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 $138.04 Median $177.83 Typical High $1,445.44 | Facility | None | $138.04 | $177.83 | $1,445.44 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $141.25 Median $239.88 Typical High $1,380.38 | Facility | TC · Technical part | $141.25 | $239.88 | $1,380.38 |
Aetna Setting Professional Modifier None (both parts) Typical Low $138.04 Median $169.82 Typical High $208.93 | Professional | None (both parts) | $138.04 | $169.82 | $208.93 |
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 $109.65 Median $134.90 Typical High $218.78 | Professional | TC · Technical part | $109.65 | $134.90 | $218.78 |
BCBS Texas Setting Facility Modifier None Typical Low $257.04 Median $588.84 Typical High $977.24 | Facility | None | $257.04 | $588.84 | $977.24 |
BCBS Texas Setting Professional Modifier None (both parts) Typical Low $36.31 Median $165.96 Typical High $229.09 | Professional | None (both parts) | $36.31 | $165.96 | $229.09 |
Christus Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $40.74 Typical High $45.71 | Professional | 26 · Professional part | $40.74 | $40.74 | $45.71 |
Cigna Setting Facility Modifier None Typical Low $436.52 Median $933.25 Typical High $2,187.76 | Facility | None | $436.52 | $933.25 | $2,187.76 |
Cigna Setting Professional Modifier None (both parts) Typical Low $128.82 Median $186.21 Typical High $407.38 | Professional | None (both parts) | $128.82 | $186.21 | $407.38 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $38.02 Typical High $79.43 | Professional | 26 · Professional part | $26.92 | $38.02 | $79.43 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $102.33 Median $147.91 Typical High $323.59 | Professional | TC · Technical part | $102.33 | $147.91 | $323.59 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $1,445.44 Median $1,445.44 Typical High $1,778.28 | Professional | None (both parts) | $1,445.44 | $1,445.44 | $1,778.28 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $354.81 Median $354.81 Typical High $354.81 | Professional | 26 · Professional part | $354.81 | $354.81 | $354.81 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $1,202.26 Median $1,202.26 Typical High $1,412.54 | Professional | TC · Technical part | $1,202.26 | $1,202.26 | $1,412.54 |
Moda Health Setting Facility Modifier None Typical Low $162.18 Median $229.09 Typical High $831.76 | Facility | None | $162.18 | $229.09 | $831.76 |
Moda Health Setting Facility Modifier TC · Technical part Typical Low $141.25 Median $218.78 Typical High $416.87 | Facility | TC · Technical part | $141.25 | $218.78 | $416.87 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $138.04 Median $173.78 Typical High $354.81 | Professional | None (both parts) | $138.04 | $173.78 | $354.81 |
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 $109.65 Median $134.90 Typical High $245.47 | Professional | TC · Technical part | $109.65 | $134.90 | $245.47 |
Molina Setting Professional Modifier None (both parts) Typical Low $26.30 Median $134.90 Typical High $204.17 | Professional | None (both parts) | $26.30 | $134.90 | $204.17 |
Providence Setting Facility Modifier None Typical Low $223.87 Median $660.69 Typical High $2,344.23 | Facility | None | $223.87 | $660.69 | $2,344.23 |
Providence Setting Professional Modifier None (both parts) Typical Low $123.03 Median $186.21 Typical High $407.38 | Professional | None (both parts) | $123.03 | $186.21 | $407.38 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $38.02 Typical High $79.43 | Professional | 26 · Professional part | $25.12 | $38.02 | $79.43 |
Providence Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $147.91 Typical High $309.03 | Professional | TC · Technical part | $97.72 | $147.91 | $309.03 |
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 $186.21 Median $234.42 Typical High $354.81 | Professional | None (both parts) | $186.21 | $234.42 | $354.81 |
United Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $45.71 Typical High $69.18 | Professional | 26 · Professional part | $37.15 | $45.71 | $69.18 |
United Setting Professional Modifier TC · Technical part Typical Low $147.91 Median $186.21 Typical High $288.40 | Professional | TC · Technical part | $147.91 | $186.21 | $288.40 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $204.17 Median $204.17 Typical High $204.17 | Professional | None (both parts) | $204.17 | $204.17 | $204.17 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $42.66 Typical High $42.66 | Professional | 26 · Professional part | $42.66 | $42.66 | $42.66 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $162.18 Median $162.18 Typical High $162.18 | Professional | TC · Technical part | $162.18 | $162.18 | $162.18 |
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 $70.79 Median $117.49 Typical High $691.83 | Facility | 52 · Reduced service | $70.79 | $117.49 | $691.83 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $28.18 Median $47.86 Typical High $275.42 | Facility | 53 · Discontinued | $28.18 | $47.86 | $275.42 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $123.03 Median $177.83 Typical High $645.65 | Facility | FX · Film X-ray | $123.03 | $177.83 | $645.65 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $69.18 Median $85.11 Typical High $134.90 | Professional | 52 · Reduced service | $69.18 | $85.11 | $134.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $27.54 Median $33.88 Typical High $53.70 | Professional | 53 · Discontinued | $27.54 | $33.88 | $53.70 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $109.65 Median $141.25 Typical High $213.80 | Professional | FX · Film X-ray | $109.65 | $141.25 | $213.80 |
Moda Health Setting Facility Modifier 52 · Reduced service Typical Low $70.79 Median $109.65 Typical High $208.93 | Facility | 52 · Reduced service | $70.79 | $109.65 | $208.93 |
Moda Health Setting Facility Modifier 53 · Discontinued Typical Low $28.18 Median $43.65 Typical High $83.18 | Facility | 53 · Discontinued | $28.18 | $43.65 | $83.18 |
Moda Health Setting Facility Modifier FX · Film X-ray Typical Low $112.20 Median $177.83 Typical High $676.08 | Facility | FX · Film X-ray | $112.20 | $177.83 | $676.08 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $69.18 Median $85.11 Typical High $109.65 | Professional | 52 · Reduced service | $69.18 | $85.11 | $109.65 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $27.54 Median $33.88 Typical High $43.65 | Professional | 53 · Discontinued | $27.54 | $33.88 | $43.65 |
Where Texas sits
The same service costs 4.6 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
$182
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.