How much rates vary
Facilitymedian $3,467 · 10th to 90th $1,288 to $7,413Professionalmedian $1,047 · 10th to 90th $60 to $5,495
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 $1,949.84 | Professional | None (both parts) | $1,000.00 | $1,047.13 | $1,949.84 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $89.13 Median $154.88 Typical High $251.19 | Professional | 26 · Professional part | $89.13 | $154.88 | $251.19 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $870.96 Median $891.25 Typical High $1,819.70 | Professional | TC · Technical part | $870.96 | $891.25 | $1,819.70 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $52.48 Typical High $52.48 | Professional | 26 · Professional part | $52.48 | $52.48 | $52.48 |
BCBS Texas Setting Facility Modifier None Typical Low $2,137.96 Median $5,370.32 Typical High $9,549.93 | Facility | None | $2,137.96 | $5,370.32 | $9,549.93 |
BCBS Texas Setting Professional Modifier None (both parts) Typical Low $57.54 Median $1,288.25 Typical High $1,819.70 | Professional | None (both parts) | $57.54 | $1,288.25 | $1,819.70 |
Christus Setting Facility Modifier None Typical Low $1,288.25 Median $1,288.25 Typical High $1,288.25 | Facility | None | $1,288.25 | $1,288.25 | $1,288.25 |
Christus Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $34.67 Typical High $34.67 | Professional | 26 · Professional part | $34.67 | $34.67 | $34.67 |
Cigna Setting Facility Modifier None Typical Low $1,202.26 Median $1,698.24 Typical High $2,818.38 | Facility | None | $1,202.26 | $1,698.24 | $2,818.38 |
Cigna Setting Professional Modifier None (both parts) Typical Low $338.84 Median $524.81 Typical High $1,047.13 | Professional | None (both parts) | $338.84 | $524.81 | $1,047.13 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $64.57 Typical High $125.89 | Professional | 26 · Professional part | $43.65 | $64.57 | $125.89 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $302.00 Median $467.74 Typical High $891.25 | Professional | TC · Technical part | $302.00 | $467.74 | $891.25 |
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 $5,495.41 Median $9,549.93 Typical High $9,549.93 | Professional | None (both parts) | $5,495.41 | $9,549.93 | $9,549.93 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $2,137.96 Median $3,235.94 Typical High $3,235.94 | Professional | 26 · Professional part | $2,137.96 | $3,235.94 | $3,235.94 |
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 $891.25 Median $4,570.88 Typical High $7,585.78 | Facility | None | $891.25 | $4,570.88 | $7,585.78 |
Moda Health Setting Facility Modifier TC · Technical part Typical Low $870.96 Median $1,778.28 Typical High $4,897.79 | Facility | TC · Technical part | $870.96 | $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 $109.65 Median $154.88 Typical High $251.19 | Professional | 26 · Professional part | $109.65 | $154.88 | $251.19 |
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 $33.88 Median $38.90 Typical High $1,202.26 | Professional | None (both parts) | $33.88 | $38.90 | $1,202.26 |
Providence Setting Facility Modifier None Typical Low $512.86 Median $1,778.28 Typical High $3,548.13 | Facility | None | $512.86 | $1,778.28 | $3,548.13 |
Providence Setting Professional Modifier None (both parts) Typical Low $323.59 Median $524.81 Typical High $1,047.13 | Professional | None (both parts) | $323.59 | $524.81 | $1,047.13 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $64.57 Typical High $125.89 | Professional | 26 · Professional part | $39.81 | $64.57 | $125.89 |
Providence Setting Professional Modifier TC · Technical part Typical Low $288.40 Median $457.09 Typical High $891.25 | Professional | TC · Technical part | $288.40 | $457.09 | $891.25 |
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 $912.01 Median $1,148.15 Typical High $2,290.87 | Professional | None (both parts) | $912.01 | $1,148.15 | $2,290.87 |
United Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $61.66 Typical High $117.49 | Professional | 26 · Professional part | $51.29 | $61.66 | $117.49 |
United Setting Professional Modifier TC · Technical part Typical Low $831.76 Median $1,096.48 Typical High $2,187.76 | Professional | TC · Technical part | $831.76 | $1,096.48 | $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 $66.07 Median $66.07 Typical High $66.07 | Professional | 26 · Professional part | $66.07 | $66.07 | $66.07 |
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 3.6 times more in Nebraska than in Montana. 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· 36th of 51
$1,380
NE $3,162MT $871
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.