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 $141.25 Median $181.97 Typical High $1,445.44 | Facility | None | $141.25 | $181.97 | $1,445.44 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $144.54 Median $239.88 Typical High $1,412.54 | Facility | TC · Technical part | $144.54 | $239.88 | $1,412.54 |
Aetna Setting Professional Modifier None (both parts) Typical Low $141.25 Median $177.83 Typical High $281.84 | Professional | None (both parts) | $141.25 | $177.83 | $281.84 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $38.02 Typical High $60.26 | Professional | 26 · Professional part | $29.51 | $38.02 | $60.26 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $112.20 Median $141.25 Typical High $323.59 | Professional | TC · Technical part | $112.20 | $141.25 | $323.59 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $281.84 Median $281.84 Typical High $281.84 | Professional | None (both parts) | $281.84 | $281.84 | $281.84 |
BCBS Texas Setting Facility Modifier None Typical Low $257.04 Median $602.56 Typical High $1,445.44 | Facility | None | $257.04 | $602.56 | $1,445.44 |
BCBS Texas Setting Professional Modifier None (both parts) Typical Low $38.02 Median $169.82 Typical High $229.09 | Professional | None (both parts) | $38.02 | $169.82 | $229.09 |
Christus Setting Facility Modifier None Typical Low $234.42 Median $234.42 Typical High $234.42 | Facility | None | $234.42 | $234.42 | $234.42 |
Christus Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $47.86 Typical High $47.86 | Professional | 26 · Professional part | $47.86 | $47.86 | $47.86 |
Cigna Setting Facility Modifier None Typical Low $416.87 Median $912.01 Typical High $1,819.70 | Facility | None | $416.87 | $912.01 | $1,819.70 |
Cigna Setting Professional Modifier None (both parts) Typical Low $131.83 Median $190.55 Typical High $416.87 | Professional | None (both parts) | $131.83 | $190.55 | $416.87 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $40.74 Typical High $85.11 | Professional | 26 · Professional part | $28.84 | $40.74 | $85.11 |
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 $1,548.82 Median $1,548.82 Typical High $1,778.28 | Professional | None (both parts) | $1,548.82 | $1,548.82 | $1,778.28 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $524.81 Median $524.81 Typical High $524.81 | Professional | 26 · Professional part | $524.81 | $524.81 | $524.81 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $1,258.93 Median $1,258.93 Typical High $1,412.54 | Professional | TC · Technical part | $1,258.93 | $1,258.93 | $1,412.54 |
Moda Health Setting Facility Modifier None Typical Low $181.97 Median $1,023.29 Typical High $1,348.96 | Facility | None | $181.97 | $1,023.29 | $1,348.96 |
Moda Health Setting Facility Modifier TC · Technical part Typical Low $144.54 Median $251.19 Typical High $691.83 | Facility | TC · Technical part | $144.54 | $251.19 | $691.83 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $141.25 Median $181.97 Typical High $389.05 | Professional | None (both parts) | $141.25 | $181.97 | $389.05 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $38.02 Typical High $79.43 | Professional | 26 · Professional part | $29.51 | $38.02 | $79.43 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $112.20 Median $141.25 Typical High $316.23 | Professional | TC · Technical part | $112.20 | $141.25 | $316.23 |
Molina Setting Professional Modifier None (both parts) Typical Low $26.30 Median $138.04 Typical High $204.17 | Professional | None (both parts) | $26.30 | $138.04 | $204.17 |
Providence Setting Facility Modifier None Typical Low $229.09 Median $660.69 Typical High $1,819.70 | Facility | None | $229.09 | $660.69 | $1,819.70 |
Providence Setting Professional Modifier None (both parts) Typical Low $125.89 Median $190.55 Typical High $407.38 | Professional | None (both parts) | $125.89 | $190.55 | $407.38 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $40.74 Typical High $83.18 | Professional | 26 · Professional part | $26.30 | $40.74 | $83.18 |
Providence Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $147.91 Typical High $323.59 | Professional | TC · Technical part | $97.72 | $147.91 | $323.59 |
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 $186.21 Median $239.88 Typical High $354.81 | Professional | None (both parts) | $186.21 | $239.88 | $354.81 |
United Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $48.98 Typical High $72.44 | Professional | 26 · Professional part | $39.81 | $48.98 | $72.44 |
United Setting Professional Modifier TC · Technical part Typical Low $147.91 Median $190.55 Typical High $288.40 | Professional | TC · Technical part | $147.91 | $190.55 | $288.40 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $208.93 Median $208.93 Typical High $208.93 | Professional | None (both parts) | $208.93 | $208.93 | $208.93 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $44.67 Typical High $44.67 | Professional | 26 · Professional part | $44.67 | $44.67 | $44.67 |
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 $72.44 Median $120.23 Typical High $707.95 | Facility | 52 · Reduced service | $72.44 | $120.23 | $707.95 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $28.84 Median $48.98 Typical High $281.84 | Facility | 53 · Discontinued | $28.84 | $48.98 | $281.84 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $125.89 Median $177.83 Typical High $660.69 | Facility | FX · Film X-ray | $125.89 | $177.83 | $660.69 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $70.79 Median $87.10 Typical High $138.04 | Professional | 52 · Reduced service | $70.79 | $87.10 | $138.04 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $28.18 Median $35.48 Typical High $56.23 | Professional | 53 · Discontinued | $28.18 | $35.48 | $56.23 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $112.20 Median $144.54 Typical High $223.87 | Professional | FX · Film X-ray | $112.20 | $144.54 | $223.87 |
Moda Health Setting Facility Modifier 52 · Reduced service Typical Low $72.44 Median $112.20 Typical High $213.80 | Facility | 52 · Reduced service | $72.44 | $112.20 | $213.80 |
Moda Health Setting Facility Modifier 53 · Discontinued Typical Low $28.84 Median $44.67 Typical High $85.11 | Facility | 53 · Discontinued | $28.84 | $44.67 | $85.11 |
Moda Health Setting Facility Modifier FX · Film X-ray Typical Low $114.82 Median $177.83 Typical High $691.83 | Facility | FX · Film X-ray | $114.82 | $177.83 | $691.83 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $70.79 Median $87.10 Typical High $112.20 | Professional | 52 · Reduced service | $70.79 | $87.10 | $112.20 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $28.18 Median $34.67 Typical High $44.67 | Professional | 53 · Discontinued | $28.18 | $34.67 | $44.67 |
Where Texas sits
The same service costs 3.5 times more in Wisconsin 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
$191
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.