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 $154.88 Median $199.53 Typical High $199.53 | Facility | None | $154.88 | $199.53 | $199.53 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $169.82 Median $281.84 Typical High $1,659.59 | Facility | TC · Technical part | $169.82 | $281.84 | $1,659.59 |
Aetna Setting Professional Modifier None (both parts) Typical Low $154.88 Median $190.55 Typical High $239.88 | Professional | None (both parts) | $154.88 | $190.55 | $239.88 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $30.20 Typical High $38.02 | Professional | 26 · Professional part | $23.99 | $30.20 | $38.02 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $131.83 Median $162.18 Typical High $263.03 | Professional | TC · Technical part | $131.83 | $162.18 | $263.03 |
BCBS Texas Setting Facility Modifier None Typical Low $288.40 Median $660.69 Typical High $1,071.52 | Facility | None | $288.40 | $660.69 | $1,071.52 |
BCBS Texas Setting Professional Modifier None (both parts) Typical Low $44.67 Median $186.21 Typical High $251.19 | Professional | None (both parts) | $44.67 | $186.21 | $251.19 |
Christus Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $33.88 Typical High $38.90 | Professional | 26 · Professional part | $33.88 | $33.88 | $38.90 |
Cigna Setting Facility Modifier None Typical Low $436.52 Median $977.24 Typical High $1,698.24 | Facility | None | $436.52 | $977.24 | $1,698.24 |
Cigna Setting Professional Modifier None (both parts) Typical Low $141.25 Median $208.93 Typical High $416.87 | Professional | None (both parts) | $141.25 | $208.93 | $416.87 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $32.36 Typical High $67.61 | Professional | 26 · Professional part | $22.91 | $32.36 | $67.61 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $120.23 Median $169.82 Typical High $354.81 | Professional | TC · Technical part | $120.23 | $169.82 | $354.81 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $1,548.82 Median $1,548.82 Typical High $1,905.46 | Professional | None (both parts) | $1,548.82 | $1,548.82 | $1,905.46 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $389.05 Median $389.05 Typical High $389.05 | Professional | 26 · Professional part | $389.05 | $389.05 | $389.05 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $1,288.25 Median $1,288.25 Typical High $1,621.81 | Professional | TC · Technical part | $1,288.25 | $1,288.25 | $1,621.81 |
Moda Health Setting Facility Modifier None Typical Low $181.97 Median $229.09 Typical High $331.13 | Facility | None | $181.97 | $229.09 | $331.13 |
Moda Health Setting Facility Modifier TC · Technical part Typical Low $169.82 Median $263.03 Typical High $501.19 | Facility | TC · Technical part | $169.82 | $263.03 | $501.19 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $154.88 Median $194.98 Typical High $389.05 | Professional | None (both parts) | $154.88 | $194.98 | $389.05 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $30.20 Typical High $52.48 | Professional | 26 · Professional part | $23.99 | $30.20 | $52.48 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $131.83 Median $162.18 Typical High $295.12 | Professional | TC · Technical part | $131.83 | $162.18 | $295.12 |
Molina Setting Professional Modifier None (both parts) Typical Low $30.90 Median $165.96 Typical High $245.47 | Professional | None (both parts) | $30.90 | $165.96 | $245.47 |
Providence Setting Facility Modifier None Typical Low $234.42 Median $776.25 Typical High $1,819.70 | Facility | None | $234.42 | $776.25 | $1,819.70 |
Providence Setting Professional Modifier None (both parts) Typical Low $134.90 Median $204.17 Typical High $416.87 | Professional | None (both parts) | $134.90 | $204.17 | $416.87 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $20.89 Median $32.36 Typical High $67.61 | Professional | 26 · Professional part | $20.89 | $32.36 | $67.61 |
Providence Setting Professional Modifier TC · Technical part Typical Low $114.82 Median $169.82 Typical High $354.81 | Professional | TC · Technical part | $114.82 | $169.82 | $354.81 |
United Setting Facility Modifier None Typical Low $602.56 Median $630.96 Typical High $831.76 | Facility | None | $602.56 | $630.96 | $831.76 |
United Setting Professional Modifier None (both parts) Typical Low $199.53 Median $251.19 Typical High $380.19 | Professional | None (both parts) | $199.53 | $251.19 | $380.19 |
United Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $38.90 Typical High $58.88 | Professional | 26 · Professional part | $31.62 | $38.90 | $58.88 |
United Setting Professional Modifier TC · Technical part Typical Low $169.82 Median $213.80 Typical High $323.59 | Professional | TC · Technical part | $169.82 | $213.80 | $323.59 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $218.78 Median $218.78 Typical High $218.78 | Professional | None (both parts) | $218.78 | $218.78 | $218.78 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $35.48 Typical High $35.48 | Professional | 26 · Professional part | $35.48 | $35.48 | $35.48 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $186.21 Median $186.21 Typical High $186.21 | Professional | TC · Technical part | $186.21 | $186.21 | $186.21 |
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 $85.11 Median $141.25 Typical High $831.76 | Facility | 52 · Reduced service | $85.11 | $141.25 | $831.76 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $33.88 Median $56.23 Typical High $331.13 | Facility | 53 · Discontinued | $33.88 | $56.23 | $331.13 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $144.54 Median $208.93 Typical High $776.25 | Facility | FX · Film X-ray | $144.54 | $208.93 | $776.25 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $77.62 Median $95.50 Typical High $151.36 | Professional | 52 · Reduced service | $77.62 | $95.50 | $151.36 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $30.90 Median $38.90 Typical High $61.66 | Professional | 53 · Discontinued | $30.90 | $38.90 | $61.66 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $123.03 Median $158.49 Typical High $245.47 | Professional | FX · Film X-ray | $123.03 | $158.49 | $245.47 |
Moda Health Setting Facility Modifier 52 · Reduced service Typical Low $85.11 Median $131.83 Typical High $407.38 | Facility | 52 · Reduced service | $85.11 | $131.83 | $407.38 |
Moda Health Setting Facility Modifier 53 · Discontinued Typical Low $33.88 Median $52.48 Typical High $162.18 | Facility | 53 · Discontinued | $33.88 | $52.48 | $162.18 |
Moda Health Setting Facility Modifier FX · Film X-ray Typical Low $134.90 Median $208.93 Typical High $812.83 | Facility | FX · Film X-ray | $134.90 | $208.93 | $812.83 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $77.62 Median $95.50 Typical High $123.03 | Professional | 52 · Reduced service | $77.62 | $95.50 | $123.03 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $30.90 Median $38.02 Typical High $48.98 | Professional | 53 · Discontinued | $30.90 | $38.02 | $48.98 |
Where Texas sits
The same service costs 4.6 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· 49th of 51
$214
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.