How much rates vary
Facilitymedian $55 · 10th to 90th $18 to $141Professionalmedian $22 · 10th to 90th $6 to $123
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 $4.27 Median $11.75 Typical High $12.88 | Facility | None | $4.27 | $11.75 | $12.88 |
Aetna Setting Professional Modifier None Typical Low $10.47 Median $11.75 Typical High $15.49 | Professional | None | $10.47 | $11.75 | $15.49 |
BCBS Texas Setting Facility Modifier None Typical Low $19.95 Median $54.95 Typical High $131.83 | Facility | None | $19.95 | $54.95 | $131.83 |
BCBS Texas Setting Professional Modifier None Typical Low $15.49 Median $17.38 Typical High $61.66 | Professional | None | $15.49 | $17.38 | $61.66 |
Cigna Setting Facility Modifier None Typical Low $75.86 Median $177.83 Typical High $229.09 | Facility | None | $75.86 | $177.83 | $229.09 |
Cigna Setting Professional Modifier None Typical Low $14.45 Median $19.50 Typical High $120.23 | Professional | None | $14.45 | $19.50 | $120.23 |
Lucent Health Setting Professional Modifier None Typical Low $645.65 Median $645.65 Typical High $645.65 | Professional | None | $645.65 | $645.65 | $645.65 |
Moda Health Setting Facility Modifier None Typical Low $6.31 Median $15.49 Typical High $125.89 | Facility | None | $6.31 | $15.49 | $125.89 |
Moda Health Setting Professional Modifier None Typical Low $10.47 Median $11.75 Typical High $28.18 | Professional | None | $10.47 | $11.75 | $28.18 |
Molina Setting Professional Modifier None Typical Low $5.01 Median $28.18 Typical High $37.15 | Professional | None | $5.01 | $28.18 | $37.15 |
Providence Setting Facility Modifier None Typical Low $11.75 Median $21.88 Typical High $229.09 | Facility | None | $11.75 | $21.88 | $229.09 |
Providence Setting Professional Modifier None Typical Low $14.45 Median $19.50 Typical High $117.49 | Professional | None | $14.45 | $19.50 | $117.49 |
United Setting Professional Modifier None Typical Low $13.49 Median $21.38 Typical High $104.71 | Professional | None | $13.49 | $21.38 | $104.71 |
Wellpoint Setting Professional Modifier None Typical Low $18.62 Median $18.62 Typical High $18.62 | Professional | None | $18.62 | $18.62 | $18.62 |
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 $3.09 Median $5.89 Typical High $23.44 | Facility | 52 · Reduced service | $3.09 | $5.89 | $23.44 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $1.26 Median $2.34 Typical High $9.33 | Facility | 53 · Discontinued | $1.26 | $2.34 | $9.33 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $4.27 Median $7.08 Typical High $26.30 | Facility | FX · Film X-ray | $4.27 | $7.08 | $26.30 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $5.25 Median $5.89 Typical High $8.32 | Professional | 52 · Reduced service | $5.25 | $5.89 | $8.32 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.09 Median $2.34 Typical High $3.39 | Professional | 53 · Discontinued | $2.09 | $2.34 | $3.39 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $8.32 Median $9.55 Typical High $12.30 | Professional | FX · Film X-ray | $8.32 | $9.55 | $12.30 |
Moda Health Setting Facility Modifier 52 · Reduced service Typical Low $2.63 Median $5.37 Typical High $15.85 | Facility | 52 · Reduced service | $2.63 | $5.37 | $15.85 |
Moda Health Setting Facility Modifier 53 · Discontinued Typical Low $1.38 Median $2.19 Typical High $6.31 | Facility | 53 · Discontinued | $1.38 | $2.19 | $6.31 |
Moda Health Setting Facility Modifier FX · Film X-ray Typical Low $3.80 Median $6.92 Typical High $26.30 | Facility | FX · Film X-ray | $3.80 | $6.92 | $26.30 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $5.25 Median $5.89 Typical High $7.76 | Professional | 52 · Reduced service | $5.25 | $5.89 | $7.76 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $2.09 Median $2.34 Typical High $3.09 | Professional | 53 · Discontinued | $2.09 | $2.34 | $3.09 |
Where Texas sits
The same service costs 5.5 times more in Alabama than in Pennsylvania. 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· 38th of 51
$27.54
AL $102PA $18.62
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.