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 $70.79 Median $87.10 Typical High $691.83 | Facility | None | $70.79 | $87.10 | $691.83 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $70.79 Median $117.49 Typical High $691.83 | Facility | TC · Technical part | $70.79 | $117.49 | $691.83 |
Aetna Setting Professional Modifier None (both parts) Typical Low $67.61 Median $83.18 Typical High $104.71 | Professional | None (both parts) | $67.61 | $83.18 | $104.71 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $12.30 Median $15.14 Typical High $17.78 | Professional | 26 · Professional part | $12.30 | $15.14 | $17.78 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $54.95 Median $67.61 Typical High $104.71 | Professional | TC · Technical part | $54.95 | $67.61 | $104.71 |
BCBS Texas Setting Facility Modifier None Typical Low $117.49 Median $281.84 Typical High $489.78 | Facility | None | $117.49 | $281.84 | $489.78 |
BCBS Texas Setting Professional Modifier None (both parts) Typical Low $24.55 Median $34.67 Typical High $114.82 | Professional | None (both parts) | $24.55 | $34.67 | $114.82 |
Christus Setting Professional Modifier 26 · Professional part Typical Low $17.78 Median $17.78 Typical High $19.95 | Professional | 26 · Professional part | $17.78 | $17.78 | $19.95 |
Cigna Setting Facility Modifier None Typical Low $223.87 Median $489.78 Typical High $1,698.24 | Facility | None | $223.87 | $489.78 | $1,698.24 |
Cigna Setting Professional Modifier None (both parts) Typical Low $64.57 Median $91.20 Typical High $190.55 | Professional | None (both parts) | $64.57 | $91.20 | $190.55 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $11.75 Median $16.98 Typical High $36.31 | Professional | 26 · Professional part | $11.75 | $16.98 | $36.31 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $52.48 Median $74.13 Typical High $151.36 | Professional | TC · Technical part | $52.48 | $74.13 | $151.36 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $933.25 Median $933.25 Typical High $933.25 | Professional | None (both parts) | $933.25 | $933.25 | $933.25 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $186.21 Median $186.21 Typical High $186.21 | Professional | 26 · Professional part | $186.21 | $186.21 | $186.21 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $812.83 Median $812.83 Typical High $812.83 | Professional | TC · Technical part | $812.83 | $812.83 | $812.83 |
Moda Health Setting Facility Modifier None Typical Low $70.79 Median $102.33 Typical High $199.53 | Facility | None | $70.79 | $102.33 | $199.53 |
Moda Health Setting Facility Modifier TC · Technical part Typical Low $70.79 Median $109.65 Typical High $338.84 | Facility | TC · Technical part | $70.79 | $109.65 | $338.84 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $67.61 Median $83.18 Typical High $169.82 | Professional | None (both parts) | $67.61 | $83.18 | $169.82 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $12.30 Median $15.85 Typical High $26.30 | Professional | 26 · Professional part | $12.30 | $15.85 | $26.30 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $54.95 Median $67.61 Typical High $141.25 | Professional | TC · Technical part | $54.95 | $67.61 | $141.25 |
Molina Setting Professional Modifier None (both parts) Typical Low $14.79 Median $81.28 Typical High $112.20 | Professional | None (both parts) | $14.79 | $81.28 | $112.20 |
Providence Setting Facility Modifier None Typical Low $109.65 Median $338.84 Typical High $1,819.70 | Facility | None | $109.65 | $338.84 | $1,819.70 |
Providence Setting Professional Modifier None (both parts) Typical Low $61.66 Median $89.13 Typical High $186.21 | Professional | None (both parts) | $61.66 | $89.13 | $186.21 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $10.96 Median $16.98 Typical High $35.48 | Professional | 26 · Professional part | $10.96 | $16.98 | $35.48 |
Providence Setting Professional Modifier TC · Technical part Typical Low $51.29 Median $74.13 Typical High $147.91 | Professional | TC · Technical part | $51.29 | $74.13 | $147.91 |
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 $85.11 Median $107.15 Typical High $186.21 | Professional | None (both parts) | $85.11 | $107.15 | $186.21 |
United Setting Professional Modifier 26 · Professional part Typical Low $16.22 Median $19.95 Typical High $30.20 | Professional | 26 · Professional part | $16.22 | $19.95 | $30.20 |
United Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $87.10 Typical High $144.54 | Professional | TC · Technical part | $69.18 | $87.10 | $144.54 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $102.33 Median $102.33 Typical High $102.33 | Professional | None (both parts) | $102.33 | $102.33 | $102.33 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $18.20 Median $18.20 Typical High $18.20 | Professional | 26 · Professional part | $18.20 | $18.20 | $18.20 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $85.11 Typical High $85.11 | Professional | TC · Technical part | $85.11 | $85.11 | $85.11 |
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 $35.48 Median $58.88 Typical High $346.74 | Facility | 52 · Reduced service | $35.48 | $58.88 | $346.74 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $14.13 Median $23.44 Typical High $138.04 | Facility | 53 · Discontinued | $14.13 | $23.44 | $138.04 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $61.66 Median $87.10 Typical High $323.59 | Facility | FX · Film X-ray | $61.66 | $87.10 | $323.59 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $33.88 Median $41.69 Typical High $63.10 | Professional | 52 · Reduced service | $33.88 | $41.69 | $63.10 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $13.49 Median $16.60 Typical High $25.12 | Professional | 53 · Discontinued | $13.49 | $16.60 | $25.12 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $53.70 Median $67.61 Typical High $102.33 | Professional | FX · Film X-ray | $53.70 | $67.61 | $102.33 |
Moda Health Setting Facility Modifier 52 · Reduced service Typical Low $35.48 Median $54.95 Typical High $169.82 | Facility | 52 · Reduced service | $35.48 | $54.95 | $169.82 |
Moda Health Setting Facility Modifier 53 · Discontinued Typical Low $14.13 Median $21.88 Typical High $67.61 | Facility | 53 · Discontinued | $14.13 | $21.88 | $67.61 |
Moda Health Setting Facility Modifier FX · Film X-ray Typical Low $56.23 Median $87.10 Typical High $338.84 | Facility | FX · Film X-ray | $56.23 | $87.10 | $338.84 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $33.88 Median $40.74 Typical High $52.48 | Professional | 52 · Reduced service | $33.88 | $40.74 | $52.48 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $13.49 Median $16.60 Typical High $21.38 | Professional | 53 · Discontinued | $13.49 | $16.60 | $21.38 |
Where Texas sits
The same service costs 5.0 times more in Alabama than in New York. 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
$102
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.