3,981.07 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $537.03 Median $616.60 Typical High $794.33 | Professional | FX · Film X-ray | $537.03 | $616.60 | $794.33 |
Moda Health Setting Facility Modifier FX · Film X-ray Typical Low $616.60 Median $1,096.48 Typical High $4,168.69 | Facility | FX · Film X-ray | $616.60 | $1,096.48 | $4,168.69 |
Where Texas sits
The same service costs 64.6 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· 3rd of 51
$2,884
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.