How much rates vary
Facilitymedian $457 · 10th to 90th $151 to $1,047Professionalmedian $288 · 10th to 90th $42 to $575
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 $288.40 Typical High $288.40 | Facility | None | $234.42 | $288.40 | $288.40 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $95.50 Median $177.83 Typical High $933.25 | Facility | TC · Technical part | $95.50 | $177.83 | $933.25 |
Aetna Setting Professional Modifier None (both parts) Typical Low $263.03 Median $288.40 Typical High $380.19 | Professional | None (both parts) | $263.03 | $288.40 | $380.19 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $177.83 Median $190.55 Typical High $257.04 | Professional | 26 · Professional part | $177.83 | $190.55 | $257.04 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $95.50 Typical High $138.04 | Professional | TC · Technical part | $83.18 | $95.50 | $138.04 |
BCBS Texas Setting Facility Modifier None Typical Low $141.25 Median $416.87 Typical High $977.24 | Facility | None | $141.25 | $416.87 | $977.24 |
BCBS Texas Setting Professional Modifier None (both parts) Typical Low $346.74 Median $457.09 Typical High $575.44 | Professional | None (both parts) | $346.74 | $457.09 | $575.44 |
Christus Setting Professional Modifier 26 · Professional part Typical Low $251.19 Median $251.19 Typical High $263.03 | Professional | 26 · Professional part | $251.19 | $251.19 | $263.03 |
Cigna Setting Facility Modifier None Typical Low $208.93 Median $537.03 Typical High $1,148.15 | Facility | None | $208.93 | $537.03 | $1,148.15 |
Cigna Setting Professional Modifier None (both parts) Typical Low $316.23 Median $398.11 Typical High $645.65 | Professional | None (both parts) | $316.23 | $398.11 | $645.65 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $223.87 Median $275.42 Typical High $446.68 | Professional | 26 · Professional part | $223.87 | $275.42 | $446.68 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $89.13 Median $123.03 Typical High $194.98 | Professional | TC · Technical part | $89.13 | $123.03 | $194.98 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $2,511.89 Median $2,511.89 Typical High $3,388.44 | Professional | None (both parts) | $2,511.89 | $2,511.89 | $3,388.44 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $2,137.96 Median $2,137.96 Typical High $2,187.76 | Professional | 26 · Professional part | $2,137.96 | $2,137.96 | $2,187.76 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $1,778.28 Median $1,778.28 Typical High $1,778.28 | Professional | TC · Technical part | $1,778.28 | $1,778.28 | $1,778.28 |
Moda Health Setting Facility Modifier None Typical Low $263.03 Median $380.19 Typical High $524.81 | Facility | None | $263.03 | $380.19 | $524.81 |
Moda Health Setting Facility Modifier TC · Technical part Typical Low $95.50 Median $173.78 Typical High $537.03 | Facility | TC · Technical part | $95.50 | $173.78 | $537.03 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $263.03 Median $288.40 Typical High $512.86 | Professional | None (both parts) | $263.03 | $288.40 | $512.86 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $177.83 Median $194.98 Typical High $338.84 | Professional | 26 · Professional part | $177.83 | $194.98 | $338.84 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $95.50 Typical High $173.78 | Professional | TC · Technical part | $83.18 | $95.50 | $173.78 |
Molina Setting Professional Modifier None (both parts) Typical Low $25.70 Median $138.04 Typical High $398.11 | Professional | None (both parts) | $25.70 | $138.04 | $398.11 |
Providence Setting Facility Modifier None Typical Low $186.21 Median $478.63 Typical High $1,230.27 | Facility | None | $186.21 | $478.63 | $1,230.27 |
Providence Setting Professional Modifier None (both parts) Typical Low $316.23 Median $398.11 Typical High $645.65 | Professional | None (both parts) | $316.23 | $398.11 | $645.65 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $213.80 Median $275.42 Typical High $446.68 | Professional | 26 · Professional part | $213.80 | $275.42 | $446.68 |
