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 $112.20 Median $144.54 Typical High $1,445.44 | Facility | None | $112.20 | $144.54 | $1,445.44 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $114.82 Median $190.55 Typical High $1,122.02 | Facility | TC · Technical part | $114.82 | $190.55 | $1,122.02 |
Aetna Setting Professional Modifier None (both parts) Typical Low $112.20 Median $138.04 Typical High $204.17 | Professional | None (both parts) | $112.20 | $138.04 | $204.17 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $29.51 Typical High $40.74 | Professional | 26 · Professional part | $23.44 | $29.51 | $40.74 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $89.13 Median $109.65 Typical High $177.83 | Professional | TC · Technical part | $89.13 | $109.65 | $177.83 |
BCBS Texas Setting Facility Modifier None Typical Low $218.78 Median $524.81 Typical High $891.25 | Facility | None | $218.78 | $524.81 | $891.25 |
BCBS Texas Setting Professional Modifier None (both parts) Typical Low $29.51 Median $117.49 Typical High $169.82 | Professional | None (both parts) | $29.51 | $117.49 | $169.82 |
Christus Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $33.88 Typical High $37.15 | Professional | 26 · Professional part | $33.88 | $33.88 | $37.15 |
Cigna Setting Facility Modifier None Typical Low $323.59 Median $724.44 Typical High $2,187.76 | Facility | None | $323.59 | $724.44 | $2,187.76 |
Cigna Setting Professional Modifier None (both parts) Typical Low $97.72 Median $151.36 Typical High $331.13 | Professional | None (both parts) | $97.72 | $151.36 | $331.13 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $22.39 Median $31.62 Typical High $67.61 | Professional | 26 · Professional part | $22.39 | $31.62 | $67.61 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $114.82 Typical High $263.03 | Professional | TC · Technical part | $75.86 | $114.82 | $263.03 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $1,096.48 Median $1,096.48 Typical High $1,445.44 | Professional | None (both parts) | $1,096.48 | $1,096.48 | $1,445.44 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $331.13 Median $331.13 Typical High $331.13 | Professional | 26 · Professional part | $331.13 | $331.13 | $331.13 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $870.96 Median $870.96 Typical High $1,148.15 | Professional | TC · Technical part | $870.96 | $870.96 | $1,148.15 |
Moda Health Setting Facility Modifier None Typical Low $131.83 Median $181.97 Typical High $707.95 | Facility | None | $131.83 | $181.97 | $707.95 |
Moda Health Setting Facility Modifier TC · Technical part Typical Low $114.82 Median $177.83 Typical High $549.54 | Facility | TC · Technical part | $114.82 | $177.83 | $549.54 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $112.20 Median $141.25 Typical High $275.42 | Professional | None (both parts) | $112.20 | $141.25 | $275.42 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $29.51 Typical High $51.29 | Professional | 26 · Professional part | $23.44 | $29.51 | $51.29 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $89.13 Median $109.65 Typical High $190.55 | Professional | TC · Technical part | $89.13 | $109.65 | $190.55 |
Molina Setting Professional Modifier None (both parts) Typical Low $20.42 Median $104.71 Typical High $169.82 | Professional | None (both parts) | $20.42 | $104.71 | $169.82 |
Providence Setting Facility Modifier None Typical Low $169.82 Median $501.19 Typical High $2,344.23 | Facility | None | $169.82 | $501.19 | $2,344.23 |
Providence Setting Professional Modifier None (both parts) Typical Low $93.33 Median $147.91 Typical High $338.84 | Professional | None (both parts) | $93.33 | $147.91 | $338.84 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $21.38 Median $31.62 Typical High $66.07 | Professional | 26 · Professional part | $21.38 | $31.62 | $66.07 |
Providence Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $114.82 Typical High $263.03 | Professional | TC · Technical part | $72.44 | $114.82 | $263.03 |
United Setting Facility Modifier None Typical Low $831.76 Median $851.14 Typical High $1,122.02 | Facility | None | $831.76 | $851.14 | $1,122.02 |
United Setting Professional Modifier None (both parts) Typical Low $147.91 Median $190.55 Typical High $288.40 | Professional | None (both parts) | $147.91 | $190.55 | $288.40 |
United Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $38.02 Typical High $57.54 | Professional | 26 · Professional part | $30.90 | $38.02 | $57.54 |
United Setting Professional Modifier TC · Technical part Typical Low $117.49 Median $151.36 Typical High $213.80 | Professional | TC · Technical part | $117.49 | $151.36 | $213.80 |
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 $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 $131.83 Median $131.83 Typical High $131.83 | Professional | TC · Technical part | $131.83 | $131.83 | $131.83 |
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 $57.54 Median $95.50 Typical High $562.34 | Facility | 52 · Reduced service | $57.54 | $95.50 | $562.34 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $22.91 Median $38.02 Typical High $223.87 | Facility | 53 · Discontinued | $22.91 | $38.02 | $223.87 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $100.00 Median $141.25 Typical High $524.81 | Facility | FX · Film X-ray | $100.00 | $141.25 | $524.81 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $56.23 Median $69.18 Typical High $109.65 | Professional | 52 · Reduced service | $56.23 | $69.18 | $109.65 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $22.39 Median $28.18 Typical High $43.65 | Professional | 53 · Discontinued | $22.39 | $28.18 | $43.65 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $89.13 Median $114.82 Typical High $173.78 | Professional | FX · Film X-ray | $89.13 | $114.82 | $173.78 |
Moda Health Setting Facility Modifier 52 · Reduced service Typical Low $57.54 Median $89.13 Typical High $275.42 | Facility | 52 · Reduced service | $57.54 | $89.13 | $275.42 |
Moda Health Setting Facility Modifier 53 · Discontinued Typical Low $22.91 Median $35.48 Typical High $109.65 | Facility | 53 · Discontinued | $22.91 | $35.48 | $109.65 |
Moda Health Setting Facility Modifier FX · Film X-ray Typical Low $91.20 Median $141.25 Typical High $549.54 | Facility | FX · Film X-ray | $91.20 | $141.25 | $549.54 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $56.23 Median $69.18 Typical High $89.13 | Professional | 52 · Reduced service | $56.23 | $69.18 | $89.13 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $22.39 Median $27.54 Typical High $35.48 | Professional | 53 · Discontinued | $22.39 | $27.54 | $35.48 |
Where Texas sits
The same service costs 4.8 times more in Alabama 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
$138
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.