How much rates vary
Facilitymedian $2,818 · 10th to 90th $1,230 to $6,457Professionalmedian $1,023 · 10th to 90th $72 to $2,455
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 $1,000.00 Median $4,677.35 Typical High $6,309.57 | Facility | None | $1,000.00 | $4,677.35 | $6,309.57 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $870.96 Median $1,778.28 Typical High $8,709.64 | Facility | TC · Technical part | $870.96 | $1,778.28 | $8,709.64 |
Aetna Setting Professional Modifier None (both parts) Typical Low $1,000.00 Median $1,047.13 Typical High $1,905.46 | Professional | None (both parts) | $1,000.00 | $1,047.13 | $1,905.46 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $100.00 Median $154.88 Typical High $251.19 | Professional | 26 · Professional part | $100.00 | $154.88 | $251.19 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $870.96 Median $891.25 Typical High $1,778.28 | Professional | TC · Technical part | $870.96 | $891.25 | $1,778.28 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $2,238.72 Median $2,238.72 Typical High $3,467.37 | Professional | None (both parts) | $2,238.72 | $2,238.72 | $3,467.37 |
BCBS Setting Facility Modifier None Typical Low $1,905.46 Median $4,265.80 Typical High $6,918.31 | Facility | None | $1,905.46 | $4,265.80 | $6,918.31 |
BCBS Setting Professional Modifier None (both parts) Typical Low $64.57 Median $1,230.27 Typical High $1,621.81 | Professional | None (both parts) | $64.57 | $1,230.27 | $1,621.81 |
Christus Setting Facility Modifier None Typical Low $1,230.27 Median $1,230.27 Typical High $1,230.27 | Facility | None | $1,230.27 | $1,230.27 | $1,230.27 |
Christus Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $79.43 Typical High $79.43 | Professional | 26 · Professional part | $79.43 | $79.43 | $79.43 |
Cigna Setting Facility Modifier None Typical Low $1,047.13 Median $1,513.56 Typical High $2,454.71 | Facility | None | $1,047.13 | $1,513.56 | $2,454.71 |
Cigna Setting Professional Modifier None (both parts) Typical Low $309.03 Median $489.78 Typical High $977.24 | Professional | None (both parts) | $309.03 | $489.78 | $977.24 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $79.43 Typical High $162.18 | Professional | 26 · Professional part | $52.48 | $79.43 | $162.18 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $263.03 Median $407.38 Typical High $794.33 | Professional | TC · Technical part | $263.03 | $407.38 | $794.33 |
Health Smart Setting Professional Modifier None (both parts) Typical Low $1,288.25 Median $1,288.25 Typical High $1,288.25 | Professional | None (both parts) | $1,288.25 | $1,288.25 | $1,288.25 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $8,912.51 Median $10,232.93 Typical High $10,232.93 | Professional | None (both parts) | $8,912.51 | $10,232.93 | $10,232.93 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $1,584.89 Median $2,754.23 Typical High $2,754.23 | Professional | 26 · Professional part | $1,584.89 | $2,754.23 | $2,754.23 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $4,897.79 Median $7,585.78 Typical High $7,585.78 | Professional | TC · Technical part | $4,897.79 | $7,585.78 | $7,585.78 |
Moda Health Setting Facility Modifier None Typical Low $549.54 Median $2,691.53 Typical High $6,309.57 | Facility | None | $549.54 | $2,691.53 | $6,309.57 |
Moda Health Setting Facility Modifier TC · Technical part Typical Low $891.25 Median $1,778.28 Typical High $4,897.79 | Facility | TC · Technical part | $891.25 | $1,778.28 | $4,897.79 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $1,000.00 Median $1,047.13 Typical High $1,905.46 | Professional | None (both parts) | $1,000.00 | $1,047.13 | $1,905.46 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $93.33 Median $154.88 Typical High $229.09 | Professional | 26 · Professional part | $93.33 | $154.88 | $229.09 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $870.96 Median $891.25 Typical High $1,659.59 | Professional | TC · Technical part | $870.96 | $891.25 | $1,659.59 |
