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 $131.83 Median $169.82 Typical High $223.87 | Facility | None | $131.83 | $169.82 | $223.87 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $147.91 Median $251.19 Typical High $1,479.11 | Facility | TC · Technical part | $147.91 | $251.19 | $1,479.11 |
Aetna Setting Professional Modifier None (both parts) Typical Low $131.83 Median $162.18 Typical High $199.53 | Professional | None (both parts) | $131.83 | $162.18 | $199.53 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $14.79 Median $19.05 Typical High $23.44 | Professional | 26 · Professional part | $14.79 | $19.05 | $23.44 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $117.49 Median $144.54 Typical High $234.42 | Professional | TC · Technical part | $117.49 | $144.54 | $234.42 |
BCBS Texas Setting Facility Modifier None Typical Low $245.47 Median $562.34 Typical High $912.01 | Facility | None | $245.47 | $562.34 | $912.01 |
BCBS Texas Setting Professional Modifier None (both parts) Typical Low $21.38 Median $162.18 Typical High $213.80 | Professional | None (both parts) | $21.38 | $162.18 | $213.80 |
Christus Setting Professional Modifier 26 · Professional part Typical Low $22.39 Median $22.39 Typical High $23.99 | Professional | 26 · Professional part | $22.39 | $22.39 | $23.99 |
Cigna Setting Facility Modifier None Typical Low $407.38 Median $831.76 Typical High $2,187.76 | Facility | None | $407.38 | $831.76 | $2,187.76 |
Cigna Setting Professional Modifier None (both parts) Typical Low $123.03 Median $173.78 Typical High $346.74 | Professional | None (both parts) | $123.03 | $173.78 | $346.74 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $15.14 Median $20.42 Typical High $42.66 | Professional | 26 · Professional part | $15.14 | $20.42 | $42.66 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $107.15 Median $151.36 Typical High $302.00 | Professional | TC · Technical part | $107.15 | $151.36 | $302.00 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $1,288.25 Median $1,288.25 Typical High $1,659.59 | Professional | None (both parts) | $1,288.25 | $1,288.25 | $1,659.59 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $223.87 Median $223.87 Typical High $223.87 | Professional | 26 · Professional part | $223.87 | $223.87 | $223.87 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $1,148.15 Median $1,148.15 Typical High $1,479.11 | Professional | TC · Technical part | $1,148.15 | $1,148.15 | $1,479.11 |
Moda Health Setting Facility Modifier None Typical Low $154.88 Median $218.78 Typical High $501.19 | Facility | None | $154.88 | $218.78 | $501.19 |
Moda Health Setting Facility Modifier TC · Technical part Typical Low $147.91 Median $234.42 Typical High $436.52 | Facility | TC · Technical part | $147.91 | $234.42 | $436.52 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $131.83 Median $165.96 Typical High $331.13 | Professional | None (both parts) | $131.83 | $165.96 | $331.13 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $14.79 Median $19.05 Typical High $35.48 | Professional | 26 · Professional part | $14.79 | $19.05 | $35.48 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $117.49 Median $144.54 Typical High $281.84 | Professional | TC · Technical part | $117.49 | $144.54 | $281.84 |
Molina Setting Professional Modifier None (both parts) Typical Low $26.30 Median $138.04 Typical High $204.17 | Professional | None (both parts) | $26.30 | $138.04 | $204.17 |
Providence Setting Facility Modifier None Typical Low $199.53 Median $691.83 Typical High $2,344.23 | Facility | None | $199.53 | $691.83 | $2,344.23 |
Providence Setting Professional Modifier None (both parts) Typical Low $117.49 Median $173.78 Typical High $346.74 | Professional | None (both parts) | $117.49 | $173.78 | $346.74 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $13.80 Median $20.42 Typical High $41.69 | Professional | 26 · Professional part | $13.80 | $20.42 | $41.69 |
Providence Setting Professional Modifier TC · Technical part Typical Low $104.71 Median $151.36 Typical High $302.00 | Professional | TC · Technical part | $104.71 | $151.36 | $302.00 |
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 $154.88 Median $208.93 Typical High $316.23 | Professional | None (both parts) | $154.88 | $208.93 | $316.23 |
United Setting Professional Modifier 26 · Professional part Typical Low $19.50 Median $23.99 Typical High $36.31 | Professional | 26 · Professional part | $19.50 | $23.99 | $36.31 |
United Setting Professional Modifier TC · Technical part Typical Low $134.90 Median $186.21 Typical High $281.84 | Professional | TC · Technical part | $134.90 | $186.21 | $281.84 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $190.55 Median $190.55 Typical High $190.55 | Professional | None (both parts) | $190.55 | $190.55 | $190.55 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $22.91 Typical High $22.91 | Professional | 26 · Professional part | $22.91 | $22.91 | $22.91 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $169.82 Median $169.82 Typical High $169.82 | Professional | TC · Technical part | $169.82 | $169.82 | $169.82 |
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 $74.13 Median $125.89 Typical High $741.31 | Facility | 52 · Reduced service | $74.13 | $125.89 | $741.31 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $29.51 Median $50.12 Typical High $295.12 | Facility | 53 · Discontinued | $29.51 | $50.12 | $295.12 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $123.03 Median $186.21 Typical High $676.08 | Facility | FX · Film X-ray | $123.03 | $186.21 | $676.08 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $66.07 Median $81.28 Typical High $128.82 | Professional | 52 · Reduced service | $66.07 | $81.28 | $128.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $26.30 Median $32.36 Typical High $51.29 | Professional | 53 · Discontinued | $26.30 | $32.36 | $51.29 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $104.71 Median $131.83 Typical High $204.17 | Professional | FX · Film X-ray | $104.71 | $131.83 | $204.17 |
Moda Health Setting Facility Modifier 52 · Reduced service Typical Low $74.13 Median $117.49 Typical High $363.08 | Facility | 52 · Reduced service | $74.13 | $117.49 | $363.08 |
Moda Health Setting Facility Modifier 53 · Discontinued Typical Low $29.51 Median $46.77 Typical High $144.54 | Facility | 53 · Discontinued | $29.51 | $46.77 | $144.54 |
Moda Health Setting Facility Modifier FX · Film X-ray Typical Low $120.23 Median $186.21 Typical High $724.44 | Facility | FX · Film X-ray | $120.23 | $186.21 | $724.44 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $66.07 Median $79.43 Typical High $102.33 | Professional | 52 · Reduced service | $66.07 | $79.43 | $102.33 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $26.30 Median $32.36 Typical High $41.69 | Professional | 53 · Discontinued | $26.30 | $32.36 | $41.69 |
Where Texas sits
The same service costs 4.6 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· 49th of 51
$178
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.