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 $109.65 Median $141.25 Typical High $141.25 | Facility | None | $109.65 | $141.25 | $141.25 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $123.03 Median $208.93 Typical High $1,202.26 | Facility | TC · Technical part | $123.03 | $208.93 | $1,202.26 |
Aetna Setting Professional Modifier None (both parts) Typical Low $109.65 Median $131.83 Typical High $158.49 | Professional | None (both parts) | $109.65 | $131.83 | $158.49 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $13.49 Median $16.98 Typical High $20.89 | Professional | 26 · Professional part | $13.49 | $16.98 | $20.89 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $117.49 Typical High $190.55 | Professional | TC · Technical part | $95.50 | $117.49 | $190.55 |
BCBS Texas Setting Facility Modifier None Typical Low $213.80 Median $512.86 Typical High $870.96 | Facility | None | $213.80 | $512.86 | $870.96 |
BCBS Texas Setting Professional Modifier None (both parts) Typical Low $27.54 Median $38.90 Typical High $177.83 | Professional | None (both parts) | $27.54 | $38.90 | $177.83 |
Christus Setting Professional Modifier 26 · Professional part Typical Low $19.95 Median $19.95 Typical High $22.39 | Professional | 26 · Professional part | $19.95 | $19.95 | $22.39 |
Cigna Setting Facility Modifier None Typical Low $338.84 Median $660.69 Typical High $1,698.24 | Facility | None | $338.84 | $660.69 | $1,698.24 |
Cigna Setting Professional Modifier None (both parts) Typical Low $102.33 Median $144.54 Typical High $288.40 | Professional | None (both parts) | $102.33 | $144.54 | $288.40 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $13.18 Median $19.05 Typical High $38.90 | Professional | 26 · Professional part | $13.18 | $19.05 | $38.90 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $89.13 Median $125.89 Typical High $251.19 | Professional | TC · Technical part | $89.13 | $125.89 | $251.19 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $1,071.52 Median $1,071.52 Typical High $1,380.38 | Professional | None (both parts) | $1,071.52 | $1,071.52 | $1,380.38 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $169.82 Median $169.82 Typical High $177.83 | Professional | 26 · Professional part | $169.82 | $169.82 | $177.83 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $954.99 Median $954.99 Typical High $1,202.26 | Professional | TC · Technical part | $954.99 | $954.99 | $1,202.26 |
Moda Health Setting Facility Modifier None Typical Low $128.82 Median $158.49 Typical High $208.93 | Facility | None | $128.82 | $158.49 | $208.93 |
Moda Health Setting Facility Modifier TC · Technical part Typical Low $123.03 Median $190.55 Typical High $588.84 | Facility | TC · Technical part | $123.03 | $190.55 | $588.84 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $109.65 Median $134.90 Typical High $263.03 | Professional | None (both parts) | $109.65 | $134.90 | $263.03 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $13.49 Median $17.38 Typical High $30.20 | Professional | 26 · Professional part | $13.49 | $17.38 | $30.20 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $117.49 Typical High $223.87 | Professional | TC · Technical part | $95.50 | $117.49 | $223.87 |
Molina Setting Professional Modifier None (both parts) Typical Low $19.95 Median $109.65 Typical High $147.91 | Professional | None (both parts) | $19.95 | $109.65 | $147.91 |
Providence Setting Facility Modifier None Typical Low $165.96 Median $575.44 Typical High $1,819.70 | Facility | None | $165.96 | $575.44 | $1,819.70 |
Providence Setting Professional Modifier None (both parts) Typical Low $97.72 Median $144.54 Typical High $288.40 | Professional | None (both parts) | $97.72 | $144.54 | $288.40 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $12.30 Median $18.62 Typical High $38.90 | Professional | 26 · Professional part | $12.30 | $18.62 | $38.90 |
Providence Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $125.89 Typical High $251.19 | Professional | TC · Technical part | $85.11 | $125.89 | $251.19 |
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 $123.03 Median $173.78 Typical High $257.04 | Professional | None (both parts) | $123.03 | $173.78 | $257.04 |
United Setting Professional Modifier 26 · Professional part Typical Low $17.38 Median $21.88 Typical High $33.11 | Professional | 26 · Professional part | $17.38 | $21.88 | $33.11 |
United Setting Professional Modifier TC · Technical part Typical Low $104.71 Median $151.36 Typical High $223.87 | Professional | TC · Technical part | $104.71 | $151.36 | $223.87 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $158.49 Median $158.49 Typical High $158.49 | Professional | None (both parts) | $158.49 | $158.49 | $158.49 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $20.89 Median $20.89 Typical High $20.89 | Professional | 26 · Professional part | $20.89 | $20.89 | $20.89 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $138.04 Median $138.04 Typical High $138.04 | Professional | TC · Technical part | $138.04 | $138.04 | $138.04 |
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 $61.66 Median $102.33 Typical High $602.56 | Facility | 52 · Reduced service | $61.66 | $102.33 | $602.56 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $24.55 Median $41.69 Typical High $239.88 | Facility | 53 · Discontinued | $24.55 | $41.69 | $239.88 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $102.33 Median $154.88 Typical High $562.34 | Facility | FX · Film X-ray | $102.33 | $154.88 | $562.34 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $54.95 Median $67.61 Typical High $107.15 | Professional | 52 · Reduced service | $54.95 | $67.61 | $107.15 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $21.88 Median $26.92 Typical High $42.66 | Professional | 53 · Discontinued | $21.88 | $26.92 | $42.66 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $87.10 Median $112.20 Typical High $173.78 | Professional | FX · Film X-ray | $87.10 | $112.20 | $173.78 |
Moda Health Setting Facility Modifier 52 · Reduced service Typical Low $61.66 Median $95.50 Typical High $295.12 | Facility | 52 · Reduced service | $61.66 | $95.50 | $295.12 |
Moda Health Setting Facility Modifier 53 · Discontinued Typical Low $24.55 Median $38.02 Typical High $117.49 | Facility | 53 · Discontinued | $24.55 | $38.02 | $117.49 |
Moda Health Setting Facility Modifier FX · Film X-ray Typical Low $97.72 Median $154.88 Typical High $588.84 | Facility | FX · Film X-ray | $97.72 | $154.88 | $588.84 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $54.95 Median $67.61 Typical High $87.10 | Professional | 52 · Reduced service | $54.95 | $67.61 | $87.10 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $21.88 Median $26.92 Typical High $34.67 | Professional | 53 · Discontinued | $21.88 | $26.92 | $34.67 |
Where Texas sits
The same service costs 4.7 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
$148
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.