Providence Setting Professional Modifier TC · Technical part Typical Low $89.13 Median $123.03 Typical High $194.98 | Professional | TC · Technical part | $89.13 | $123.03 | $194.98 |
United Setting Facility Modifier None Typical Low $588.84 Median $602.56 Typical High $794.33 | Facility | None | $588.84 | $602.56 | $794.33 |
United Setting Professional Modifier None (both parts) Typical Low $316.23 Median $407.38 Typical High $602.56 | Professional | None (both parts) | $316.23 | $407.38 | $602.56 |
United Setting Professional Modifier 26 · Professional part Typical Low $218.78 Median $295.12 Typical High $416.87 | Professional | 26 · Professional part | $218.78 | $295.12 | $416.87 |
United Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $123.03 Typical High $177.83 | Professional | TC · Technical part | $97.72 | $123.03 | $177.83 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $398.11 Median $398.11 Typical High $398.11 | Professional | None (both parts) | $398.11 | $398.11 | $398.11 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $263.03 Median $263.03 Typical High $263.03 | Professional | 26 · Professional part | $263.03 | $263.03 | $263.03 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $131.83 Median $131.83 Typical High $131.83 | Professional | TC · Technical part | $131.83 | $131.83 | $131.83 |
15 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 $57.54 Median $125.89 Typical High $467.74 | Facility | 52 · Reduced service | $57.54 | $125.89 | $467.74 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $22.91 Median $50.12 Typical High $186.21 | Facility | 53 · Discontinued | $22.91 | $50.12 | $186.21 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $81.28 Median $177.83 Typical High $660.69 | Facility | 78 · Unplanned return to OR | $81.28 | $177.83 | $660.69 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $83.18 Median $141.25 Typical High $501.19 | Facility | FX · Film X-ray | $83.18 | $141.25 | $501.19 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $128.82 Median $144.54 Typical High $194.98 | Professional | 52 · Reduced service | $128.82 | $144.54 | $194.98 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $52.48 Median $57.54 Typical High $79.43 | Professional | 53 · Discontinued | $52.48 | $57.54 | $79.43 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $181.97 Median $204.17 Typical High $275.42 | Professional | 78 · Unplanned return to OR | $181.97 | $204.17 | $275.42 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $208.93 Median $229.09 Typical High $309.03 | Professional | FX · Film X-ray | $208.93 | $229.09 | $309.03 |
Moda Health Setting Facility Modifier 52 · Reduced service Typical Low $52.48 Median $102.33 Typical High $269.15 | Facility | 52 · Reduced service | $52.48 | $102.33 | $269.15 |
Moda Health Setting Facility Modifier 53 · Discontinued Typical Low $20.89 Median $40.74 Typical High $107.15 | Facility | 53 · Discontinued | $20.89 | $40.74 | $107.15 |
Moda Health Setting Facility Modifier 78 · Unplanned return to OR Typical Low $72.44 Median $144.54 Typical High $380.19 | Facility | 78 · Unplanned return to OR | $72.44 | $144.54 | $380.19 |
Moda Health Setting Facility Modifier FX · Film X-ray Typical Low $75.86 Median $138.04 Typical High $512.86 | Facility | FX · Film X-ray | $75.86 | $138.04 | $512.86 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $128.82 Median $144.54 Typical High $190.55 | Professional | 52 · Reduced service | $128.82 | $144.54 | $190.55 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $52.48 Median $57.54 Typical High $75.86 | Professional | 53 · Discontinued | $52.48 | $57.54 | $75.86 |
Moda Health Setting Professional Modifier 78 · Unplanned return to OR Typical Low $181.97 Median $199.53 Typical High $269.15 | Professional | 78 · Unplanned return to OR | $181.97 | $199.53 | $269.15 |
Where Texas sits
The same service costs 5.9 times more in Alaska than in Alabama. 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
$295
AK $1,585AL $269
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.