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 $123.03 Median $154.88 Typical High $154.88 | Facility | None | $123.03 | $154.88 | $154.88 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $138.04 Median $229.09 Typical High $1,348.96 | Facility | TC · Technical part | $138.04 | $229.09 | $1,348.96 |
Aetna Setting Professional Modifier None (both parts) Typical Low $123.03 Median $151.36 Typical High $213.80 | Professional | None (both parts) | $123.03 | $151.36 | $213.80 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $14.79 Median $19.05 Typical High $25.70 | Professional | 26 · Professional part | $14.79 | $19.05 | $25.70 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $107.15 Median $131.83 Typical High $275.42 | Professional | TC · Technical part | $107.15 | $131.83 | $275.42 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $22.39 Median $38.02 Typical High $38.02 | Professional | 26 · Professional part | $22.39 | $38.02 | $38.02 |
BCBS Texas Setting Facility Modifier None Typical Low $229.09 Median $537.03 Typical High $870.96 | Facility | None | $229.09 | $537.03 | $870.96 |
BCBS Texas Setting Professional Modifier None (both parts) Typical Low $26.92 Median $151.36 Typical High $199.53 | Professional | None (both parts) | $26.92 | $151.36 | $199.53 |
Christus Setting Facility Modifier None Typical Low $389.05 Median $389.05 Typical High $389.05 | Facility | None | $389.05 | $389.05 | $389.05 |
Christus Setting Professional Modifier 26 · Professional part Typical Low $21.38 Median $21.38 Typical High $23.99 | Professional | 26 · Professional part | $21.38 | $21.38 | $23.99 |
Cigna Setting Facility Modifier None Typical Low $380.19 Median $776.25 Typical High $1,698.24 | Facility | None | $380.19 | $776.25 | $1,698.24 |
Cigna Setting Professional Modifier None (both parts) Typical Low $114.82 Median $162.18 Typical High $331.13 | Professional | None (both parts) | $114.82 | $162.18 | $331.13 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $14.45 Median $20.42 Typical High $42.66 | Professional | 26 · Professional part | $14.45 | $20.42 | $42.66 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $141.25 Typical High $288.40 | Professional | TC · Technical part | $100.00 | $141.25 | $288.40 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $1,202.26 Median $1,202.26 Typical High $1,548.82 | Professional | None (both parts) | $1,202.26 | $1,202.26 | $1,548.82 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $275.42 Median $275.42 Typical High $275.42 | Professional | 26 · Professional part | $275.42 | $275.42 | $275.42 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $1,047.13 Median $1,047.13 Typical High $1,348.96 | Professional | TC · Technical part | $1,047.13 | $1,047.13 | $1,348.96 |
Moda Health Setting Facility Modifier None Typical Low $144.54 Median $199.53 Typical High $489.78 | Facility | None | $144.54 | $199.53 | $489.78 |
Moda Health Setting Facility Modifier TC · Technical part Typical Low $138.04 Median $213.80 Typical High $660.69 | Facility | TC · Technical part | $138.04 | $213.80 | $660.69 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $123.03 Median $151.36 Typical High $309.03 | Professional | None (both parts) | $123.03 | $151.36 | $309.03 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $14.79 Median $19.05 Typical High $36.31 | Professional | 26 · Professional part | $14.79 | $19.05 | $36.31 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $107.15 Median $134.90 Typical High $275.42 | Professional | TC · Technical part | $107.15 | $134.90 | $275.42 |
Molina Setting Professional Modifier None (both parts) Typical Low $24.55 Median $138.04 Typical High $186.21 | Professional | None (both parts) | $24.55 | $138.04 | $186.21 |
Providence Setting Facility Modifier None Typical Low $186.21 Median $645.65 Typical High $1,819.70 | Facility | None | $186.21 | $645.65 | $1,819.70 |
Providence Setting Professional Modifier None (both parts) Typical Low $109.65 Median $162.18 Typical High $331.13 | Professional | None (both parts) | $109.65 | $162.18 | $331.13 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $13.18 Median $20.42 Typical High $41.69 | Professional | 26 · Professional part | $13.18 | $20.42 | $41.69 |
Providence Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $141.25 Typical High $288.40 | Professional | TC · Technical part | $95.50 | $141.25 | $288.40 |
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 $147.91 Median $199.53 Typical High $302.00 | Professional | None (both parts) | $147.91 | $199.53 | $302.00 |
United Setting Professional Modifier 26 · Professional part Typical Low $19.50 Median $24.55 Typical High $37.15 | Professional | 26 · Professional part | $19.50 | $24.55 | $37.15 |
United Setting Professional Modifier TC · Technical part Typical Low $125.89 Median $173.78 Typical High $263.03 | Professional | TC · Technical part | $125.89 | $173.78 | $263.03 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $177.83 Median $177.83 Typical High $177.83 | Professional | None (both parts) | $177.83 | $177.83 | $177.83 |
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 $154.88 Median $154.88 Typical High $154.88 | Professional | TC · Technical part | $154.88 | $154.88 | $154.88 |
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 $69.18 Median $114.82 Typical High $676.08 | Facility | 52 · Reduced service | $69.18 | $114.82 | $676.08 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $27.54 Median $46.77 Typical High $269.15 | Facility | 53 · Discontinued | $27.54 | $46.77 | $269.15 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $114.82 Median $169.82 Typical High $630.96 | Facility | FX · Film X-ray | $114.82 | $169.82 | $630.96 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $61.66 Median $75.86 Typical High $120.23 | Professional | 52 · Reduced service | $61.66 | $75.86 | $120.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $24.55 Median $30.20 Typical High $47.86 | Professional | 53 · Discontinued | $24.55 | $30.20 | $47.86 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $97.72 Median $123.03 Typical High $194.98 | Professional | FX · Film X-ray | $97.72 | $123.03 | $194.98 |
Moda Health Setting Facility Modifier 52 · Reduced service Typical Low $69.18 Median $107.15 Typical High $331.13 | Facility | 52 · Reduced service | $69.18 | $107.15 | $331.13 |
Moda Health Setting Facility Modifier 53 · Discontinued Typical Low $27.54 Median $42.66 Typical High $131.83 | Facility | 53 · Discontinued | $27.54 | $42.66 | $131.83 |
Moda Health Setting Facility Modifier FX · Film X-ray Typical Low $109.65 Median $169.82 Typical High $660.69 | Facility | FX · Film X-ray | $109.65 | $169.82 | $660.69 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $61.66 Median $74.13 Typical High $95.50 | Professional | 52 · Reduced service | $61.66 | $74.13 | $95.50 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $24.55 Median $29.51 Typical High $38.90 | Professional | 53 · Discontinued | $24.55 | $29.51 | $38.90 |
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· 42nd of 51
$200
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.