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 $24.55 Median $35.48 Typical High $933.25 | Facility | None | $24.55 | $35.48 | $933.25 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $15.85 Median $26.30 Typical High $154.88 | Facility | TC · Technical part | $15.85 | $26.30 | $154.88 |
Aetna Setting Professional Modifier None (both parts) Typical Low $27.54 Median $34.67 Typical High $51.29 | Professional | None (both parts) | $27.54 | $34.67 | $51.29 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $15.14 Median $19.05 Typical High $23.99 | Professional | 26 · Professional part | $15.14 | $19.05 | $23.99 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $12.30 Median $15.14 Typical High $24.55 | Professional | TC · Technical part | $12.30 | $15.14 | $24.55 |
BCBS Texas Setting Facility Modifier None Typical Low $28.18 Median $66.07 Typical High $173.78 | Facility | None | $28.18 | $66.07 | $173.78 |
BCBS Texas Setting Professional Modifier None (both parts) Typical Low $18.62 Median $34.67 Typical High $54.95 | Professional | None (both parts) | $18.62 | $34.67 | $54.95 |
Christus Setting Professional Modifier 26 · Professional part Typical Low $21.38 Median $21.38 Typical High $24.55 | Professional | 26 · Professional part | $21.38 | $21.38 | $24.55 |
Cigna Setting Facility Modifier None Typical Low $141.25 Median $331.13 Typical High $426.58 | Facility | None | $141.25 | $331.13 | $426.58 |
Cigna Setting Professional Modifier None (both parts) Typical Low $26.30 Median $38.02 Typical High $104.71 | Professional | None (both parts) | $26.30 | $38.02 | $104.71 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $14.13 Median $20.89 Typical High $42.66 | Professional | 26 · Professional part | $14.13 | $20.89 | $42.66 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $12.02 Median $16.60 Typical High $64.57 | Professional | TC · Technical part | $12.02 | $16.60 | $64.57 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $1,737.80 Median $1,737.80 Typical High $1,737.80 | Professional | None (both parts) | $1,737.80 | $1,737.80 | $1,737.80 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $218.78 Median $218.78 Typical High $218.78 | Professional | 26 · Professional part | $218.78 | $218.78 | $218.78 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $1,621.81 Median $1,621.81 Typical High $1,621.81 | Professional | TC · Technical part | $1,621.81 | $1,621.81 | $1,621.81 |
Moda Health Setting Facility Modifier None Typical Low $24.55 Median $40.74 Typical High $489.78 | Facility | None | $24.55 | $40.74 | $489.78 |
Moda Health Setting Facility Modifier TC · Technical part Typical Low $15.85 Median $24.55 Typical High $75.86 | Facility | TC · Technical part | $15.85 | $24.55 | $75.86 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $27.54 Median $34.67 Typical High $79.43 | Professional | None (both parts) | $27.54 | $34.67 | $79.43 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $15.14 Median $19.50 Typical High $35.48 | Professional | 26 · Professional part | $15.14 | $19.50 | $35.48 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $12.30 Median $15.14 Typical High $31.62 | Professional | TC · Technical part | $12.30 | $15.14 | $31.62 |
Molina Setting Professional Modifier None (both parts) Typical Low $5.01 Median $27.54 Typical High $37.15 | Professional | None (both parts) | $5.01 | $27.54 | $37.15 |
Providence Setting Facility Modifier None Typical Low $35.48 Median $50.12 Typical High $446.68 | Facility | None | $35.48 | $50.12 | $446.68 |
Providence Setting Professional Modifier None (both parts) Typical Low $24.55 Median $37.15 Typical High $104.71 | Professional | None (both parts) | $24.55 | $37.15 | $104.71 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $13.18 Median $20.42 Typical High $42.66 | Professional | 26 · Professional part | $13.18 | $20.42 | $42.66 |
Providence Setting Professional Modifier TC · Technical part Typical Low $11.48 Median $16.60 Typical High $63.10 | Professional | TC · Technical part | $11.48 | $16.60 | $63.10 |
United Setting Professional Modifier None (both parts) Typical Low $35.48 Median $56.23 Typical High $154.88 | Professional | None (both parts) | $35.48 | $56.23 | $154.88 |
United Setting Professional Modifier 26 · Professional part Typical Low $19.95 Median $24.55 Typical High $37.15 | Professional | 26 · Professional part | $19.95 | $24.55 | $37.15 |
United Setting Professional Modifier TC · Technical part Typical Low $15.49 Median $25.12 Typical High $134.90 | Professional | TC · Technical part | $15.49 | $25.12 | $134.90 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $42.66 Median $42.66 Typical High $42.66 | Professional | None (both parts) | $42.66 | $42.66 | $42.66 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $22.91 Typical High $22.91 | Professional | 26 · Professional part | $22.91 | $22.91 | $22.91 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $19.50 Median $19.50 Typical High $19.50 | Professional | TC · Technical part | $19.50 | $19.50 | $19.50 |
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 $8.91 Median $17.78 Typical High $77.62 | Facility | 52 · Reduced service | $8.91 | $17.78 | $77.62 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $3.55 Median $7.08 Typical High $30.90 | Facility | 53 · Discontinued | $3.55 | $7.08 | $30.90 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $13.80 Median $22.39 Typical High $75.86 | Facility | FX · Film X-ray | $13.80 | $22.39 | $75.86 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $13.80 Median $16.98 Typical High $25.12 | Professional | 52 · Reduced service | $13.80 | $16.98 | $25.12 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.50 Median $6.76 Typical High $10.00 | Professional | 53 · Discontinued | $5.50 | $6.76 | $10.00 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $21.88 Median $28.18 Typical High $39.81 | Professional | FX · Film X-ray | $21.88 | $28.18 | $39.81 |
Moda Health Setting Facility Modifier 52 · Reduced service Typical Low $8.51 Median $14.13 Typical High $38.02 | Facility | 52 · Reduced service | $8.51 | $14.13 | $38.02 |
Moda Health Setting Facility Modifier 53 · Discontinued Typical Low $3.39 Median $5.62 Typical High $15.14 | Facility | 53 · Discontinued | $3.39 | $5.62 | $15.14 |
Moda Health Setting Facility Modifier FX · Film X-ray Typical Low $12.59 Median $19.50 Typical High $75.86 | Facility | FX · Film X-ray | $12.59 | $19.50 | $75.86 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $13.80 Median $16.98 Typical High $19.95 | Professional | 52 · Reduced service | $13.80 | $16.98 | $19.95 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $5.50 Median $6.76 Typical High $7.94 | Professional | 53 · Discontinued | $5.50 | $6.76 | $7.94 |
Where Texas sits
The same service costs 7.2 times more in Alabama than in Florida. 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· 50th of 51
$37.15
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.