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 $169.82 Median $218.78 Typical High $218.78 | Facility | None | $169.82 | $218.78 | $218.78 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $186.21 Median $316.23 Typical High $1,819.70 | Facility | TC · Technical part | $186.21 | $316.23 | $1,819.70 |
Aetna Setting Professional Modifier None (both parts) Typical Low $169.82 Median $208.93 Typical High $257.04 | Professional | None (both parts) | $169.82 | $208.93 | $257.04 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $31.62 Typical High $38.90 | Professional | 26 · Professional part | $25.12 | $31.62 | $38.90 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $144.54 Median $177.83 Typical High $295.12 | Professional | TC · Technical part | $144.54 | $177.83 | $295.12 |
BCBS Texas Setting Facility Modifier None Typical Low $316.23 Median $741.31 Typical High $1,230.27 | Facility | None | $316.23 | $741.31 | $1,230.27 |
BCBS Texas Setting Professional Modifier None (both parts) Typical Low $51.29 Median $186.21 Typical High $275.42 | Professional | None (both parts) | $51.29 | $186.21 | $275.42 |
Christus Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $36.31 Typical High $40.74 | Professional | 26 · Professional part | $36.31 | $36.31 | $40.74 |
Cigna Setting Facility Modifier None Typical Low $398.11 Median $870.96 Typical High $1,698.24 | Facility | None | $398.11 | $870.96 | $1,698.24 |
Cigna Setting Professional Modifier None (both parts) Typical Low $158.49 Median $223.87 Typical High $436.52 | Professional | None (both parts) | $158.49 | $223.87 | $436.52 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $24.55 Median $34.67 Typical High $72.44 | Professional | 26 · Professional part | $24.55 | $34.67 | $72.44 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $131.83 Median $186.21 Typical High $363.08 | Professional | TC · Technical part | $131.83 | $186.21 | $363.08 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $1,698.24 Median $1,698.24 Typical High $2,089.30 | Professional | None (both parts) | $1,698.24 | $1,698.24 | $2,089.30 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $323.59 Median $323.59 Typical High $323.59 | Professional | 26 · Professional part | $323.59 | $323.59 | $323.59 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $1,445.44 Median $1,445.44 Typical High $1,778.28 | Professional | TC · Technical part | $1,445.44 | $1,445.44 | $1,778.28 |
Moda Health Setting Facility Modifier None Typical Low $199.53 Median $245.47 Typical High $331.13 | Facility | None | $199.53 | $245.47 | $331.13 |
Moda Health Setting Facility Modifier TC · Technical part Typical Low $186.21 Median $295.12 Typical High $912.01 | Facility | TC · Technical part | $186.21 | $295.12 | $912.01 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $169.82 Median $213.80 Typical High $426.58 | Professional | None (both parts) | $169.82 | $213.80 | $426.58 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $31.62 Typical High $58.88 | Professional | 26 · Professional part | $25.12 | $31.62 | $58.88 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $144.54 Median $177.83 Typical High $338.84 | Professional | TC · Technical part | $144.54 | $177.83 | $338.84 |
Molina Setting Professional Modifier None (both parts) Typical Low $30.90 Median $165.96 Typical High $245.47 | Professional | None (both parts) | $30.90 | $165.96 | $245.47 |
Providence Setting Facility Modifier None Typical Low $251.19 Median $831.76 Typical High $1,819.70 | Facility | None | $251.19 | $831.76 | $1,819.70 |
Providence Setting Professional Modifier None (both parts) Typical Low $147.91 Median $218.78 Typical High $436.52 | Professional | None (both parts) | $147.91 | $218.78 | $436.52 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $33.88 Typical High $70.79 | Professional | 26 · Professional part | $22.91 | $33.88 | $70.79 |
Providence Setting Professional Modifier TC · Technical part Typical Low $125.89 Median $186.21 Typical High $363.08 | Professional | TC · Technical part | $125.89 | $186.21 | $363.08 |
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 $181.97 Median $239.88 Typical High $398.11 | Professional | None (both parts) | $181.97 | $239.88 | $398.11 |
United Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $41.69 Typical High $63.10 | Professional | 26 · Professional part | $33.88 | $41.69 | $63.10 |
United Setting Professional Modifier TC · Technical part Typical Low $147.91 Median $199.53 Typical High $338.84 | Professional | TC · Technical part | $147.91 | $199.53 | $338.84 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $245.47 Median $245.47 Typical High $245.47 | Professional | None (both parts) | $245.47 | $245.47 | $245.47 |
Wellpoint 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 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $204.17 Median $204.17 Typical High $204.17 | Professional | TC · Technical part | $204.17 | $204.17 | $204.17 |
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 $93.33 Median $158.49 Typical High $912.01 | Facility | 52 · Reduced service | $93.33 | $158.49 | $912.01 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $37.15 Median $63.10 Typical High $371.54 | Facility | 53 · Discontinued | $37.15 | $63.10 | $371.54 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $162.18 Median $234.42 Typical High $851.14 | Facility | FX · Film X-ray | $162.18 | $234.42 | $851.14 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $85.11 Median $104.71 Typical High $169.82 | Professional | 52 · Reduced service | $85.11 | $104.71 | $169.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $33.88 Median $42.66 Typical High $67.61 | Professional | 53 · Discontinued | $33.88 | $42.66 | $67.61 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $138.04 Median $173.78 Typical High $275.42 | Professional | FX · Film X-ray | $138.04 | $173.78 | $275.42 |
Moda Health Setting Facility Modifier 52 · Reduced service Typical Low $93.33 Median $144.54 Typical High $446.68 | Facility | 52 · Reduced service | $93.33 | $144.54 | $446.68 |
Moda Health Setting Facility Modifier 53 · Discontinued Typical Low $37.15 Median $58.88 Typical High $181.97 | Facility | 53 · Discontinued | $37.15 | $58.88 | $181.97 |
Moda Health Setting Facility Modifier FX · Film X-ray Typical Low $147.91 Median $234.42 Typical High $912.01 | Facility | FX · Film X-ray | $147.91 | $234.42 | $912.01 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $85.11 Median $104.71 Typical High $134.90 | Professional | 52 · Reduced service | $85.11 | $104.71 | $134.90 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $33.88 Median $41.69 Typical High $53.70 | Professional | 53 · Discontinued | $33.88 | $41.69 | $53.70 |
Where Texas sits
The same service costs 5.0 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· 49th of 51
$224
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.