Molina Setting Professional Modifier None (both parts) Typical Low $100.00 Median $109.65 Typical High $128.82 | Professional | None (both parts) | $100.00 | $109.65 | $128.82 |
Providence Setting Facility Modifier None Typical Low $416.87 Median $1,548.82 Typical High $3,235.94 | Facility | None | $416.87 | $1,548.82 | $3,235.94 |
Providence Setting Professional Modifier None (both parts) Typical Low $295.12 Median $489.78 Typical High $977.24 | Professional | None (both parts) | $295.12 | $489.78 | $977.24 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $77.62 Typical High $162.18 | Professional | 26 · Professional part | $47.86 | $77.62 | $162.18 |
Providence Setting Professional Modifier TC · Technical part Typical Low $251.19 Median $407.38 Typical High $794.33 | Professional | TC · Technical part | $251.19 | $407.38 | $794.33 |
United Setting Facility Modifier None Typical Low $2,187.76 Median $2,238.72 Typical High $2,951.21 | Facility | None | $2,187.76 | $2,238.72 | $2,951.21 |
United Setting Professional Modifier None (both parts) Typical Low $851.14 Median $1,071.52 Typical High $2,290.87 | Professional | None (both parts) | $851.14 | $1,071.52 | $2,290.87 |
United Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $81.28 Typical High $141.25 | Professional | 26 · Professional part | $61.66 | $81.28 | $141.25 |
United Setting Professional Modifier TC · Technical part Typical Low $758.58 Median $1,000.00 Typical High $2,187.76 | Professional | TC · Technical part | $758.58 | $1,000.00 | $2,187.76 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $1,479.11 Median $1,479.11 Typical High $1,479.11 | Professional | None (both parts) | $1,479.11 | $1,479.11 | $1,479.11 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $83.18 Typical High $83.18 | Professional | 26 · Professional part | $83.18 | $83.18 | $83.18 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $1,445.44 Median $1,445.44 Typical High $1,445.44 | Professional | TC · Technical part | $1,445.44 | $1,445.44 | $1,445.44 |
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 $501.19 Median $891.25 Typical High $4,265.80 | Facility | 52 · Reduced service | $501.19 | $891.25 | $4,265.80 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $199.53 Median $354.81 Typical High $1,737.80 | Facility | 53 · Discontinued | $199.53 | $354.81 | $1,737.80 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $794.33 Median $1,318.26 Typical High $5,248.07 | Facility | FX · Film X-ray | $794.33 | $1,318.26 | $5,248.07 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $501.19 Median $524.81 Typical High $954.99 | Professional | 52 · Reduced service | $501.19 | $524.81 | $954.99 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $199.53 Median $208.93 Typical High $380.19 | Professional | 53 · Discontinued | $199.53 | $208.93 | $380.19 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $794.33 Median $831.76 Typical High $1,513.56 | Professional | FX · Film X-ray | $794.33 | $831.76 | $1,513.56 |
Moda Health Setting Facility Modifier 52 · Reduced service Typical Low $501.19 Median $891.25 Typical High $2,454.71 | Facility | 52 · Reduced service | $501.19 | $891.25 | $2,454.71 |
Moda Health Setting Facility Modifier 53 · Discontinued Typical Low $199.53 Median $354.81 Typical High $1,000.00 | Facility | 53 · Discontinued | $199.53 | $354.81 | $1,000.00 |
Moda Health Setting Facility Modifier FX · Film X-ray Typical Low $831.76 Median $1,445.44 Typical High $5,495.41 | Facility | FX · Film X-ray | $831.76 | $1,445.44 | $5,495.41 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $501.19 Median $524.81 Typical High $912.01 | Professional | 52 · Reduced service | $501.19 | $524.81 | $912.01 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $199.53 Median $208.93 Typical High $363.08 | Professional | 53 · Discontinued | $199.53 | $208.93 | $363.08 |
Where Texas sits
The same service costs 15.1 times more in Nebraska than in Washington. 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· 39th of 51
$1,230
NE $3,090WA $204
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.