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 $165.96 Typical High $1,445.44 | Facility | None | $131.83 | $165.96 | $1,445.44 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $147.91 Median $245.47 Typical High $1,445.44 | Facility | TC · Technical part | $147.91 | $245.47 | $1,445.44 |
Aetna Setting Professional Modifier None (both parts) Typical Low $131.83 Median $158.49 Typical High $186.21 | Professional | None (both parts) | $131.83 | $158.49 | $186.21 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $15.49 Median $19.05 Typical High $23.44 | Professional | 26 · Professional part | $15.49 | $19.05 | $23.44 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $114.82 Median $141.25 Typical High $223.87 | Professional | TC · Technical part | $114.82 | $141.25 | $223.87 |
BCBS Texas Setting Facility Modifier None Typical Low $223.87 Median $501.19 Typical High $758.58 | Facility | None | $223.87 | $501.19 | $758.58 |
BCBS Texas Setting Professional Modifier None (both parts) Typical Low $30.90 Median $43.65 Typical High $186.21 | Professional | None (both parts) | $30.90 | $43.65 | $186.21 |
Christus Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $21.88 Typical High $25.12 | Professional | 26 · Professional part | $21.88 | $21.88 | $25.12 |
Cigna Setting Facility Modifier None Typical Low $331.13 Median $676.08 Typical High $1,698.24 | Facility | None | $331.13 | $676.08 | $1,698.24 |
Cigna Setting Professional Modifier None (both parts) Typical Low $109.65 Median $162.18 Typical High $302.00 | Professional | None (both parts) | $109.65 | $162.18 | $302.00 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $14.79 Median $21.38 Typical High $41.69 | Professional | 26 · Professional part | $14.79 | $21.38 | $41.69 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $89.13 Median $141.25 Typical High $263.03 | Professional | TC · Technical part | $89.13 | $141.25 | $263.03 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $1,288.25 Median $1,288.25 Typical High $1,445.44 | Professional | None (both parts) | $1,288.25 | $1,288.25 | $1,445.44 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $398.11 Median $398.11 Typical High $398.11 | Professional | 26 · Professional part | $398.11 | $398.11 | $398.11 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $1,122.02 Median $1,122.02 Typical High $1,258.93 | Professional | TC · Technical part | $1,122.02 | $1,122.02 | $1,258.93 |
Moda Health Setting Facility Modifier None Typical Low $154.88 Median $186.21 Typical High $707.95 | Facility | None | $154.88 | $186.21 | $707.95 |
Moda Health Setting Facility Modifier TC · Technical part Typical Low $147.91 Median $229.09 Typical High $707.95 | Facility | TC · Technical part | $147.91 | $229.09 | $707.95 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $131.83 Median $162.18 Typical High $295.12 | Professional | None (both parts) | $131.83 | $162.18 | $295.12 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $15.49 Median $19.95 Typical High $32.36 | Professional | 26 · Professional part | $15.49 | $19.95 | $32.36 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $114.82 Median $141.25 Typical High $257.04 | Professional | TC · Technical part | $114.82 | $141.25 | $257.04 |
Molina Setting Professional Modifier None (both parts) Typical Low $19.95 Median $109.65 Typical High $147.91 | Professional | None (both parts) | $19.95 | $109.65 | $147.91 |
Providence Setting Facility Modifier None Typical Low $165.96 Median $602.56 Typical High $1,819.70 | Facility | None | $165.96 | $602.56 | $1,819.70 |
Providence Setting Professional Modifier None (both parts) Typical Low $104.71 Median $162.18 Typical High $302.00 | Professional | None (both parts) | $104.71 | $162.18 | $302.00 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $13.80 Median $20.89 Typical High $40.74 | Professional | 26 · Professional part | $13.80 | $20.89 | $40.74 |
Providence Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $141.25 Typical High $263.03 | Professional | TC · Technical part | $83.18 | $141.25 | $263.03 |
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 $123.03 Median $181.97 Typical High $281.84 | Professional | None (both parts) | $123.03 | $181.97 | $281.84 |
United Setting Professional Modifier 26 · Professional part Typical Low $19.95 Median $23.44 Typical High $36.31 | Professional | 26 · Professional part | $19.95 | $23.44 | $36.31 |
United Setting Professional Modifier TC · Technical part Typical Low $102.33 Median $158.49 Typical High $245.47 | Professional | TC · Technical part | $102.33 | $158.49 | $245.47 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $165.96 Median $165.96 Typical High $165.96 | Professional | None (both parts) | $165.96 | $165.96 | $165.96 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $22.91 Typical High $22.91 | Professional | 26 · Professional part | $22.91 | $22.91 | $22.91 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $144.54 Median $144.54 Typical High $144.54 | Professional | TC · Technical part | $144.54 | $144.54 | $144.54 |
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 $74.13 Median $123.03 Typical High $724.44 | Facility | 52 · Reduced service | $74.13 | $123.03 | $724.44 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $29.51 Median $50.12 Typical High $288.40 | Facility | 53 · Discontinued | $29.51 | $50.12 | $288.40 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $123.03 Median $181.97 Typical High $676.08 | Facility | FX · Film X-ray | $123.03 | $181.97 | $676.08 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $64.57 Median $81.28 Typical High $125.89 | Professional | 52 · Reduced service | $64.57 | $81.28 | $125.89 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $26.30 Median $32.36 Typical High $50.12 | Professional | 53 · Discontinued | $26.30 | $32.36 | $50.12 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $104.71 Median $131.83 Typical High $204.17 | Professional | FX · Film X-ray | $104.71 | $131.83 | $204.17 |
Moda Health Setting Facility Modifier 52 · Reduced service Typical Low $74.13 Median $114.82 Typical High $354.81 | Facility | 52 · Reduced service | $74.13 | $114.82 | $354.81 |
Moda Health Setting Facility Modifier 53 · Discontinued Typical Low $29.51 Median $45.71 Typical High $141.25 | Facility | 53 · Discontinued | $29.51 | $45.71 | $141.25 |
Moda Health Setting Facility Modifier FX · Film X-ray Typical Low $117.49 Median $181.97 Typical High $707.95 | Facility | FX · Film X-ray | $117.49 | $181.97 | $707.95 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $64.57 Median $79.43 Typical High $102.33 | Professional | 52 · Reduced service | $64.57 | $79.43 | $102.33 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $26.30 Median $31.62 Typical High $41.69 | Professional | 53 · Discontinued | $26.30 | $31.62 | $41.69 |
Where Texas sits
The same service costs 5.5 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· 48th of 51
$162
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.