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 $251.19 Typical High $275.42 | Facility | None | $199.53 | $251.19 | $275.42 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $218.78 Median $371.54 Typical High $2,344.23 | Facility | TC · Technical part | $218.78 | $371.54 | $2,344.23 |
Aetna Setting Professional Modifier None (both parts) Typical Low $213.80 Median $269.15 Typical High $426.58 | Professional | None (both parts) | $213.80 | $269.15 | $426.58 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $38.90 Typical High $64.57 | Professional | 26 · Professional part | $30.20 | $38.90 | $64.57 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $186.21 Median $234.42 Typical High $446.68 | Professional | TC · Technical part | $186.21 | $234.42 | $446.68 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $38.90 Typical High $109.65 | Professional | 26 · Professional part | $36.31 | $38.90 | $109.65 |
BCBS Texas Setting Facility Modifier None Typical Low $478.63 Median $1,023.29 Typical High $2,344.23 | Facility | None | $478.63 | $1,023.29 | $2,344.23 |
BCBS Texas Setting Professional Modifier None (both parts) Typical Low $40.74 Median $257.04 Typical High $346.74 | Professional | None (both parts) | $40.74 | $257.04 | $346.74 |
Baylor Scott & White Setting Facility Modifier None Typical Low $371.54 Median $707.95 Typical High $1,445.44 | Facility | None | $371.54 | $707.95 | $1,445.44 |
Baylor Scott & White Setting Professional Modifier None (both parts) Typical Low $218.78 Median $218.78 Typical High $218.78 | Professional | None (both parts) | $218.78 | $218.78 | $218.78 |
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 $23.99 Median $23.99 Typical High $23.99 | Professional | 26 · Professional part | $23.99 | $23.99 | $23.99 |
Cigna Setting Facility Modifier None Typical Low $575.44 Median $1,230.27 Typical High $1,737.80 | Facility | None | $575.44 | $1,230.27 | $1,737.80 |
Cigna Setting Professional Modifier None (both parts) Typical Low $194.98 Median $288.40 Typical High $588.84 | Professional | None (both parts) | $194.98 | $288.40 | $588.84 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $42.66 Typical High $87.10 | Professional | 26 · Professional part | $29.51 | $42.66 | $87.10 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $165.96 Median $239.88 Typical High $501.19 | Professional | TC · Technical part | $165.96 | $239.88 | $501.19 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $2,137.96 Median $2,137.96 Typical High $2,630.27 | Professional | None (both parts) | $2,137.96 | $2,137.96 | $2,630.27 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $363.08 Median $363.08 Typical High $380.19 | Professional | 26 · Professional part | $363.08 | $363.08 | $380.19 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $1,819.70 Median $1,819.70 Typical High $2,238.72 | Professional | TC · Technical part | $1,819.70 | $1,819.70 | $2,238.72 |
Moda Health Setting Facility Modifier None Typical Low $346.74 Median $1,318.26 Typical High $1,659.59 | Facility | None | $346.74 | $1,318.26 | $1,659.59 |
Moda Health Setting Facility Modifier TC · Technical part Typical Low $218.78 Median $371.54 Typical High $1,412.54 | Facility | TC · Technical part | $218.78 | $371.54 | $1,412.54 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $213.80 Median $269.15 Typical High $537.03 | Professional | None (both parts) | $213.80 | $269.15 | $537.03 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $38.90 Typical High $83.18 | Professional | 26 · Professional part | $30.20 | $38.90 | $83.18 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $186.21 Median $234.42 Typical High $457.09 | Professional | TC · Technical part | $186.21 | $234.42 | $457.09 |
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 $323.59 Median $1,047.13 Typical High $1,819.70 | Facility | None | $323.59 | $1,047.13 | $1,819.70 |
Providence Setting Professional Modifier None (both parts) Typical Low $186.21 Median $281.84 Typical High $588.84 | Professional | None (both parts) | $186.21 | $281.84 | $588.84 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $41.69 Typical High $87.10 | Professional | 26 · Professional part | $27.54 | $41.69 | $87.10 |
Providence Setting Professional Modifier TC · Technical part Typical Low $158.49 Median $239.88 Typical High $501.19 | Professional | TC · Technical part | $158.49 | $239.88 | $501.19 |
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 $257.04 Median $354.81 Typical High $537.03 | Professional | None (both parts) | $257.04 | $354.81 | $537.03 |
United Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $51.29 Typical High $77.62 | Professional | 26 · Professional part | $41.69 | $51.29 | $77.62 |
United Setting Professional Modifier TC · Technical part Typical Low $218.78 Median $309.03 Typical High $457.09 | Professional | TC · Technical part | $218.78 | $309.03 | $457.09 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $302.00 Median $302.00 Typical High $302.00 | Professional | None (both parts) | $302.00 | $302.00 | $302.00 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $45.71 Typical High $45.71 | Professional | 26 · Professional part | $45.71 | $45.71 | $45.71 |
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 $117.49 Median $199.53 Typical High $1,148.15 | Facility | 52 · Reduced service | $117.49 | $199.53 | $1,148.15 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $46.77 Median $79.43 Typical High $467.74 | Facility | 53 · Discontinued | $46.77 | $79.43 | $467.74 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $199.53 Median $295.12 Typical High $1,071.52 | Facility | FX · Film X-ray | $199.53 | $295.12 | $1,071.52 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $107.15 Median $131.83 Typical High $213.80 | Professional | 52 · Reduced service | $107.15 | $131.83 | $213.80 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $42.66 Median $53.70 Typical High $85.11 | Professional | 53 · Discontinued | $42.66 | $53.70 | $85.11 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $169.82 Median $218.78 Typical High $338.84 | Professional | FX · Film X-ray | $169.82 | $218.78 | $338.84 |
Moda Health Setting Facility Modifier 52 · Reduced service Typical Low $117.49 Median $186.21 Typical High $575.44 | Facility | 52 · Reduced service | $117.49 | $186.21 | $575.44 |
Moda Health Setting Facility Modifier 53 · Discontinued Typical Low $46.77 Median $74.13 Typical High $229.09 | Facility | 53 · Discontinued | $46.77 | $74.13 | $229.09 |
Moda Health Setting Facility Modifier FX · Film X-ray Typical Low $190.55 Median $295.12 Typical High $1,148.15 | Facility | FX · Film X-ray | $190.55 | $295.12 | $1,148.15 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $107.15 Median $131.83 Typical High $169.82 | Professional | 52 · Reduced service | $107.15 | $131.83 | $169.82 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $42.66 Median $52.48 Typical High $67.61 | Professional | 53 · Discontinued | $42.66 | $52.48 | $67.61 |
Where Texas sits
The same service costs 4.7 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
$295
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.