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 $151.36 Median $194.98 Typical High $1,445.44 | Facility | None | $151.36 | $194.98 | $1,445.44 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $138.04 Median $229.09 Typical High $1,348.96 | Facility | TC · Technical part | $138.04 | $229.09 | $1,348.96 |
Aetna Setting Professional Modifier None (both parts) Typical Low $151.36 Median $186.21 Typical High $223.87 | Professional | None (both parts) | $151.36 | $186.21 | $223.87 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $54.95 Typical High $64.57 | Professional | 26 · Professional part | $44.67 | $54.95 | $64.57 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $107.15 Median $131.83 Typical High $213.80 | Professional | TC · Technical part | $107.15 | $131.83 | $213.80 |
BCBS Texas Setting Facility Modifier None Typical Low $239.88 Median $575.44 Typical High $1,348.96 | Facility | None | $239.88 | $575.44 | $1,348.96 |
BCBS Texas Setting Professional Modifier None (both parts) Typical Low $56.23 Median $144.54 Typical High $229.09 | Professional | None (both parts) | $56.23 | $144.54 | $229.09 |
Christus Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $63.10 Typical High $72.44 | Professional | 26 · Professional part | $63.10 | $63.10 | $72.44 |
Cigna Setting Facility Modifier None Typical Low $436.52 Median $977.24 Typical High $2,344.23 | Facility | None | $436.52 | $977.24 | $2,344.23 |
Cigna Setting Professional Modifier None (both parts) Typical Low $138.04 Median $204.17 Typical High $457.09 | Professional | None (both parts) | $138.04 | $204.17 | $457.09 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $61.66 Typical High $128.82 | Professional | 26 · Professional part | $42.66 | $61.66 | $128.82 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $141.25 Typical High $331.13 | Professional | TC · Technical part | $95.50 | $141.25 | $331.13 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $2,691.53 Median $3,311.31 Typical High $3,311.31 | Professional | None (both parts) | $2,691.53 | $3,311.31 | $3,311.31 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $1,148.15 Median $1,148.15 Typical High $1,148.15 | Professional | 26 · Professional part | $1,148.15 | $1,148.15 | $1,148.15 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $1,862.09 Median $2,290.87 Typical High $2,290.87 | Professional | TC · Technical part | $1,862.09 | $2,290.87 | $2,290.87 |
Moda Health Setting Facility Modifier None Typical Low $177.83 Median $251.19 Typical High $1,023.29 | Facility | None | $177.83 | $251.19 | $1,023.29 |
Moda Health Setting Facility Modifier TC · Technical part Typical Low $138.04 Median $213.80 Typical High $407.38 | Facility | TC · Technical part | $138.04 | $213.80 | $407.38 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $151.36 Median $186.21 Typical High $380.19 | Professional | None (both parts) | $151.36 | $186.21 | $380.19 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $56.23 Typical High $95.50 | Professional | 26 · Professional part | $44.67 | $56.23 | $95.50 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $107.15 Median $131.83 Typical High $251.19 | Professional | TC · Technical part | $107.15 | $131.83 | $251.19 |
Molina Setting Professional Modifier None (both parts) Typical Low $12.30 Median $67.61 Typical High $199.53 | Professional | None (both parts) | $12.30 | $67.61 | $199.53 |
Providence Setting Facility Modifier None Typical Low $239.88 Median $630.96 Typical High $2,344.23 | Facility | None | $239.88 | $630.96 | $2,344.23 |
Providence Setting Professional Modifier None (both parts) Typical Low $131.83 Median $204.17 Typical High $457.09 | Professional | None (both parts) | $131.83 | $204.17 | $457.09 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $60.26 Typical High $125.89 | Professional | 26 · Professional part | $39.81 | $60.26 | $125.89 |
Providence Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $138.04 Typical High $323.59 | Professional | TC · Technical part | $91.20 | $138.04 | $323.59 |
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 $199.53 Median $275.42 Typical High $436.52 | Professional | None (both parts) | $199.53 | $275.42 | $436.52 |
United Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $72.44 Typical High $109.65 | Professional | 26 · Professional part | $58.88 | $72.44 | $109.65 |
United Setting Professional Modifier TC · Technical part Typical Low $141.25 Median $204.17 Typical High $302.00 | Professional | TC · Technical part | $141.25 | $204.17 | $302.00 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $218.78 Median $218.78 Typical High $218.78 | Professional | None (both parts) | $218.78 | $218.78 | $218.78 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $67.61 Typical High $67.61 | Professional | 26 · Professional part | $67.61 | $67.61 | $67.61 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $151.36 Median $151.36 Typical High $151.36 | Professional | TC · Technical part | $151.36 | $151.36 | $151.36 |
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 $75.86 Median $114.82 Typical High $676.08 | Facility | 52 · Reduced service | $75.86 | $114.82 | $676.08 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $30.20 Median $45.71 Typical High $269.15 | Facility | 53 · Discontinued | $30.20 | $45.71 | $269.15 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $120.23 Median $169.82 Typical High $630.96 | Facility | FX · Film X-ray | $120.23 | $169.82 | $630.96 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $75.86 Median $93.33 Typical High $147.91 | Professional | 52 · Reduced service | $75.86 | $93.33 | $147.91 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $30.20 Median $38.02 Typical High $58.88 | Professional | 53 · Discontinued | $30.20 | $38.02 | $58.88 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $120.23 Median $154.88 Typical High $234.42 | Professional | FX · Film X-ray | $120.23 | $154.88 | $234.42 |
Moda Health Setting Facility Modifier 52 · Reduced service Typical Low $74.13 Median $107.15 Typical High $204.17 | Facility | 52 · Reduced service | $74.13 | $107.15 | $204.17 |
Moda Health Setting Facility Modifier 53 · Discontinued Typical Low $30.20 Median $42.66 Typical High $81.28 | Facility | 53 · Discontinued | $30.20 | $42.66 | $81.28 |
Moda Health Setting Facility Modifier FX · Film X-ray Typical Low $109.65 Median $169.82 Typical High $660.69 | Facility | FX · Film X-ray | $109.65 | $169.82 | $660.69 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $75.86 Median $93.33 Typical High $107.15 | Professional | 52 · Reduced service | $75.86 | $93.33 | $107.15 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $30.20 Median $37.15 Typical High $43.65 | Professional | 53 · Discontinued | $30.20 | $37.15 | $43.65 |
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
$178
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.