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 $128.82 Median $165.96 Typical High $1,445.44 | Facility | None | $128.82 | $165.96 | $1,445.44 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $128.82 Median $218.78 Typical High $1,258.93 | Facility | TC · Technical part | $128.82 | $218.78 | $1,258.93 |
Aetna Setting Professional Modifier None (both parts) Typical Low $128.82 Median $158.49 Typical High $194.98 | Professional | None (both parts) | $128.82 | $158.49 | $194.98 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $33.88 Typical High $40.74 | Professional | 26 · Professional part | $27.54 | $33.88 | $40.74 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $123.03 Typical High $204.17 | Professional | TC · Technical part | $100.00 | $123.03 | $204.17 |
BCBS Texas Setting Professional Modifier None (both parts) Typical Low $34.67 Median $53.70 Typical High $239.88 | Professional | None (both parts) | $34.67 | $53.70 | $239.88 |
Christus Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $39.81 Typical High $45.71 | Professional | 26 · Professional part | $39.81 | $39.81 | $45.71 |
Cigna Setting Facility Modifier None Typical Low $363.08 Median $741.31 Typical High $1,698.24 | Facility | None | $363.08 | $741.31 | $1,698.24 |
Cigna Setting Professional Modifier None (both parts) Typical Low $120.23 Median $169.82 Typical High $338.84 | Professional | None (both parts) | $120.23 | $169.82 | $338.84 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $37.15 Typical High $75.86 | Professional | 26 · Professional part | $26.92 | $37.15 | $75.86 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $93.33 Median $131.83 Typical High $263.03 | Professional | TC · Technical part | $93.33 | $131.83 | $263.03 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $1,479.11 Median $1,479.11 Typical High $1,621.81 | Professional | None (both parts) | $1,479.11 | $1,479.11 | $1,621.81 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $512.86 Median $512.86 Typical High $512.86 | Professional | 26 · Professional part | $512.86 | $512.86 | $512.86 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $1,047.13 Median $1,047.13 Typical High $1,258.93 | Professional | TC · Technical part | $1,047.13 | $1,047.13 | $1,258.93 |
Moda Health Setting Facility Modifier None Typical Low $151.36 Median $213.80 Typical High $707.95 | Facility | None | $151.36 | $213.80 | $707.95 |
Moda Health Setting Facility Modifier TC · Technical part Typical Low $128.82 Median $199.53 Typical High $616.60 | Facility | TC · Technical part | $128.82 | $199.53 | $616.60 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $128.82 Median $158.49 Typical High $331.13 | Professional | None (both parts) | $128.82 | $158.49 | $331.13 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $35.48 Typical High $60.26 | Professional | 26 · Professional part | $27.54 | $35.48 | $60.26 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $123.03 Typical High $239.88 | Professional | TC · Technical part | $100.00 | $123.03 | $239.88 |
Molina Setting Professional Modifier None (both parts) Typical Low $20.89 Median $107.15 Typical High $204.17 | Professional | None (both parts) | $20.89 | $107.15 | $204.17 |
Providence Setting Facility Modifier None Typical Low $190.55 Median $602.56 Typical High $1,819.70 | Facility | None | $190.55 | $602.56 | $1,819.70 |
Providence Setting Professional Modifier None (both parts) Typical Low $114.82 Median $169.82 Typical High $338.84 | Professional | None (both parts) | $114.82 | $169.82 | $338.84 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $37.15 Typical High $74.13 | Professional | 26 · Professional part | $25.12 | $37.15 | $74.13 |
Providence Setting Professional Modifier TC · Technical part Typical Low $89.13 Median $131.83 Typical High $263.03 | Professional | TC · Technical part | $89.13 | $131.83 | $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 $162.18 Median $194.98 Typical High $316.23 | Professional | None (both parts) | $162.18 | $194.98 | $316.23 |
United Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $41.69 Typical High $66.07 | Professional | 26 · Professional part | $34.67 | $41.69 | $66.07 |
United Setting Professional Modifier TC · Technical part Typical Low $125.89 Median $151.36 Typical High $234.42 | Professional | TC · Technical part | $125.89 | $151.36 | $234.42 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $186.21 Median $186.21 Typical High $186.21 | Professional | None (both parts) | $186.21 | $186.21 | $186.21 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $41.69 Typical High $41.69 | Professional | 26 · Professional part | $41.69 | $41.69 | $41.69 |
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 $64.57 Median $109.65 Typical High $630.96 | Facility | 52 · Reduced service | $64.57 | $109.65 | $630.96 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $25.70 Median $43.65 Typical High $257.04 | Facility | 53 · Discontinued | $25.70 | $43.65 | $257.04 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $112.20 Median $162.18 Typical High $588.84 | Facility | FX · Film X-ray | $112.20 | $162.18 | $588.84 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $64.57 Median $79.43 Typical High $125.89 | Professional | 52 · Reduced service | $64.57 | $79.43 | $125.89 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $25.70 Median $31.62 Typical High $50.12 | Professional | 53 · Discontinued | $25.70 | $31.62 | $50.12 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $102.33 Median $131.83 Typical High $199.53 | Professional | FX · Film X-ray | $102.33 | $131.83 | $199.53 |
Moda Health Setting Facility Modifier 52 · Reduced service Typical Low $64.57 Median $100.00 Typical High $309.03 | Facility | 52 · Reduced service | $64.57 | $100.00 | $309.03 |
Moda Health Setting Facility Modifier 53 · Discontinued Typical Low $25.70 Median $40.74 Typical High $125.89 | Facility | 53 · Discontinued | $25.70 | $40.74 | $125.89 |
Moda Health Setting Facility Modifier FX · Film X-ray Typical Low $102.33 Median $162.18 Typical High $616.60 | Facility | FX · Film X-ray | $102.33 | $162.18 | $616.60 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $64.57 Median $79.43 Typical High $100.00 | Professional | 52 · Reduced service | $64.57 | $79.43 | $100.00 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $25.70 Median $31.62 Typical High $40.74 | Professional | 53 · Discontinued | $25.70 | $31.62 | $40.74 |
Where Texas sits
The same service costs 5.0 times more in Alaska 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
$155
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.