How much rates vary
Facilitymedian $275 · 10th to 90th $65 to $5,754Professionalmedian $62 · 10th to 90th $11 to $447
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 $44.67 Median $57.54 Typical High $125.89 | Facility | None | $44.67 | $57.54 | $125.89 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $51.29 Median $87.10 Typical High $512.86 | Facility | TC · Technical part | $51.29 | $87.10 | $512.86 |
Aetna Setting Professional Modifier None (both parts) Typical Low $44.67 Median $53.70 Typical High $66.07 | Professional | None (both parts) | $44.67 | $53.70 | $66.07 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $4.90 Median $6.17 Typical High $7.41 | Professional | 26 · Professional part | $4.90 | $6.17 | $7.41 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $39.81 Median $48.98 Typical High $77.62 | Professional | TC · Technical part | $39.81 | $48.98 | $77.62 |
BCBS Texas Setting Professional Modifier None (both parts) Typical Low $6.61 Median $27.54 Typical High $158.49 | Professional | None (both parts) | $6.61 | $27.54 | $158.49 |
Christus Setting Professional Modifier 26 · Professional part Typical Low $7.24 Median $7.24 Typical High $8.13 | Professional | 26 · Professional part | $7.24 | $7.24 | $8.13 |
Cigna Setting Facility Modifier None Typical Low $158.49 Median $354.81 Typical High $5,754.40 | Facility | None | $158.49 | $354.81 | $5,754.40 |
Cigna Setting Professional Modifier None (both parts) Typical Low $43.65 Median $63.10 Typical High $134.90 | Professional | None (both parts) | $43.65 | $63.10 | $134.90 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $4.90 Median $6.92 Typical High $15.85 | Professional | 26 · Professional part | $4.90 | $6.92 | $15.85 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $38.90 Median $53.70 Typical High $120.23 | Professional | TC · Technical part | $38.90 | $53.70 | $120.23 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $446.68 Median $446.68 Typical High $616.60 | Professional | None (both parts) | $446.68 | $446.68 | $616.60 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $128.82 Median $128.82 Typical High $128.82 | Professional | 26 · Professional part | $128.82 | $128.82 | $128.82 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $407.38 Median $407.38 Typical High $562.34 | Professional | TC · Technical part | $407.38 | $407.38 | $562.34 |
Moda Health Setting Facility Modifier None Typical Low $52.48 Median $72.44 Typical High $117.49 | Facility | None | $52.48 | $72.44 | $117.49 |
Moda Health Setting Facility Modifier TC · Technical part Typical Low $51.29 Median $79.43 Typical High $245.47 | Facility | TC · Technical part | $51.29 | $79.43 | $245.47 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $44.67 Median $56.23 Typical High $120.23 | Professional | None (both parts) | $44.67 | $56.23 | $120.23 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $4.90 Median $6.31 Typical High $10.96 | Professional | 26 · Professional part | $4.90 | $6.31 | $10.96 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $39.81 Median $48.98 Typical High $104.71 | Professional | TC · Technical part | $39.81 | $48.98 | $104.71 |
Molina Setting Professional Modifier None (both parts) Typical Low $10.00 Median $54.95 Typical High $74.13 | Professional | None (both parts) | $10.00 | $54.95 | $74.13 |
Providence Setting Facility Modifier None Typical Low $67.61 Median $257.04 Typical High $6,165.95 | Facility | None | $67.61 | $257.04 | $6,165.95 |
Providence Setting Professional Modifier None (both parts) Typical Low $41.69 Median $61.66 Typical High $134.90 | Professional | None (both parts) | $41.69 | $61.66 | $134.90 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $4.47 Median $6.92 Typical High $15.85 | Professional | 26 · Professional part | $4.47 | $6.92 | $15.85 |
Providence Setting Professional Modifier TC · Technical part Typical Low $38.02 Median $53.70 Typical High $120.23 | Professional | TC · Technical part | $38.02 | $53.70 | $120.23 |
United Setting Facility Modifier None Typical Low $1,949.84 Median $2,041.74 Typical High $2,691.53 | Facility | None | $1,949.84 | $2,041.74 | $2,691.53 |
United Setting Professional Modifier None (both parts) Typical Low $58.88 Median $81.28 Typical High $114.82 | Professional | None (both parts) | $58.88 | $81.28 | $114.82 |
United Setting Professional Modifier 26 · Professional part Typical Low $6.61 Median $8.71 Typical High $13.18 | Professional | 26 · Professional part | $6.61 | $8.71 | $13.18 |
United Setting Professional Modifier TC · Technical part Typical Low $50.12 Median $72.44 Typical High $95.50 | Professional | TC · Technical part | $50.12 | $72.44 | $95.50 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $70.79 Median $70.79 Typical High $70.79 | Professional | None (both parts) | $70.79 | $70.79 | $70.79 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $7.76 Median $7.76 Typical High $7.76 | Professional | 26 · Professional part | $7.76 | $7.76 | $7.76 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $63.10 Typical High $63.10 | Professional | TC · Technical part | $63.10 | $63.10 | $63.10 |
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 $25.70 Median $43.65 Typical High $251.19 | Facility | 52 · Reduced service | $25.70 | $43.65 | $251.19 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $10.23 Median $17.38 Typical High $102.33 | Facility | 53 · Discontinued | $10.23 | $17.38 | $102.33 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $42.66 Median $64.57 Typical High $234.42 | Facility | FX · Film X-ray | $42.66 | $64.57 | $234.42 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $22.39 Median $28.18 Typical High $42.66 | Professional | 52 · Reduced service | $22.39 | $28.18 | $42.66 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.91 Median $11.22 Typical High $16.98 | Professional | 53 · Discontinued | $8.91 | $11.22 | $16.98 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $36.31 Median $45.71 Typical High $69.18 | Professional | FX · Film X-ray | $36.31 | $45.71 | $69.18 |
Moda Health Setting Facility Modifier 52 · Reduced service Typical Low $25.70 Median $39.81 Typical High $123.03 | Facility | 52 · Reduced service | $25.70 | $39.81 | $123.03 |
Moda Health Setting Facility Modifier 53 · Discontinued Typical Low $10.23 Median $16.22 Typical High $50.12 | Facility | 53 · Discontinued | $10.23 | $16.22 | $50.12 |
Moda Health Setting Facility Modifier FX · Film X-ray Typical Low $41.69 Median $64.57 Typical High $245.47 | Facility | FX · Film X-ray | $41.69 | $64.57 | $245.47 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $22.39 Median $27.54 Typical High $35.48 | Professional | 52 · Reduced service | $22.39 | $27.54 | $35.48 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $8.91 Median $10.96 Typical High $14.13 | Professional | 53 · Discontinued | $8.91 | $10.96 | $14.13 |
Where Texas sits
The same service costs 8.1 times more in Alabama than in Indiana. 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
$64.57
AL $513IN $63.10
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.