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 $537.03 Median $660.69 Typical High $676.08 | Facility | None | $537.03 | $660.69 | $676.08 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $331.13 Median $602.56 Typical High $3,235.94 | Facility | TC · Technical part | $331.13 | $602.56 | $3,235.94 |
Aetna Setting Professional Modifier None (both parts) Typical Low $602.56 Median $660.69 Typical High $977.24 | Professional | None (both parts) | $602.56 | $660.69 | $977.24 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $309.03 Median $338.84 Typical High $537.03 | Professional | 26 · Professional part | $309.03 | $338.84 | $537.03 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $263.03 Median $331.13 Typical High $588.84 | Professional | TC · Technical part | $263.03 | $331.13 | $588.84 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $316.23 Median $316.23 Typical High $776.25 | Professional | 26 · Professional part | $316.23 | $316.23 | $776.25 |
BCBS Texas Setting Facility Modifier None Typical Low $501.19 Median $1,445.44 Typical High $3,467.37 | Facility | None | $501.19 | $1,445.44 | $3,467.37 |
BCBS Texas Setting Professional Modifier None (both parts) Typical Low $457.09 Median $812.83 Typical High $1,288.25 | Professional | None (both parts) | $457.09 | $812.83 | $1,288.25 |
Christus Setting Professional Modifier 26 · Professional part Typical Low $436.52 Median $436.52 Typical High $467.74 | Professional | 26 · Professional part | $436.52 | $436.52 | $467.74 |
Cigna Setting Facility Modifier None Typical Low $588.84 Median $1,698.24 Typical High $3,162.28 | Facility | None | $588.84 | $1,698.24 | $3,162.28 |
Cigna Setting Professional Modifier None (both parts) Typical Low $741.31 Median $933.25 Typical High $1,513.56 | Professional | None (both parts) | $741.31 | $933.25 | $1,513.56 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $389.05 Median $478.63 Typical High $912.01 | Professional | 26 · Professional part | $389.05 | $478.63 | $912.01 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $295.12 Median $436.52 Typical High $630.96 | Professional | TC · Technical part | $295.12 | $436.52 | $630.96 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $6,309.57 Median $6,309.57 Typical High $7,943.28 | Professional | None (both parts) | $6,309.57 | $6,309.57 | $7,943.28 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $5,011.87 Median $5,011.87 Typical High $5,011.87 | Professional | 26 · Professional part | $5,011.87 | $5,011.87 | $5,011.87 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $4,168.69 Median $4,168.69 Typical High $4,168.69 | Professional | TC · Technical part | $4,168.69 | $4,168.69 | $4,168.69 |
Moda Health Setting Facility Modifier None Typical Low $616.60 Median $954.99 Typical High $3,162.28 | Facility | None | $616.60 | $954.99 | $3,162.28 |
Moda Health Setting Facility Modifier TC · Technical part Typical Low $331.13 Median $602.56 Typical High $1,148.15 | Facility | TC · Technical part | $331.13 | $602.56 | $1,148.15 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $602.56 Median $660.69 Typical High $1,288.25 | Professional | None (both parts) | $602.56 | $660.69 | $1,288.25 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $309.03 Median $338.84 Typical High $676.08 | Professional | 26 · Professional part | $309.03 | $338.84 | $676.08 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $288.40 Median $331.13 Typical High $660.69 | Professional | TC · Technical part | $288.40 | $331.13 | $660.69 |
Molina Setting Professional Modifier None (both parts) Typical Low $75.86 Median $436.52 Typical High $954.99 | Professional | None (both parts) | $75.86 | $436.52 | $954.99 |
Providence Setting Facility Modifier None Typical Low $616.60 Median $1,445.44 Typical High $3,388.44 | Facility | None | $616.60 | $1,445.44 | $3,388.44 |
Providence Setting Professional Modifier None (both parts) Typical Low $724.44 Median $912.01 Typical High $1,548.82 | Professional | None (both parts) | $724.44 | $912.01 | $1,548.82 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $389.05 Median $478.63 Typical High $912.01 | Professional | 26 · Professional part | $389.05 | $478.63 | $912.01 |
