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 $169.82 | Facility | None | $131.83 | $169.82 | $169.82 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $141.25 Median $239.88 Typical High $1,412.54 | Facility | TC · Technical part | $141.25 | $239.88 | $1,412.54 |
Aetna Setting Professional Modifier None (both parts) Typical Low $131.83 Median $162.18 Typical High $208.93 | Professional | None (both parts) | $131.83 | $162.18 | $208.93 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $21.38 Median $26.92 Typical High $33.88 | Professional | 26 · Professional part | $21.38 | $26.92 | $33.88 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $112.20 Median $138.04 Typical High $223.87 | Professional | TC · Technical part | $112.20 | $138.04 | $223.87 |
BCBS Texas Setting Facility Modifier None Typical Low $263.03 Median $630.96 Typical High $1,047.13 | Facility | None | $263.03 | $630.96 | $1,047.13 |
BCBS Texas Setting Professional Modifier None (both parts) Typical Low $43.65 Median $61.66 Typical High $218.78 | Professional | None (both parts) | $43.65 | $61.66 | $218.78 |
Christus Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $30.90 Typical High $34.67 | Professional | 26 · Professional part | $30.90 | $30.90 | $34.67 |
Cigna Setting Facility Modifier None Typical Low $398.11 Median $891.25 Typical High $1,698.24 | Facility | None | $398.11 | $891.25 | $1,698.24 |
Cigna Setting Professional Modifier None (both parts) Typical Low $125.89 Median $181.97 Typical High $380.19 | Professional | None (both parts) | $125.89 | $181.97 | $380.19 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $20.89 Median $29.51 Typical High $63.10 | Professional | 26 · Professional part | $20.89 | $29.51 | $63.10 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $104.71 Median $151.36 Typical High $316.23 | Professional | TC · Technical part | $104.71 | $151.36 | $316.23 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $1,318.26 Median $1,318.26 Typical High $1,778.28 | Professional | None (both parts) | $1,318.26 | $1,318.26 | $1,778.28 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $257.04 Median $257.04 Typical High $281.84 | Professional | 26 · Professional part | $257.04 | $257.04 | $281.84 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $1,096.48 Median $1,096.48 Typical High $1,513.56 | Professional | TC · Technical part | $1,096.48 | $1,096.48 | $1,513.56 |
Moda Health Setting Facility Modifier None Typical Low $154.88 Median $204.17 Typical High $257.04 | Facility | None | $154.88 | $204.17 | $257.04 |
Moda Health Setting Facility Modifier TC · Technical part Typical Low $141.25 Median $223.87 Typical High $691.83 | Facility | TC · Technical part | $141.25 | $223.87 | $691.83 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $131.83 Median $165.96 Typical High $338.84 | Professional | None (both parts) | $131.83 | $165.96 | $338.84 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $21.38 Median $27.54 Typical High $47.86 | Professional | 26 · Professional part | $21.38 | $27.54 | $47.86 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $112.20 Median $138.04 Typical High $281.84 | Professional | TC · Technical part | $112.20 | $138.04 | $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 $660.69 Typical High $1,819.70 | Facility | None | $199.53 | $660.69 | $1,819.70 |
Providence Setting Professional Modifier None (both parts) Typical Low $117.49 Median $181.97 Typical High $380.19 | Professional | None (both parts) | $117.49 | $181.97 | $380.19 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $19.50 Median $29.51 Typical High $63.10 | Professional | 26 · Professional part | $19.50 | $29.51 | $63.10 |
Providence Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $151.36 Typical High $316.23 | Professional | TC · Technical part | $100.00 | $151.36 | $316.23 |
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 $165.96 Median $223.87 Typical High $338.84 | Professional | None (both parts) | $165.96 | $223.87 | $338.84 |
United Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $35.48 Typical High $53.70 | Professional | 26 · Professional part | $28.84 | $35.48 | $53.70 |
United Setting Professional Modifier TC · Technical part Typical Low $134.90 Median $190.55 Typical High $281.84 | Professional | TC · Technical part | $134.90 | $190.55 | $281.84 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $204.17 Median $204.17 Typical High $204.17 | Professional | None (both parts) | $204.17 | $204.17 | $204.17 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $33.88 Typical High $33.88 | Professional | 26 · Professional part | $33.88 | $33.88 | $33.88 |
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 $70.79 Median $120.23 Typical High $707.95 | Facility | 52 · Reduced service | $70.79 | $120.23 | $707.95 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $28.84 Median $47.86 Typical High $281.84 | Facility | 53 · Discontinued | $28.84 | $47.86 | $281.84 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $125.89 Median $177.83 Typical High $660.69 | Facility | FX · Film X-ray | $125.89 | $177.83 | $660.69 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $66.07 Median $83.18 Typical High $131.83 | Professional | 52 · Reduced service | $66.07 | $83.18 | $131.83 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $26.30 Median $33.11 Typical High $52.48 | Professional | 53 · Discontinued | $26.30 | $33.11 | $52.48 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $107.15 Median $134.90 Typical High $208.93 | Professional | FX · Film X-ray | $107.15 | $134.90 | $208.93 |
Moda Health Setting Facility Modifier 52 · Reduced service Typical Low $70.79 Median $112.20 Typical High $346.74 | Facility | 52 · Reduced service | $70.79 | $112.20 | $346.74 |
Moda Health Setting Facility Modifier 53 · Discontinued Typical Low $28.84 Median $44.67 Typical High $138.04 | Facility | 53 · Discontinued | $28.84 | $44.67 | $138.04 |
Moda Health Setting Facility Modifier FX · Film X-ray Typical Low $114.82 Median $177.83 Typical High $691.83 | Facility | FX · Film X-ray | $114.82 | $177.83 | $691.83 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $66.07 Median $81.28 Typical High $104.71 | Professional | 52 · Reduced service | $66.07 | $81.28 | $104.71 |
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 Texas. 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· 51st of 51
$174
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.