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 $204.17 Median $257.04 Typical High $281.84 | Facility | None | $204.17 | $257.04 | $281.84 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $218.78 Median $371.54 Typical High $2,344.23 | Facility | TC · Technical part | $218.78 | $371.54 | $2,344.23 |
Aetna Setting Professional Modifier None (both parts) Typical Low $218.78 Median $281.84 Typical High $501.19 | Professional | None (both parts) | $218.78 | $281.84 | $501.19 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $45.71 Typical High $85.11 | Professional | 26 · Professional part | $35.48 | $45.71 | $85.11 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $181.97 Median $234.42 Typical High $512.86 | Professional | TC · Technical part | $181.97 | $234.42 | $512.86 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $44.67 Typical High $107.15 | Professional | 26 · Professional part | $41.69 | $44.67 | $107.15 |
BCBS Texas Setting Facility Modifier None Typical Low $407.38 Median $954.99 Typical High $1,778.28 | Facility | None | $407.38 | $954.99 | $1,778.28 |
BCBS Texas Setting Professional Modifier None (both parts) Typical Low $46.77 Median $257.04 Typical High $354.81 | Professional | None (both parts) | $46.77 | $257.04 | $354.81 |
Baylor Scott & White Setting Professional Modifier None (both parts) Typical Low $257.04 Median $257.04 Typical High $257.04 | Professional | None (both parts) | $257.04 | $257.04 | $257.04 |
Christus Setting Facility Modifier None Typical Low $660.69 Median $660.69 Typical High $660.69 | Facility | None | $660.69 | $660.69 | $660.69 |
Christus Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $51.29 Typical High $58.88 | Professional | 26 · Professional part | $51.29 | $51.29 | $58.88 |
Cigna Setting Facility Modifier None Typical Low $575.44 Median $1,258.93 Typical High $2,187.76 | Facility | None | $575.44 | $1,258.93 | $2,187.76 |
Cigna Setting Professional Modifier None (both parts) Typical Low $199.53 Median $288.40 Typical High $602.56 | Professional | None (both parts) | $199.53 | $288.40 | $602.56 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $48.98 Typical High $102.33 | Professional | 26 · Professional part | $34.67 | $48.98 | $102.33 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $165.96 Median $239.88 Typical High $501.19 | Professional | TC · Technical part | $165.96 | $239.88 | $501.19 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $2,187.76 Median $2,187.76 Typical High $2,691.53 | Professional | None (both parts) | $2,187.76 | $2,187.76 | $2,691.53 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $354.81 Median $354.81 Typical High $446.68 | Professional | 26 · Professional part | $354.81 | $354.81 | $446.68 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $1,819.70 Median $1,819.70 Typical High $2,238.72 | Professional | TC · Technical part | $1,819.70 | $1,819.70 | $2,238.72 |
Moda Health Setting Facility Modifier None Typical Low $281.84 Median $1,202.26 Typical High $1,819.70 | Facility | None | $281.84 | $1,202.26 | $1,819.70 |
Moda Health Setting Facility Modifier TC · Technical part Typical Low $234.42 Median $371.54 Typical High $1,148.15 | Facility | TC · Technical part | $234.42 | $371.54 | $1,148.15 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $218.78 Median $281.84 Typical High $630.96 | Professional | None (both parts) | $218.78 | $281.84 | $630.96 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $45.71 Typical High $109.65 | Professional | 26 · Professional part | $35.48 | $45.71 | $109.65 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $181.97 Median $234.42 Typical High $512.86 | Professional | TC · Technical part | $181.97 | $234.42 | $512.86 |
Molina Setting Professional Modifier None (both parts) Typical Low $37.15 Median $218.78 Typical High $316.23 | Professional | None (both parts) | $37.15 | $218.78 | $316.23 |
Providence Setting Facility Modifier None Typical Low $331.13 Median $1,071.52 Typical High $2,344.23 | Facility | None | $331.13 | $1,071.52 | $2,344.23 |
Providence Setting Professional Modifier None (both parts) Typical Low $190.55 Median $288.40 Typical High $602.56 | Professional | None (both parts) | $190.55 | $288.40 | $602.56 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $48.98 Typical High $102.33 | Professional | 26 · Professional part | $32.36 | $48.98 | $102.33 |
Providence Setting Professional Modifier TC · Technical part Typical Low $158.49 Median $239.88 Typical High $501.19 | Professional | TC · Technical part | $158.49 | $239.88 | $501.19 |
United Setting Facility Modifier None Typical Low $831.76 Median $851.14 Typical High $1,122.02 | Facility | None | $831.76 | $851.14 | $1,122.02 |
United Setting Professional Modifier None (both parts) Typical Low $257.04 Median $363.08 Typical High $549.54 | Professional | None (both parts) | $257.04 | $363.08 | $549.54 |
United Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $58.88 Typical High $89.13 | Professional | 26 · Professional part | $47.86 | $58.88 | $89.13 |
United Setting Professional Modifier TC · Technical part Typical Low $204.17 Median $309.03 Typical High $457.09 | Professional | TC · Technical part | $204.17 | $309.03 | $457.09 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $309.03 Median $309.03 Typical High $309.03 | Professional | None (both parts) | $309.03 | $309.03 | $309.03 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $53.70 Typical High $53.70 | Professional | 26 · Professional part | $53.70 | $53.70 | $53.70 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $257.04 Median $257.04 Typical High $257.04 | Professional | TC · Technical part | $257.04 | $257.04 | $257.04 |
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 $117.49 Median $199.53 Typical High $1,148.15 | Facility | 52 · Reduced service | $117.49 | $199.53 | $1,148.15 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $46.77 Median $79.43 Typical High $467.74 | Facility | 53 · Discontinued | $46.77 | $79.43 | $467.74 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $204.17 Median $295.12 Typical High $1,071.52 | Facility | FX · Film X-ray | $204.17 | $295.12 | $1,071.52 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $109.65 Median $134.90 Typical High $218.78 | Professional | 52 · Reduced service | $109.65 | $134.90 | $218.78 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $43.65 Median $54.95 Typical High $87.10 | Professional | 53 · Discontinued | $43.65 | $54.95 | $87.10 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $173.78 Median $223.87 Typical High $346.74 | Professional | FX · Film X-ray | $173.78 | $223.87 | $346.74 |
Moda Health Setting Facility Modifier 52 · Reduced service Typical Low $117.49 Median $181.97 Typical High $562.34 | Facility | 52 · Reduced service | $117.49 | $181.97 | $562.34 |
Moda Health Setting Facility Modifier 53 · Discontinued Typical Low $46.77 Median $74.13 Typical High $229.09 | Facility | 53 · Discontinued | $46.77 | $74.13 | $229.09 |
Moda Health Setting Facility Modifier FX · Film X-ray Typical Low $190.55 Median $295.12 Typical High $1,148.15 | Facility | FX · Film X-ray | $190.55 | $295.12 | $1,148.15 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $109.65 Median $134.90 Typical High $173.78 | Professional | 52 · Reduced service | $109.65 | $134.90 | $173.78 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $43.65 Median $53.70 Typical High $69.18 | Professional | 53 · Discontinued | $43.65 | $53.70 | $69.18 |
Where Texas sits
The same service costs 4.0 times more in Alaska than in Kentucky. 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· 48th of 51
$295
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.