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 $245.47 Median $309.03 Typical High $309.03 | Facility | None | $245.47 | $309.03 | $309.03 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $158.49 Median $295.12 Typical High $1,548.82 | Facility | TC · Technical part | $158.49 | $295.12 | $1,548.82 |
Aetna Setting Professional Modifier None (both parts) Typical Low $275.42 Median $309.03 Typical High $407.38 | Professional | None (both parts) | $275.42 | $309.03 | $407.38 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $134.90 Median $147.91 Typical High $199.53 | Professional | 26 · Professional part | $134.90 | $147.91 | $199.53 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $138.04 Median $158.49 Typical High $229.09 | Professional | TC · Technical part | $138.04 | $158.49 | $229.09 |
BCBS Setting Facility Modifier None Typical Low $257.04 Median $676.08 Typical High $1,071.52 | Facility | None | $257.04 | $676.08 | $1,071.52 |
BCBS Setting Professional Modifier None (both parts) Typical Low $269.15 Median $380.19 Typical High $575.44 | Professional | None (both parts) | $269.15 | $380.19 | $575.44 |
Christus Setting Professional Modifier 26 · Professional part Typical Low $190.55 Median $190.55 Typical High $204.17 | Professional | 26 · Professional part | $190.55 | $190.55 | $204.17 |
Cigna Setting Facility Modifier None Typical Low $363.08 Median $912.01 Typical High $2,454.71 | Facility | None | $363.08 | $912.01 | $2,454.71 |
Cigna Setting Professional Modifier None (both parts) Typical Low $338.84 Median $426.58 Typical High $691.83 | Professional | None (both parts) | $338.84 | $426.58 | $691.83 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $169.82 Median $213.80 Typical High $346.74 | Professional | 26 · Professional part | $169.82 | $213.80 | $346.74 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $154.88 Median $204.17 Typical High $331.13 | Professional | TC · Technical part | $154.88 | $204.17 | $331.13 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $3,162.28 Median $3,162.28 Typical High $3,630.78 | Professional | None (both parts) | $3,162.28 | $3,162.28 | $3,630.78 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $1,584.89 Median $1,584.89 Typical High $1,698.24 | Professional | 26 · Professional part | $1,584.89 | $1,584.89 | $1,698.24 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $1,348.96 Median $1,348.96 Typical High $1,949.84 | Professional | TC · Technical part | $1,348.96 | $1,348.96 | $1,949.84 |
Moda Health Setting Facility Modifier None Typical Low $281.84 Median $407.38 Typical High $512.86 | Facility | None | $281.84 | $407.38 | $512.86 |
Moda Health Setting Facility Modifier TC · Technical part Typical Low $158.49 Median $288.40 Typical High $891.25 | Facility | TC · Technical part | $158.49 | $288.40 | $891.25 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $275.42 Median $309.03 Typical High $549.54 | Professional | None (both parts) | $275.42 | $309.03 | $549.54 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $134.90 Median $147.91 Typical High $257.04 | Professional | 26 · Professional part | $134.90 | $147.91 | $257.04 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $138.04 Median $158.49 Typical High $288.40 | Professional | TC · Technical part | $138.04 | $158.49 | $288.40 |
Molina Setting Professional Modifier None (both parts) Typical Low $34.67 Median $194.98 Typical High $426.58 | Professional | None (both parts) | $34.67 | $194.98 | $426.58 |
Providence Setting Facility Modifier None Typical Low $281.84 Median $794.33 Typical High $2,691.53 | Facility | None | $281.84 | $794.33 | $2,691.53 |
Providence Setting Professional Modifier None (both parts) Typical Low $338.84 Median $416.87 Typical High $691.83 | Professional | None (both parts) | $338.84 | $416.87 | $691.83 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $165.96 Median $213.80 Typical High $338.84 | Professional | 26 · Professional part | $165.96 | $213.80 | $338.84 |
Providence Setting Professional Modifier TC · Technical part Typical Low $154.88 Median $204.17 Typical High $331.13 | Professional | TC · Technical part | $154.88 | $204.17 | $331.13 |
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 $331.13 Median $426.58 Typical High $616.60 | Professional | None (both parts) | $331.13 | $426.58 | $616.60 |
United Setting Professional Modifier 26 · Professional part Typical Low $165.96 Median $223.87 Typical High $316.23 | Professional | 26 · Professional part | $165.96 | $223.87 | $316.23 |
United Setting Professional Modifier TC · Technical part Typical Low $162.18 Median $204.17 Typical High $302.00 | Professional | TC · Technical part | $162.18 | $204.17 | $302.00 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $426.58 Median $426.58 Typical High $426.58 | Professional | None (both parts) | $426.58 | $426.58 | $426.58 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $199.53 Median $199.53 Typical High $199.53 | Professional | 26 · Professional part | $199.53 | $199.53 | $199.53 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $223.87 Median $223.87 Typical High $223.87 | Professional | TC · Technical part | $223.87 | $223.87 | $223.87 |
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 $102.33 Median $154.88 Typical High $776.25 | Facility | 52 · Reduced service | $102.33 | $154.88 | $776.25 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $40.74 Median $61.66 Typical High $309.03 | Facility | 53 · Discontinued | $40.74 | $61.66 | $309.03 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $141.25 Median $213.80 Typical High $1,071.52 | Facility | 78 · Unplanned return to OR | $141.25 | $213.80 | $1,071.52 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $138.04 Median $234.42 Typical High $831.76 | Facility | FX · Film X-ray | $138.04 | $234.42 | $831.76 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $138.04 Median $151.36 Typical High $213.80 | Professional | 52 · Reduced service | $138.04 | $151.36 | $213.80 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $54.95 Median $61.66 Typical High $85.11 | Professional | 53 · Discontinued | $54.95 | $61.66 | $85.11 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $190.55 Median $213.80 Typical High $295.12 | Professional | 78 · Unplanned return to OR | $190.55 | $213.80 | $295.12 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $218.78 Median $245.47 Typical High $323.59 | Professional | FX · Film X-ray | $218.78 | $245.47 | $323.59 |
Moda Health Setting Facility Modifier 52 · Reduced service Typical Low $87.10 Median $144.54 Typical High $446.68 | Facility | 52 · Reduced service | $87.10 | $144.54 | $446.68 |
Moda Health Setting Facility Modifier 53 · Discontinued Typical Low $34.67 Median $57.54 Typical High $177.83 | Facility | 53 · Discontinued | $34.67 | $57.54 | $177.83 |
Moda Health Setting Facility Modifier 78 · Unplanned return to OR Typical Low $120.23 Median $204.17 Typical High $630.96 | Facility | 78 · Unplanned return to OR | $120.23 | $204.17 | $630.96 |
Moda Health Setting Facility Modifier FX · Film X-ray Typical Low $125.89 Median $223.87 Typical High $851.14 | Facility | FX · Film X-ray | $125.89 | $223.87 | $851.14 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $138.04 Median $151.36 Typical High $204.17 | Professional | 52 · Reduced service | $138.04 | $151.36 | $204.17 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $54.95 Median $61.66 Typical High $81.28 | Professional | 53 · Discontinued | $54.95 | $61.66 | $81.28 |
Moda Health Setting Professional Modifier 78 · Unplanned return to OR Typical Low $190.55 Median $213.80 Typical High $281.84 | Professional | 78 · Unplanned return to OR | $190.55 | $213.80 | $281.84 |
Where Texas sits
The same service costs 5.6 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· 50th of 51
$302
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.