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 $199.53 Median $239.88 Typical High $263.03 | Facility | None | $199.53 | $239.88 | $263.03 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $204.17 Median $363.08 Typical High $2,290.87 | Facility | TC · Technical part | $204.17 | $363.08 | $2,290.87 |
Aetna Setting Professional Modifier None (both parts) Typical Low $204.17 Median $257.04 Typical High $489.78 | Professional | None (both parts) | $204.17 | $257.04 | $489.78 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $30.90 Typical High $57.54 | Professional | 26 · Professional part | $23.99 | $30.90 | $57.54 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $181.97 Median $229.09 Typical High $478.63 | Professional | TC · Technical part | $181.97 | $229.09 | $478.63 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $229.09 Median $389.05 Typical High $501.19 | Professional | None (both parts) | $229.09 | $389.05 | $501.19 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $38.90 Typical High $72.44 | Professional | 26 · Professional part | $28.18 | $38.90 | $72.44 |
BCBS Texas Setting Facility Modifier None Typical Low $398.11 Median $933.25 Typical High $1,905.46 | Facility | None | $398.11 | $933.25 | $1,905.46 |
BCBS Texas Setting Professional Modifier None (both parts) Typical Low $28.84 Median $229.09 Typical High $323.59 | Professional | None (both parts) | $28.84 | $229.09 | $323.59 |
Baylor Scott & White Setting Professional Modifier None (both parts) Typical Low $173.78 Median $173.78 Typical High $173.78 | Professional | None (both parts) | $173.78 | $173.78 | $173.78 |
Christus Setting Facility Modifier None Typical Low $436.52 Median $436.52 Typical High $436.52 | Facility | None | $436.52 | $436.52 | $436.52 |
Christus Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $38.02 Typical High $38.02 | Professional | 26 · Professional part | $38.02 | $38.02 | $38.02 |
Cigna Setting Facility Modifier None Typical Low $501.19 Median $1,122.02 Typical High $1,698.24 | Facility | None | $501.19 | $1,122.02 | $1,698.24 |
Cigna Setting Professional Modifier None (both parts) Typical Low $186.21 Median $269.15 Typical High $524.81 | Professional | None (both parts) | $186.21 | $269.15 | $524.81 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $33.11 Typical High $69.18 | Professional | 26 · Professional part | $23.44 | $33.11 | $69.18 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $165.96 Median $234.42 Typical High $457.09 | Professional | TC · Technical part | $165.96 | $234.42 | $457.09 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $2,041.74 Median $2,041.74 Typical High $2,511.89 | Professional | None (both parts) | $2,041.74 | $2,041.74 | $2,511.89 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $275.42 Median $275.42 Typical High $295.12 | Professional | 26 · Professional part | $275.42 | $275.42 | $295.12 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $1,778.28 Median $1,778.28 Typical High $2,238.72 | Professional | TC · Technical part | $1,778.28 | $1,778.28 | $2,238.72 |
Moda Health Setting Facility Modifier None Typical Low $354.81 Median $933.25 Typical High $1,862.09 | Facility | None | $354.81 | $933.25 | $1,862.09 |
Moda Health Setting Facility Modifier TC · Technical part Typical Low $204.17 Median $363.08 Typical High $1,412.54 | Facility | TC · Technical part | $204.17 | $363.08 | $1,412.54 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $204.17 Median $257.04 Typical High $549.54 | Professional | None (both parts) | $204.17 | $257.04 | $549.54 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $30.90 Typical High $70.79 | Professional | 26 · Professional part | $23.99 | $30.90 | $70.79 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $181.97 Median $229.09 Typical High $478.63 | Professional | TC · Technical part | $181.97 | $229.09 | $478.63 |
Molina Setting Professional Modifier None (both parts) Typical Low $37.15 Median $218.78 Typical High $316.23 | Professional | None (both parts) | $37.15 | $218.78 | $316.23 |
Providence Setting Facility Modifier None Typical Low $295.12 Median $1,023.29 Typical High $1,819.70 | Facility | None | $295.12 | $1,023.29 | $1,819.70 |
Providence Setting Professional Modifier None (both parts) Typical Low $177.83 Median $269.15 Typical High $524.81 | Professional | None (both parts) | $177.83 | $269.15 | $524.81 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $21.38 Median $32.36 Typical High $67.61 | Professional | 26 · Professional part | $21.38 | $32.36 | $67.61 |
Providence Setting Professional Modifier TC · Technical part Typical Low $158.49 Median $234.42 Typical High $457.09 | Professional | TC · Technical part | $158.49 | $234.42 | $457.09 |
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 $218.78 Median $316.23 Typical High $501.19 | Professional | None (both parts) | $218.78 | $316.23 | $501.19 |
United Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $38.90 Typical High $57.54 | Professional | 26 · Professional part | $31.62 | $38.90 | $57.54 |
United Setting Professional Modifier TC · Technical part Typical Low $186.21 Median $281.84 Typical High $436.52 | Professional | TC · Technical part | $186.21 | $281.84 | $436.52 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $288.40 Median $288.40 Typical High $288.40 | Professional | None (both parts) | $288.40 | $288.40 | $288.40 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $35.48 Typical High $35.48 | Professional | 26 · Professional part | $35.48 | $35.48 | $35.48 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $257.04 Median $257.04 Typical High $257.04 | Professional | TC · Technical part | $257.04 | $257.04 | $257.04 |
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 $114.82 Median $194.98 Typical High $1,148.15 | Facility | 52 · Reduced service | $114.82 | $194.98 | $1,148.15 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $46.77 Median $77.62 Typical High $457.09 | Facility | 53 · Discontinued | $46.77 | $77.62 | $457.09 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $194.98 Median $288.40 Typical High $1,071.52 | Facility | FX · Film X-ray | $194.98 | $288.40 | $1,071.52 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $102.33 Median $125.89 Typical High $204.17 | Professional | 52 · Reduced service | $102.33 | $125.89 | $204.17 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $40.74 Median $51.29 Typical High $81.28 | Professional | 53 · Discontinued | $40.74 | $51.29 | $81.28 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $165.96 Median $208.93 Typical High $331.13 | Professional | FX · Film X-ray | $165.96 | $208.93 | $331.13 |
Moda Health Setting Facility Modifier 52 · Reduced service Typical Low $120.23 Median $218.78 Typical High $758.58 | Facility | 52 · Reduced service | $120.23 | $218.78 | $758.58 |
Moda Health Setting Facility Modifier 53 · Discontinued Typical Low $46.77 Median $72.44 Typical High $223.87 | Facility | 53 · Discontinued | $46.77 | $72.44 | $223.87 |
Moda Health Setting Facility Modifier FX · Film X-ray Typical Low $186.21 Median $288.40 Typical High $1,122.02 | Facility | FX · Film X-ray | $186.21 | $288.40 | $1,122.02 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $102.33 Median $125.89 Typical High $162.18 | Professional | 52 · Reduced service | $102.33 | $125.89 | $162.18 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $40.74 Median $50.12 Typical High $64.57 | Professional | 53 · Discontinued | $40.74 | $50.12 | $64.57 |
Where Texas sits
The same service costs 3.5 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· 47th of 51
$282
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.