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 $123.03 Median $158.49 Typical High $1,445.44 | Facility | None | $123.03 | $158.49 | $1,445.44 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $125.89 Median $213.80 Typical High $1,230.27 | Facility | TC · Technical part | $125.89 | $213.80 | $1,230.27 |
Aetna Setting Professional Modifier None (both parts) Typical Low $123.03 Median $151.36 Typical High $186.21 | Professional | None (both parts) | $123.03 | $151.36 | $186.21 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $29.51 Typical High $35.48 | Professional | 26 · Professional part | $23.99 | $29.51 | $35.48 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $120.23 Typical High $199.53 | Professional | TC · Technical part | $97.72 | $120.23 | $199.53 |
BCBS Texas Setting Facility Modifier None Typical Low $229.09 Median $524.81 Typical High $1,584.89 | Facility | None | $229.09 | $524.81 | $1,584.89 |
BCBS Texas Setting Professional Modifier None (both parts) Typical Low $30.20 Median $75.86 Typical High $177.83 | Professional | None (both parts) | $30.20 | $75.86 | $177.83 |
Christus Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $34.67 Typical High $38.90 | Professional | 26 · Professional part | $34.67 | $34.67 | $38.90 |
Cigna Setting Facility Modifier None Typical Low $389.05 Median $812.83 Typical High $2,187.76 | Facility | None | $389.05 | $812.83 | $2,187.76 |
Cigna Setting Professional Modifier None (both parts) Typical Low $114.82 Median $165.96 Typical High $354.81 | Professional | None (both parts) | $114.82 | $165.96 | $354.81 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $33.11 Typical High $69.18 | Professional | 26 · Professional part | $23.44 | $33.11 | $69.18 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $128.82 Typical High $275.42 | Professional | TC · Technical part | $91.20 | $128.82 | $275.42 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $1,318.26 Median $1,318.26 Typical High $1,584.89 | Professional | None (both parts) | $1,318.26 | $1,318.26 | $1,584.89 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $457.09 Median $457.09 Typical High $457.09 | Professional | 26 · Professional part | $457.09 | $457.09 | $457.09 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $977.24 Median $977.24 Typical High $1,288.25 | Professional | TC · Technical part | $977.24 | $977.24 | $1,288.25 |
Moda Health Setting Facility Modifier None Typical Low $144.54 Median $204.17 Typical High $707.95 | Facility | None | $144.54 | $204.17 | $707.95 |
Moda Health Setting Facility Modifier TC · Technical part Typical Low $125.89 Median $194.98 Typical High $371.54 | Facility | TC · Technical part | $125.89 | $194.98 | $371.54 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $123.03 Median $151.36 Typical High $309.03 | Professional | None (both parts) | $123.03 | $151.36 | $309.03 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $30.90 Typical High $52.48 | Professional | 26 · Professional part | $23.99 | $30.90 | $52.48 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $120.23 Typical High $239.88 | Professional | TC · Technical part | $97.72 | $120.23 | $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 $186.21 Median $588.84 Typical High $2,344.23 | Facility | None | $186.21 | $588.84 | $2,344.23 |
Providence Setting Professional Modifier None (both parts) Typical Low $109.65 Median $162.18 Typical High $354.81 | Professional | None (both parts) | $109.65 | $162.18 | $354.81 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $33.11 Typical High $69.18 | Professional | 26 · Professional part | $21.88 | $33.11 | $69.18 |
Providence Setting Professional Modifier TC · Technical part Typical Low $87.10 Median $128.82 Typical High $275.42 | Professional | TC · Technical part | $87.10 | $128.82 | $275.42 |
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 $158.49 Median $204.17 Typical High $309.03 | Professional | None (both parts) | $158.49 | $204.17 | $309.03 |
United Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $39.81 Typical High $58.88 | Professional | 26 · Professional part | $31.62 | $39.81 | $58.88 |
United Setting Professional Modifier TC · Technical part Typical Low $128.82 Median $162.18 Typical High $239.88 | Professional | TC · Technical part | $128.82 | $162.18 | $239.88 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $181.97 Median $181.97 Typical High $181.97 | Professional | None (both parts) | $181.97 | $181.97 | $181.97 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $37.15 Typical High $37.15 | Professional | 26 · Professional part | $37.15 | $37.15 | $37.15 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $147.91 Median $147.91 Typical High $147.91 | Professional | TC · Technical part | $147.91 | $147.91 | $147.91 |
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 $63.10 Median $107.15 Typical High $616.60 | Facility | 52 · Reduced service | $63.10 | $107.15 | $616.60 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $25.12 Median $42.66 Typical High $245.47 | Facility | 53 · Discontinued | $25.12 | $42.66 | $245.47 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $109.65 Median $158.49 Typical High $575.44 | Facility | FX · Film X-ray | $109.65 | $158.49 | $575.44 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $61.66 Median $75.86 Typical High $120.23 | Professional | 52 · Reduced service | $61.66 | $75.86 | $120.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $24.55 Median $30.20 Typical High $47.86 | Professional | 53 · Discontinued | $24.55 | $30.20 | $47.86 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $97.72 Median $123.03 Typical High $194.98 | Professional | FX · Film X-ray | $97.72 | $123.03 | $194.98 |
Moda Health Setting Facility Modifier 52 · Reduced service Typical Low $63.10 Median $97.72 Typical High $186.21 | Facility | 52 · Reduced service | $63.10 | $97.72 | $186.21 |
Moda Health Setting Facility Modifier 53 · Discontinued Typical Low $25.12 Median $38.90 Typical High $74.13 | Facility | 53 · Discontinued | $25.12 | $38.90 | $74.13 |
Moda Health Setting Facility Modifier FX · Film X-ray Typical Low $100.00 Median $158.49 Typical High $602.56 | Facility | FX · Film X-ray | $100.00 | $158.49 | $602.56 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $61.66 Median $74.13 Typical High $95.50 | Professional | 52 · Reduced service | $61.66 | $74.13 | $95.50 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $24.55 Median $30.20 Typical High $38.90 | Professional | 53 · Discontinued | $24.55 | $30.20 | $38.90 |
Where Texas sits
The same service costs 4.7 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
$158
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.