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 $645.65 Median $812.83 Typical High $831.76 | Facility | None | $645.65 | $812.83 | $831.76 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $741.31 Median $1,412.54 Typical High $7,244.36 | Facility | TC · Technical part | $741.31 | $1,412.54 | $7,244.36 |
Aetna Setting Professional Modifier None (both parts) Typical Low $724.44 Median $812.83 Typical High $1,071.52 | Professional | None (both parts) | $724.44 | $812.83 | $1,071.52 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $69.18 Typical High $95.50 | Professional | 26 · Professional part | $64.57 | $69.18 | $95.50 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $660.69 Median $741.31 Typical High $1,122.02 | Professional | TC · Technical part | $660.69 | $741.31 | $1,122.02 |
Christus Setting Professional Modifier 26 · Professional part Typical Low $91.20 Median $91.20 Typical High $97.72 | Professional | 26 · Professional part | $91.20 | $91.20 | $97.72 |
Cigna Setting Facility Modifier None Typical Low $933.25 Median $2,630.27 Typical High $6,025.60 | Facility | None | $933.25 | $2,630.27 | $6,025.60 |
Cigna Setting Professional Modifier None (both parts) Typical Low $812.83 Median $1,071.52 Typical High $1,737.80 | Professional | None (both parts) | $812.83 | $1,071.52 | $1,737.80 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $102.33 Typical High $177.83 | Professional | 26 · Professional part | $83.18 | $102.33 | $177.83 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $724.44 Median $977.24 Typical High $1,584.89 | Professional | TC · Technical part | $724.44 | $977.24 | $1,584.89 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $6,918.31 Median $6,918.31 Typical High $9,332.54 | Professional | None (both parts) | $6,918.31 | $6,918.31 | $9,332.54 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $1,148.15 Median $1,148.15 Typical High $1,148.15 | Professional | 26 · Professional part | $1,148.15 | $1,148.15 | $1,148.15 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $6,309.57 Median $6,309.57 Typical High $8,511.38 | Professional | TC · Technical part | $6,309.57 | $6,309.57 | $8,511.38 |
Moda Health Setting Facility Modifier None Typical Low $446.68 Median $1,000.00 Typical High $1,348.96 | Facility | None | $446.68 | $1,000.00 | $1,348.96 |
Moda Health Setting Facility Modifier TC · Technical part Typical Low $741.31 Median $1,380.38 Typical High $4,265.80 | Facility | TC · Technical part | $741.31 | $1,380.38 | $4,265.80 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $724.44 Median $812.83 Typical High $1,380.38 | Professional | None (both parts) | $724.44 | $812.83 | $1,380.38 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $70.79 Typical High $123.03 | Professional | 26 · Professional part | $64.57 | $70.79 | $123.03 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $660.69 Median $741.31 Typical High $1,380.38 | Professional | TC · Technical part | $660.69 | $741.31 | $1,380.38 |
Molina Setting Professional Modifier None (both parts) Typical Low $19.95 Median $181.97 Typical High $1,096.48 | Professional | None (both parts) | $19.95 | $181.97 | $1,096.48 |
Providence Setting Facility Modifier None Typical Low $588.84 Median $2,454.71 Typical High $5,128.61 | Facility | None | $588.84 | $2,454.71 | $5,128.61 |
Providence Setting Professional Modifier None (both parts) Typical Low $831.76 Median $1,071.52 Typical High $1,737.80 | Professional | None (both parts) | $831.76 | $1,071.52 | $1,737.80 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $102.33 Typical High $177.83 | Professional | 26 · Professional part | $83.18 | $102.33 | $177.83 |
Providence Setting Professional Modifier TC · Technical part Typical Low $724.44 Median $977.24 Typical High $1,584.89 | Professional | TC · Technical part | $724.44 | $977.24 | $1,584.89 |
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 $831.76 Median $1,096.48 Typical High $1,621.81 | Professional | None (both parts) | $831.76 | $1,096.48 | $1,621.81 |
United Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $123.03 Typical High $162.18 | Professional | 26 · Professional part | $83.18 | $123.03 | $162.18 |
United Setting Professional Modifier TC · Technical part Typical Low $707.95 Median $1,000.00 Typical High $1,445.44 | Professional | TC · Technical part | $707.95 | $1,000.00 | $1,445.44 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $1,071.52 Median $1,071.52 Typical High $1,071.52 | Professional | None (both parts) | $1,071.52 | $1,071.52 | $1,071.52 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $95.50 Median $95.50 Typical High $95.50 | Professional | 26 · Professional part | $95.50 | $95.50 | $95.50 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $954.99 Median $954.99 Typical High $954.99 | Professional | TC · Technical part | $954.99 | $954.99 | $954.99 |
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 $380.19 Median $707.95 Typical High $3,630.78 | Facility | 52 · Reduced service | $380.19 | $707.95 | $3,630.78 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $151.36 Median $281.84 Typical High $1,445.44 | Facility | 53 · Discontinued | $151.36 | $281.84 | $1,445.44 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $645.65 Median $1,071.52 Typical High $3,890.45 | Facility | FX · Film X-ray | $645.65 | $1,071.52 | $3,890.45 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $363.08 Median $407.38 Typical High $602.56 | Professional | 52 · Reduced service | $363.08 | $407.38 | $602.56 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $144.54 Median $162.18 Typical High $239.88 | Professional | 53 · Discontinued | $144.54 | $162.18 | $239.88 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $575.44 Median $645.65 Typical High $851.14 | Professional | FX · Film X-ray | $575.44 | $645.65 | $851.14 |
Moda Health Setting Facility Modifier 52 · Reduced service Typical Low $380.19 Median $691.83 Typical High $2,137.96 | Facility | 52 · Reduced service | $380.19 | $691.83 | $2,137.96 |
Moda Health Setting Facility Modifier 53 · Discontinued Typical Low $151.36 Median $275.42 Typical High $851.14 | Facility | 53 · Discontinued | $151.36 | $275.42 | $851.14 |
Moda Health Setting Facility Modifier FX · Film X-ray Typical Low $588.84 Median $1,071.52 Typical High $4,073.80 | Facility | FX · Film X-ray | $588.84 | $1,071.52 | $4,073.80 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $363.08 Median $407.38 Typical High $537.03 | Professional | 52 · Reduced service | $363.08 | $407.38 | $537.03 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $144.54 Median $162.18 Typical High $213.80 | Professional | 53 · Discontinued | $144.54 | $162.18 | $213.80 |
Where Texas sits
The same service costs 5.5 times more in Alaska than in Indiana. 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
$832
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.