Providence Setting Professional Modifier TC · Technical part Typical Low $295.12 Median $436.52 Typical High $616.60 | Professional | TC · Technical part | $295.12 | $436.52 | $616.60 |
United Setting Facility Modifier None Typical Low $1,047.13 Median $1,096.48 Typical High $1,445.44 | Facility | None | $1,047.13 | $1,096.48 | $1,445.44 |
United Setting Professional Modifier None (both parts) Typical Low $707.95 Median $977.24 Typical High $1,348.96 | Professional | None (both parts) | $707.95 | $977.24 | $1,348.96 |
United Setting Professional Modifier 26 · Professional part Typical Low $380.19 Median $588.84 Typical High $758.58 | Professional | 26 · Professional part | $380.19 | $588.84 | $758.58 |
United Setting Professional Modifier TC · Technical part Typical Low $288.40 Median $380.19 Typical High $575.44 | Professional | TC · Technical part | $288.40 | $380.19 | $575.44 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $933.25 Median $933.25 Typical High $933.25 | Professional | None (both parts) | $933.25 | $933.25 | $933.25 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $457.09 Median $457.09 Typical High $457.09 | Professional | 26 · Professional part | $457.09 | $457.09 | $457.09 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $467.74 Median $467.74 Typical High $467.74 | Professional | TC · Technical part | $467.74 | $467.74 | $467.74 |
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 $194.98 Median $331.13 Typical High $1,621.81 | Facility | 52 · Reduced service | $194.98 | $331.13 | $1,621.81 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $79.43 Median $134.90 Typical High $645.65 | Facility | 53 · Discontinued | $79.43 | $134.90 | $645.65 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $275.42 Median $467.74 Typical High $2,238.72 | Facility | 78 · Unplanned return to OR | $275.42 | $467.74 | $2,238.72 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $263.03 Median $489.78 Typical High $1,737.80 | Facility | FX · Film X-ray | $263.03 | $489.78 | $1,737.80 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $302.00 Median $331.13 Typical High $457.09 | Professional | 52 · Reduced service | $302.00 | $331.13 | $457.09 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $120.23 Median $134.90 Typical High $181.97 | Professional | 53 · Discontinued | $120.23 | $134.90 | $181.97 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $416.87 Median $467.74 Typical High $645.65 | Professional | 78 · Unplanned return to OR | $416.87 | $467.74 | $645.65 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $478.63 Median $537.03 Typical High $707.95 | Professional | FX · Film X-ray | $478.63 | $537.03 | $707.95 |
Moda Health Setting Facility Modifier 52 · Reduced service Typical Low $165.96 Median $309.03 Typical High $933.25 | Facility | 52 · Reduced service | $165.96 | $309.03 | $933.25 |
Moda Health Setting Facility Modifier 53 · Discontinued Typical Low $66.07 Median $123.03 Typical High $371.54 | Facility | 53 · Discontinued | $66.07 | $123.03 | $371.54 |
Moda Health Setting Facility Modifier 78 · Unplanned return to OR Typical Low $229.09 Median $426.58 Typical High $1,318.26 | Facility | 78 · Unplanned return to OR | $229.09 | $426.58 | $1,318.26 |
Moda Health Setting Facility Modifier FX · Film X-ray Typical Low $263.03 Median $467.74 Typical High $1,778.28 | Facility | FX · Film X-ray | $263.03 | $467.74 | $1,778.28 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $302.00 Median $331.13 Typical High $436.52 | Professional | 52 · Reduced service | $302.00 | $331.13 | $436.52 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $120.23 Median $134.90 Typical High $177.83 | Professional | 53 · Discontinued | $120.23 | $134.90 | $177.83 |
Moda Health Setting Professional Modifier 78 · Unplanned return to OR Typical Low $416.87 Median $467.74 Typical High $616.60 | Professional | 78 · Unplanned return to OR | $416.87 | $467.74 | $616.60 |
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
$708
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.