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 $389.05 Median $489.78 Typical High $501.19 | Facility | None | $389.05 | $489.78 | $501.19 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $426.58 Median $812.83 Typical High $4,168.69 | Facility | TC · Technical part | $426.58 | $812.83 | $4,168.69 |
Aetna Setting Professional Modifier None (both parts) Typical Low $436.52 Median $489.78 Typical High $645.65 | Professional | None (both parts) | $436.52 | $489.78 | $645.65 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $58.88 Typical High $79.43 | Professional | 26 · Professional part | $53.70 | $58.88 | $79.43 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $380.19 Median $426.58 Typical High $616.60 | Professional | TC · Technical part | $380.19 | $426.58 | $616.60 |
BCBS Texas Setting Professional Modifier None (both parts) Typical Low $69.18 Median $138.04 Typical High $616.60 | Professional | None (both parts) | $69.18 | $138.04 | $616.60 |
Christus Setting Professional Modifier 26 · Professional part Typical Low $77.62 Median $77.62 Typical High $85.11 | Professional | 26 · Professional part | $77.62 | $77.62 | $85.11 |
Cigna Setting Facility Modifier None Typical Low $588.84 Median $1,905.46 Typical High $3,388.44 | Facility | None | $588.84 | $1,905.46 | $3,388.44 |
Cigna Setting Professional Modifier None (both parts) Typical Low $407.38 Median $616.60 Typical High $977.24 | Professional | None (both parts) | $407.38 | $616.60 | $977.24 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $89.13 Typical High $141.25 | Professional | 26 · Professional part | $69.18 | $89.13 | $141.25 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $346.74 Median $524.81 Typical High $831.76 | Professional | TC · Technical part | $346.74 | $524.81 | $831.76 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $4,168.69 Median $4,168.69 Typical High $6,456.54 | Professional | None (both parts) | $4,168.69 | $4,168.69 | $6,456.54 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $676.08 Median $676.08 Typical High $758.58 | Professional | 26 · Professional part | $676.08 | $676.08 | $758.58 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $3,715.35 Median $3,715.35 Typical High $5,623.41 | Professional | TC · Technical part | $3,715.35 | $3,715.35 | $5,623.41 |
Moda Health Setting Facility Modifier None Typical Low $346.74 Median $616.60 Typical High $812.83 | Facility | None | $346.74 | $616.60 | $812.83 |
Moda Health Setting Facility Modifier TC · Technical part Typical Low $426.58 Median $794.33 Typical High $2,454.71 | Facility | TC · Technical part | $426.58 | $794.33 | $2,454.71 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $436.52 Median $489.78 Typical High $954.99 | Professional | None (both parts) | $436.52 | $489.78 | $954.99 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $61.66 Typical High $112.20 | Professional | 26 · Professional part | $53.70 | $61.66 | $112.20 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $380.19 Median $426.58 Typical High $831.76 | Professional | TC · Technical part | $380.19 | $426.58 | $831.76 |
Molina Setting Professional Modifier None (both parts) Typical Low $19.95 Median $125.89 Typical High $741.31 | Professional | None (both parts) | $19.95 | $125.89 | $741.31 |
Providence Setting Facility Modifier None Typical Low $446.68 Median $1,548.82 Typical High $2,691.53 | Facility | None | $446.68 | $1,548.82 | $2,691.53 |
Providence Setting Professional Modifier None (both parts) Typical Low $407.38 Median $602.56 Typical High $954.99 | Professional | None (both parts) | $407.38 | $602.56 | $954.99 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $89.13 Typical High $141.25 | Professional | 26 · Professional part | $67.61 | $89.13 | $141.25 |
Providence Setting Professional Modifier TC · Technical part Typical Low $346.74 Median $512.86 Typical High $831.76 | Professional | TC · Technical part | $346.74 | $512.86 | $831.76 |
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 $398.11 Median $549.54 Typical High $870.96 | Professional | None (both parts) | $398.11 | $549.54 | $870.96 |
United Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $95.50 Typical High $131.83 | Professional | 26 · Professional part | $70.79 | $95.50 | $131.83 |
United Setting Professional Modifier TC · Technical part Typical Low $316.23 Median $467.74 Typical High $758.58 | Professional | TC · Technical part | $316.23 | $467.74 | $758.58 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $724.44 Median $724.44 Typical High $724.44 | Professional | None (both parts) | $724.44 | $724.44 | $724.44 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $87.10 Median $87.10 Typical High $87.10 | Professional | 26 · Professional part | $87.10 | $87.10 | $87.10 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $645.65 Median $645.65 Typical High $645.65 | Professional | TC · Technical part | $645.65 | $645.65 | $645.65 |
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 $223.87 Median $407.38 Typical High $2,089.30 | Facility | 52 · Reduced service | $223.87 | $407.38 | $2,089.30 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $89.13 Median $162.18 Typical High $851.14 | Facility | 53 · Discontinued | $89.13 | $162.18 | $851.14 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $338.84 Median $616.60 Typical High $2,238.72 | Facility | FX · Film X-ray | $338.84 | $616.60 | $2,238.72 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $218.78 Median $245.47 Typical High $354.81 | Professional | 52 · Reduced service | $218.78 | $245.47 | $354.81 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $87.10 Median $97.72 Typical High $141.25 | Professional | 53 · Discontinued | $87.10 | $97.72 | $141.25 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $346.74 Median $389.05 Typical High $512.86 | Professional | FX · Film X-ray | $346.74 | $389.05 | $512.86 |
Moda Health Setting Facility Modifier 52 · Reduced service Typical Low $213.80 Median $398.11 Typical High $1,230.27 | Facility | 52 · Reduced service | $213.80 | $398.11 | $1,230.27 |
Moda Health Setting Facility Modifier 53 · Discontinued Typical Low $85.11 Median $158.49 Typical High $489.78 | Facility | 53 · Discontinued | $85.11 | $158.49 | $489.78 |
Moda Health Setting Facility Modifier FX · Film X-ray Typical Low $338.84 Median $616.60 Typical High $2,344.23 | Facility | FX · Film X-ray | $338.84 | $616.60 | $2,344.23 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $218.78 Median $245.47 Typical High $316.23 | Professional | 52 · Reduced service | $218.78 | $245.47 | $316.23 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $87.10 Median $97.72 Typical High $128.82 | Professional | 53 · Discontinued | $87.10 | $97.72 | $128.82 |
Where Texas sits
The same service costs 6.0 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· 47th of 51
$525
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.