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 $128.82 Median $162.18 Typical High $162.18 | Facility | None | $128.82 | $162.18 | $162.18 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $141.25 Median $234.42 Typical High $1,380.38 | Facility | TC · Technical part | $141.25 | $234.42 | $1,380.38 |
Aetna Setting Professional Modifier None (both parts) Typical Low $128.82 Median $154.88 Typical High $186.21 | Professional | None (both parts) | $128.82 | $154.88 | $186.21 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $17.78 Median $22.91 Typical High $27.54 | Professional | 26 · Professional part | $17.78 | $22.91 | $27.54 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $109.65 Median $134.90 Typical High $218.78 | Professional | TC · Technical part | $109.65 | $134.90 | $218.78 |
BCBS Texas Setting Facility Modifier None Typical Low $234.42 Median $537.03 Typical High $1,096.48 | Facility | None | $234.42 | $537.03 | $1,096.48 |
BCBS Texas Setting Professional Modifier None (both parts) Typical Low $31.62 Median $147.91 Typical High $199.53 | Professional | None (both parts) | $31.62 | $147.91 | $199.53 |
Christus Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $25.70 Typical High $29.51 | Professional | 26 · Professional part | $25.70 | $25.70 | $29.51 |
Cigna Setting Facility Modifier None Typical Low $398.11 Median $933.25 Typical High $1,698.24 | Facility | None | $398.11 | $933.25 | $1,698.24 |
Cigna Setting Professional Modifier None (both parts) Typical Low $114.82 Median $169.82 Typical High $398.11 | Professional | None (both parts) | $114.82 | $169.82 | $398.11 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $17.38 Median $25.12 Typical High $57.54 | Professional | 26 · Professional part | $17.38 | $25.12 | $57.54 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $144.54 Typical High $338.84 | Professional | TC · Technical part | $97.72 | $144.54 | $338.84 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $1,258.93 Median $1,258.93 Typical High $1,584.89 | Professional | None (both parts) | $1,258.93 | $1,258.93 | $1,584.89 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $239.88 Median $239.88 Typical High $239.88 | Professional | 26 · Professional part | $239.88 | $239.88 | $239.88 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $1,071.52 Median $1,071.52 Typical High $1,380.38 | Professional | TC · Technical part | $1,071.52 | $1,071.52 | $1,380.38 |
Moda Health Setting Facility Modifier None Typical Low $151.36 Median $208.93 Typical High $323.59 | Facility | None | $151.36 | $208.93 | $323.59 |
Moda Health Setting Facility Modifier TC · Technical part Typical Low $141.25 Median $218.78 Typical High $676.08 | Facility | TC · Technical part | $141.25 | $218.78 | $676.08 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $128.82 Median $158.49 Typical High $309.03 | Professional | None (both parts) | $128.82 | $158.49 | $309.03 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $17.78 Median $22.91 Typical High $41.69 | Professional | 26 · Professional part | $17.78 | $22.91 | $41.69 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $109.65 Median $134.90 Typical High $257.04 | Professional | TC · Technical part | $109.65 | $134.90 | $257.04 |
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 $630.96 Typical High $1,819.70 | Facility | None | $199.53 | $630.96 | $1,819.70 |
Providence Setting Professional Modifier None (both parts) Typical Low $109.65 Median $169.82 Typical High $407.38 | Professional | None (both parts) | $109.65 | $169.82 | $407.38 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $15.85 Median $25.12 Typical High $57.54 | Professional | 26 · Professional part | $15.85 | $25.12 | $57.54 |
Providence Setting Professional Modifier TC · Technical part Typical Low $93.33 Median $138.04 Typical High $338.84 | Professional | TC · Technical part | $93.33 | $138.04 | $338.84 |
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 $169.82 Median $234.42 Typical High $338.84 | Professional | None (both parts) | $169.82 | $234.42 | $338.84 |
United Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $30.90 Typical High $47.86 | Professional | 26 · Professional part | $23.44 | $30.90 | $47.86 |
United Setting Professional Modifier TC · Technical part Typical Low $144.54 Median $199.53 Typical High $288.40 | Professional | TC · Technical part | $144.54 | $199.53 | $288.40 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $181.97 Median $181.97 Typical High $181.97 | Professional | None (both parts) | $181.97 | $181.97 | $181.97 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $26.92 Typical High $26.92 | Professional | 26 · Professional part | $26.92 | $26.92 | $26.92 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $158.49 Median $158.49 Typical High $158.49 | Professional | TC · Technical part | $158.49 | $158.49 | $158.49 |
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 $117.49 Typical High $691.83 | Facility | 52 · Reduced service | $70.79 | $117.49 | $691.83 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $28.18 Median $47.86 Typical High $275.42 | Facility | 53 · Discontinued | $28.18 | $47.86 | $275.42 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $120.23 Median $173.78 Typical High $645.65 | Facility | FX · Film X-ray | $120.23 | $173.78 | $645.65 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $63.10 Median $79.43 Typical High $125.89 | Professional | 52 · Reduced service | $63.10 | $79.43 | $125.89 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $25.70 Median $31.62 Typical High $50.12 | Professional | 53 · Discontinued | $25.70 | $31.62 | $50.12 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $102.33 Median $128.82 Typical High $199.53 | Professional | FX · Film X-ray | $102.33 | $128.82 | $199.53 |
Moda Health Setting Facility Modifier 52 · Reduced service Typical Low $70.79 Median $109.65 Typical High $338.84 | Facility | 52 · Reduced service | $70.79 | $109.65 | $338.84 |
Moda Health Setting Facility Modifier 53 · Discontinued Typical Low $28.18 Median $43.65 Typical High $134.90 | Facility | 53 · Discontinued | $28.18 | $43.65 | $134.90 |
Moda Health Setting Facility Modifier FX · Film X-ray Typical Low $112.20 Median $173.78 Typical High $676.08 | Facility | FX · Film X-ray | $112.20 | $173.78 | $676.08 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $63.10 Median $77.62 Typical High $100.00 | Professional | 52 · Reduced service | $63.10 | $77.62 | $100.00 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $25.70 Median $30.90 Typical High $39.81 | Professional | 53 · Discontinued | $25.70 | $30.90 | $39.81 |
Where Texas sits
The same service costs 4.4 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
$170
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.