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 $398.11 Typical High $398.11 | Facility | None | $234.42 | $398.11 | $398.11 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $177.83 Median $338.84 Typical High $1,778.28 | Facility | TC · Technical part | $177.83 | $338.84 | $1,778.28 |
Aetna Setting Professional Modifier None (both parts) Typical Low $363.08 Median $398.11 Typical High $537.03 | Professional | None (both parts) | $363.08 | $398.11 | $537.03 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $204.17 Median $223.87 Typical High $295.12 | Professional | 26 · Professional part | $204.17 | $223.87 | $295.12 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $158.49 Median $177.83 Typical High $263.03 | Professional | TC · Technical part | $158.49 | $177.83 | $263.03 |
BCBS Texas Setting Facility Modifier None Typical Low $295.12 Median $794.33 Typical High $3,981.07 | Facility | None | $295.12 | $794.33 | $3,981.07 |
BCBS Texas Setting Professional Modifier None (both parts) Typical Low $398.11 Median $537.03 Typical High $794.33 | Professional | None (both parts) | $398.11 | $537.03 | $794.33 |
Christus Setting Professional Modifier 26 · Professional part Typical Low $288.40 Median $288.40 Typical High $302.00 | Professional | 26 · Professional part | $288.40 | $288.40 | $302.00 |
Cigna Setting Facility Modifier None Typical Low $426.58 Median $1,148.15 Typical High $2,454.71 | Facility | None | $426.58 | $1,148.15 | $2,454.71 |
Cigna Setting Professional Modifier None (both parts) Typical Low $446.68 Median $575.44 Typical High $912.01 | Professional | None (both parts) | $446.68 | $575.44 | $912.01 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $257.04 Median $316.23 Typical High $524.81 | Professional | 26 · Professional part | $257.04 | $316.23 | $524.81 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $186.21 Median $239.88 Typical High $380.19 | Professional | TC · Technical part | $186.21 | $239.88 | $380.19 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $3,388.44 Median $3,388.44 Typical High $4,786.30 | Professional | None (both parts) | $3,388.44 | $3,388.44 | $4,786.30 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $2,344.23 Median $2,344.23 Typical High $2,511.89 | Professional | 26 · Professional part | $2,344.23 | $2,344.23 | $2,511.89 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $1,949.84 Median $1,949.84 Typical High $2,238.72 | Professional | TC · Technical part | $1,949.84 | $1,949.84 | $2,238.72 |
Moda Health Setting Facility Modifier None Typical Low $309.03 Median $537.03 Typical High $741.31 | Facility | None | $309.03 | $537.03 | $741.31 |
Moda Health Setting Facility Modifier TC · Technical part Typical Low $177.83 Median $331.13 Typical High $1,023.29 | Facility | TC · Technical part | $177.83 | $331.13 | $1,023.29 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $363.08 Median $398.11 Typical High $724.44 | Professional | None (both parts) | $363.08 | $398.11 | $724.44 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $204.17 Median $223.87 Typical High $389.05 | Professional | 26 · Professional part | $204.17 | $223.87 | $389.05 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $158.49 Median $177.83 Typical High $331.13 | Professional | TC · Technical part | $158.49 | $177.83 | $331.13 |
Molina Setting Professional Modifier None (both parts) Typical Low $45.71 Median $257.04 Typical High $562.34 | Professional | None (both parts) | $45.71 | $257.04 | $562.34 |
Providence Setting Facility Modifier None Typical Low $346.74 Median $912.01 Typical High $2,691.53 | Facility | None | $346.74 | $912.01 | $2,691.53 |
Providence Setting Professional Modifier None (both parts) Typical Low $446.68 Median $562.34 Typical High $912.01 | Professional | None (both parts) | $446.68 | $562.34 | $912.01 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $245.47 Median $316.23 Typical High $512.86 | Professional | 26 · Professional part | $245.47 | $316.23 | $512.86 |
Providence Setting Professional Modifier TC · Technical part Typical Low $181.97 Median $234.42 Typical High $380.19 | Professional | TC · Technical part | $181.97 | $234.42 | $380.19 |
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 $436.52 Median $575.44 Typical High $831.76 | Professional | None (both parts) | $436.52 | $575.44 | $831.76 |
United Setting Professional Modifier 26 · Professional part Typical Low $251.19 Median $338.84 Typical High $478.63 | Professional | 26 · Professional part | $251.19 | $338.84 | $478.63 |
United Setting Professional Modifier TC · Technical part Typical Low $186.21 Median $239.88 Typical High $346.74 | Professional | TC · Technical part | $186.21 | $239.88 | $346.74 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $562.34 Median $562.34 Typical High $562.34 | Professional | None (both parts) | $562.34 | $562.34 | $562.34 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $302.00 Median $302.00 Typical High $302.00 | Professional | 26 · Professional part | $302.00 | $302.00 | $302.00 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $257.04 Median $257.04 Typical High $257.04 | Professional | TC · Technical part | $257.04 | $257.04 | $257.04 |
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 $114.82 Median $199.53 Typical High $870.96 | Facility | 52 · Reduced service | $114.82 | $199.53 | $870.96 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $46.77 Median $81.28 Typical High $354.81 | Facility | 53 · Discontinued | $46.77 | $81.28 | $354.81 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $162.18 Median $281.84 Typical High $1,230.27 | Facility | 78 · Unplanned return to OR | $162.18 | $281.84 | $1,230.27 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $158.49 Median $263.03 Typical High $933.25 | Facility | FX · Film X-ray | $158.49 | $263.03 | $933.25 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $181.97 Median $199.53 Typical High $275.42 | Professional | 52 · Reduced service | $181.97 | $199.53 | $275.42 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $72.44 Median $81.28 Typical High $112.20 | Professional | 53 · Discontinued | $72.44 | $81.28 | $112.20 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $251.19 Median $281.84 Typical High $389.05 | Professional | 78 · Unplanned return to OR | $251.19 | $281.84 | $389.05 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $288.40 Median $323.59 Typical High $426.58 | Professional | FX · Film X-ray | $288.40 | $323.59 | $426.58 |
Moda Health Setting Facility Modifier 52 · Reduced service Typical Low $97.72 Median $186.21 Typical High $512.86 | Facility | 52 · Reduced service | $97.72 | $186.21 | $512.86 |
Moda Health Setting Facility Modifier 53 · Discontinued Typical Low $39.81 Median $74.13 Typical High $204.17 | Facility | 53 · Discontinued | $39.81 | $74.13 | $204.17 |
Moda Health Setting Facility Modifier 78 · Unplanned return to OR Typical Low $138.04 Median $257.04 Typical High $707.95 | Facility | 78 · Unplanned return to OR | $138.04 | $257.04 | $707.95 |
Moda Health Setting Facility Modifier FX · Film X-ray Typical Low $144.54 Median $257.04 Typical High $977.24 | Facility | FX · Film X-ray | $144.54 | $257.04 | $977.24 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $181.97 Median $199.53 Typical High $263.03 | Professional | 52 · Reduced service | $181.97 | $199.53 | $263.03 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $72.44 Median $81.28 Typical High $107.15 | Professional | 53 · Discontinued | $72.44 | $81.28 | $107.15 |
Moda Health Setting Professional Modifier 78 · Unplanned return to OR Typical Low $251.19 Median $281.84 Typical High $371.54 | Professional | 78 · Unplanned return to OR | $251.19 | $281.84 | $371.54 |
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
$398
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.