How much rates vary
Facilitymedian $282 · 10th to 90th $112 to $1,349Professionalmedian $93 · 10th to 90th $17 to $182
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 $72.44 Median $93.33 Typical High $93.33 | Facility | None | $72.44 | $93.33 | $93.33 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $72.44 Median $120.23 Typical High $707.95 | Facility | TC · Technical part | $72.44 | $120.23 | $707.95 |
Aetna Setting Professional Modifier None (both parts) Typical Low $72.44 Median $87.10 Typical High $104.71 | Professional | None (both parts) | $72.44 | $87.10 | $104.71 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $15.85 Median $19.50 Typical High $22.91 | Professional | 26 · Professional part | $15.85 | $19.50 | $22.91 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $56.23 Median $69.18 Typical High $107.15 | Professional | TC · Technical part | $56.23 | $69.18 | $107.15 |
BCBS Texas Setting Facility Modifier None Typical Low $114.82 Median $263.03 Typical High $588.84 | Facility | None | $114.82 | $263.03 | $588.84 |
BCBS Texas Setting Professional Modifier None (both parts) Typical Low $28.18 Median $89.13 Typical High $125.89 | Professional | None (both parts) | $28.18 | $89.13 | $125.89 |
Christus Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $22.91 Typical High $26.30 | Professional | 26 · Professional part | $22.91 | $22.91 | $26.30 |
Cigna Setting Facility Modifier None Typical Low $234.42 Median $524.81 Typical High $1,698.24 | Facility | None | $234.42 | $524.81 | $1,698.24 |
Cigna Setting Professional Modifier None (both parts) Typical Low $69.18 Median $100.00 Typical High $234.42 | Professional | None (both parts) | $69.18 | $100.00 | $234.42 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $15.14 Median $21.88 Typical High $51.29 | Professional | 26 · Professional part | $15.14 | $21.88 | $51.29 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $53.70 Median $75.86 Typical High $177.83 | Professional | TC · Technical part | $53.70 | $75.86 | $177.83 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $1,071.52 Median $1,071.52 Typical High $1,071.52 | Professional | None (both parts) | $1,071.52 | $1,071.52 | $1,071.52 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $281.84 Median $281.84 Typical High $281.84 | Professional | 26 · Professional part | $281.84 | $281.84 | $281.84 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $912.01 Median $912.01 Typical High $912.01 | Professional | TC · Technical part | $912.01 | $912.01 | $912.01 |
Moda Health Setting Facility Modifier None Typical Low $83.18 Median $109.65 Typical High $234.42 | Facility | None | $83.18 | $109.65 | $234.42 |
Moda Health Setting Facility Modifier TC · Technical part Typical Low $72.44 Median $112.20 Typical High $346.74 | Facility | TC · Technical part | $72.44 | $112.20 | $346.74 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $72.44 Median $89.13 Typical High $190.55 | Professional | None (both parts) | $72.44 | $89.13 | $190.55 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $15.85 Median $20.42 Typical High $33.88 | Professional | 26 · Professional part | $15.85 | $20.42 | $33.88 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $56.23 Median $69.18 Typical High $154.88 | Professional | TC · Technical part | $56.23 | $69.18 | $154.88 |
Molina Setting Professional Modifier None (both parts) Typical Low $15.14 Median $77.62 Typical High $134.90 | Professional | None (both parts) | $15.14 | $77.62 | $134.90 |
Providence Setting Facility Modifier None Typical Low $117.49 Median $354.81 Typical High $1,819.70 | Facility | None | $117.49 | $354.81 | $1,819.70 |
Providence Setting Professional Modifier None (both parts) Typical Low $66.07 Median $97.72 Typical High $229.09 | Professional | None (both parts) | $66.07 | $97.72 | $229.09 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $14.13 Median $21.88 Typical High $51.29 | Professional | 26 · Professional part | $14.13 | $21.88 | $51.29 |
Providence Setting Professional Modifier TC · Technical part Typical Low $51.29 Median $75.86 Typical High $177.83 | Professional | TC · Technical part | $51.29 | $75.86 | $177.83 |
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 $91.20 Median $138.04 Typical High $208.93 | Professional | None (both parts) | $91.20 | $138.04 | $208.93 |
United Setting Professional Modifier 26 · Professional part Typical Low $20.89 Median $28.18 Typical High $41.69 | Professional | 26 · Professional part | $20.89 | $28.18 | $41.69 |
United Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $107.15 Typical High $162.18 | Professional | TC · Technical part | $70.79 | $107.15 | $162.18 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $109.65 Median $109.65 Typical High $109.65 | Professional | None (both parts) | $109.65 | $109.65 | $109.65 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $23.44 Typical High $23.44 | Professional | 26 · Professional part | $23.44 | $23.44 | $23.44 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $87.10 Median $87.10 Typical High $87.10 | Professional | TC · Technical part | $87.10 | $87.10 | $87.10 |
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 $36.31 Median $60.26 Typical High $354.81 | Facility | 52 · Reduced service | $36.31 | $60.26 | $354.81 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $14.45 Median $23.99 Typical High $141.25 | Facility | 53 · Discontinued | $14.45 | $23.99 | $141.25 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $63.10 Median $89.13 Typical High $331.13 | Facility | FX · Film X-ray | $63.10 | $89.13 | $331.13 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $36.31 Median $44.67 Typical High $67.61 | Professional | 52 · Reduced service | $36.31 | $44.67 | $67.61 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $14.45 Median $17.78 Typical High $26.92 | Professional | 53 · Discontinued | $14.45 | $17.78 | $26.92 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $57.54 Median $72.44 Typical High $109.65 | Professional | FX · Film X-ray | $57.54 | $72.44 | $109.65 |
Moda Health Setting Facility Modifier 52 · Reduced service Typical Low $36.31 Median $56.23 Typical High $173.78 | Facility | 52 · Reduced service | $36.31 | $56.23 | $173.78 |
Moda Health Setting Facility Modifier 53 · Discontinued Typical Low $14.45 Median $22.39 Typical High $69.18 | Facility | 53 · Discontinued | $14.45 | $22.39 | $69.18 |
Moda Health Setting Facility Modifier FX · Film X-ray Typical Low $57.54 Median $89.13 Typical High $346.74 | Facility | FX · Film X-ray | $57.54 | $89.13 | $346.74 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $36.31 Median $44.67 Typical High $56.23 | Professional | 52 · Reduced service | $36.31 | $44.67 | $56.23 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $14.45 Median $17.78 Typical High $22.39 | Professional | 53 · Discontinued | $14.45 | $17.78 | $22.39 |
Where Texas sits
The same service costs 4.6 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
$105
AL $479TX $105
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.