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 $81.28 Median $104.71 Typical High $104.71 | Facility | None | $81.28 | $104.71 | $104.71 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $83.18 Median $141.25 Typical High $831.76 | Facility | TC · Technical part | $83.18 | $141.25 | $831.76 |
Aetna Setting Professional Modifier None (both parts) Typical Low $81.28 Median $97.72 Typical High $117.49 | Professional | None (both parts) | $81.28 | $97.72 | $117.49 |
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 $64.57 Median $79.43 Typical High $125.89 | Professional | TC · Technical part | $64.57 | $79.43 | $125.89 |
BCBS Texas Setting Professional Modifier None (both parts) Typical Low $28.18 Median $51.29 Typical High $162.18 | Professional | None (both parts) | $28.18 | $51.29 | $162.18 |
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 $288.40 Median $660.69 Typical High $1,819.70 | Facility | None | $288.40 | $660.69 | $1,819.70 |
Cigna Setting Professional Modifier None (both parts) Typical Low $79.43 Median $112.20 Typical High $295.12 | Professional | None (both parts) | $79.43 | $112.20 | $295.12 |
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 $63.10 Median $89.13 Typical High $234.42 | Professional | TC · Technical part | $63.10 | $89.13 | $234.42 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $1,862.09 Median $1,862.09 Typical High $1,862.09 | Professional | None (both parts) | $1,862.09 | $1,862.09 | $1,862.09 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $457.09 Median $457.09 Typical High $457.09 | Professional | 26 · Professional part | $457.09 | $457.09 | $457.09 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $1,698.24 Median $1,698.24 Typical High $1,698.24 | Professional | TC · Technical part | $1,698.24 | $1,698.24 | $1,698.24 |
Moda Health Setting Facility Modifier None Typical Low $95.50 Median $125.89 Typical High $288.40 | Facility | None | $95.50 | $125.89 | $288.40 |
Moda Health Setting Facility Modifier TC · Technical part Typical Low $83.18 Median $128.82 Typical High $398.11 | Facility | TC · Technical part | $83.18 | $128.82 | $398.11 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $81.28 Median $100.00 Typical High $213.80 | Professional | None (both parts) | $81.28 | $100.00 | $213.80 |
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 $64.57 Median $79.43 Typical High $169.82 | Professional | TC · Technical part | $64.57 | $79.43 | $169.82 |
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 $131.83 Median $416.87 Typical High $1,819.70 | Facility | None | $131.83 | $416.87 | $1,819.70 |
Providence Setting Professional Modifier None (both parts) Typical Low $75.86 Median $109.65 Typical High $288.40 | Professional | None (both parts) | $75.86 | $109.65 | $288.40 |
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 $61.66 Median $89.13 Typical High $229.09 | Professional | TC · Technical part | $61.66 | $89.13 | $229.09 |
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 $107.15 Median $169.82 Typical High $257.04 | Professional | None (both parts) | $107.15 | $169.82 | $257.04 |
United Setting Professional Modifier 26 · Professional part Typical Low $20.89 Median $27.54 Typical High $41.69 | Professional | 26 · Professional part | $20.89 | $27.54 | $41.69 |
United Setting Professional Modifier TC · Technical part Typical Low $87.10 Median $138.04 Typical High $204.17 | Professional | TC · Technical part | $87.10 | $138.04 | $204.17 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $125.89 Median $125.89 Typical High $125.89 | Professional | None (both parts) | $125.89 | $125.89 | $125.89 |
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 $102.33 Median $102.33 Typical High $102.33 | Professional | TC · Technical part | $102.33 | $102.33 | $102.33 |
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 $41.69 Median $70.79 Typical High $407.38 | Facility | 52 · Reduced service | $41.69 | $70.79 | $407.38 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $16.60 Median $28.18 Typical High $165.96 | Facility | 53 · Discontinued | $16.60 | $28.18 | $165.96 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $72.44 Median $104.71 Typical High $380.19 | Facility | FX · Film X-ray | $72.44 | $104.71 | $380.19 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $40.74 Median $50.12 Typical High $75.86 | Professional | 52 · Reduced service | $40.74 | $50.12 | $75.86 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $16.22 Median $19.95 Typical High $30.90 | Professional | 53 · Discontinued | $16.22 | $19.95 | $30.90 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $64.57 Median $83.18 Typical High $123.03 | Professional | FX · Film X-ray | $64.57 | $83.18 | $123.03 |
Moda Health Setting Facility Modifier 52 · Reduced service Typical Low $41.69 Median $64.57 Typical High $199.53 | Facility | 52 · Reduced service | $41.69 | $64.57 | $199.53 |
Moda Health Setting Facility Modifier 53 · Discontinued Typical Low $16.60 Median $26.30 Typical High $81.28 | Facility | 53 · Discontinued | $16.60 | $26.30 | $81.28 |
Moda Health Setting Facility Modifier FX · Film X-ray Typical Low $67.61 Median $104.71 Typical High $398.11 | Facility | FX · Film X-ray | $67.61 | $104.71 | $398.11 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $40.74 Median $50.12 Typical High $64.57 | Professional | 52 · Reduced service | $40.74 | $50.12 | $64.57 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $16.22 Median $19.95 Typical High $25.70 | Professional | 53 · Discontinued | $16.22 | $19.95 | $25.70 |
Where Texas sits
The same service costs 5.2 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
$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.