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 $45.71 Median $58.88 Typical High $125.89 | Facility | None | $45.71 | $58.88 | $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 $45.71 Median $54.95 Typical High $67.61 | Professional | None (both parts) | $45.71 | $54.95 | $67.61 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $6.03 Median $7.41 Typical High $8.91 | Professional | 26 · Professional part | $6.03 | $7.41 | $8.91 |
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 |
Christus Setting Professional Modifier 26 · Professional part Typical Low $8.91 Median $8.91 Typical High $10.00 | Professional | 26 · Professional part | $8.91 | $8.91 | $10.00 |
Cigna Setting Facility Modifier None Typical Low $162.18 Median $380.19 Typical High $1,698.24 | Facility | None | $162.18 | $380.19 | $1,698.24 |
Cigna Setting Professional Modifier None (both parts) Typical Low $45.71 Median $64.57 Typical High $147.91 | Professional | None (both parts) | $45.71 | $64.57 | $147.91 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $5.89 Median $8.51 Typical High $19.05 | Professional | 26 · Professional part | $5.89 | $8.51 | $19.05 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $38.90 Median $53.70 Typical High $123.03 | Professional | TC · Technical part | $38.90 | $53.70 | $123.03 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $467.74 Median $467.74 Typical High $630.96 | Professional | None (both parts) | $467.74 | $467.74 | $630.96 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $141.25 Median $141.25 Typical High $141.25 | Professional | 26 · Professional part | $141.25 | $141.25 | $141.25 |
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 $53.70 Median $74.13 Typical High $131.83 | Facility | None | $53.70 | $74.13 | $131.83 |
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 $45.71 Median $57.54 Typical High $123.03 | Professional | None (both parts) | $45.71 | $57.54 | $123.03 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $6.03 Median $7.76 Typical High $12.88 | Professional | 26 · Professional part | $6.03 | $7.76 | $12.88 |
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 $74.13 Median $257.04 Typical High $1,819.70 | Facility | None | $74.13 | $257.04 | $1,819.70 |
Providence Setting Professional Modifier None (both parts) Typical Low $42.66 Median $61.66 Typical High $147.91 | Professional | None (both parts) | $42.66 | $61.66 | $147.91 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $5.50 Median $8.51 Typical High $19.05 | Professional | 26 · Professional part | $5.50 | $8.51 | $19.05 |
Providence Setting Professional Modifier TC · Technical part Typical Low $38.02 Median $53.70 Typical High $123.03 | Professional | TC · Technical part | $38.02 | $53.70 | $123.03 |
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 $60.26 Median $83.18 Typical High $120.23 | Professional | None (both parts) | $60.26 | $83.18 | $120.23 |
United Setting Professional Modifier 26 · Professional part Typical Low $8.13 Median $10.72 Typical High $16.22 | Professional | 26 · Professional part | $8.13 | $10.72 | $16.22 |
United Setting Professional Modifier TC · Technical part Typical Low $52.48 Median $70.79 Typical High $102.33 | Professional | TC · Technical part | $52.48 | $70.79 | $102.33 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $72.44 Median $72.44 Typical High $72.44 | Professional | None (both parts) | $72.44 | $72.44 | $72.44 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $9.12 Median $9.12 Typical High $9.12 | Professional | 26 · Professional part | $9.12 | $9.12 | $9.12 |
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 $43.65 Median $64.57 Typical High $234.42 | Facility | FX · Film X-ray | $43.65 | $64.57 | $234.42 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $22.91 Median $28.84 Typical High $43.65 | Professional | 52 · Reduced service | $22.91 | $28.84 | $43.65 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $9.33 Median $11.48 Typical High $17.38 | Professional | 53 · Discontinued | $9.33 | $11.48 | $17.38 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $37.15 Median $46.77 Typical High $70.79 | Professional | FX · Film X-ray | $37.15 | $46.77 | $70.79 |
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 $22.91 Median $28.18 Typical High $36.31 | Professional | 52 · Reduced service | $22.91 | $28.18 | $36.31 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $9.33 Median $11.22 Typical High $14.45 | Professional | 53 · Discontinued | $9.33 | $11.22 | $14.45 |
Where Texas sits
The same service costs 7.2 times more in Alabama than in Texas. 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· 51st of 51
$66.07
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.