How much rates vary
Facilitymedian $575 · 10th to 90th $141 to $2,188Professionalmedian $138 · 10th to 90th $20 to $490
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 $109.65 Median $138.04 Typical High $138.04 | Facility | None | $109.65 | $138.04 | $138.04 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $128.82 Median $213.80 Typical High $1,258.93 | Facility | TC · Technical part | $128.82 | $213.80 | $1,258.93 |
Aetna Setting Professional Modifier None (both parts) Typical Low $109.65 Median $134.90 Typical High $186.21 | Professional | None (both parts) | $109.65 | $134.90 | $186.21 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $8.91 Median $11.48 Typical High $15.49 | Professional | 26 · Professional part | $8.91 | $11.48 | $15.49 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $123.03 Typical High $199.53 | Professional | TC · Technical part | $100.00 | $123.03 | $199.53 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $10.72 Median $10.72 Typical High $10.72 | Professional | 26 · Professional part | $10.72 | $10.72 | $10.72 |
BCBS Texas Setting Professional Modifier None (both parts) Typical Low $13.49 Median $50.12 Typical High $169.82 | Professional | None (both parts) | $13.49 | $50.12 | $169.82 |
Christus Setting Professional Modifier 26 · Professional part Typical Low $12.88 Median $12.88 Typical High $14.79 | Professional | 26 · Professional part | $12.88 | $12.88 | $14.79 |
Cigna Setting Facility Modifier None Typical Low $354.81 Median $602.56 Typical High $2,187.76 | Facility | None | $354.81 | $602.56 | $2,187.76 |
Cigna Setting Professional Modifier None (both parts) Typical Low $100.00 Median $144.54 Typical High $295.12 | Professional | None (both parts) | $100.00 | $144.54 | $295.12 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $8.71 Median $12.59 Typical High $25.70 | Professional | 26 · Professional part | $8.71 | $12.59 | $25.70 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $131.83 Typical High $269.15 | Professional | TC · Technical part | $83.18 | $131.83 | $269.15 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $1,071.52 Median $1,071.52 Typical High $1,348.96 | Professional | None (both parts) | $1,071.52 | $1,071.52 | $1,348.96 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $141.25 Median $141.25 Typical High $141.25 | Professional | 26 · Professional part | $141.25 | $141.25 | $141.25 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $977.24 Median $977.24 Typical High $1,258.93 | Professional | TC · Technical part | $977.24 | $977.24 | $1,258.93 |
Moda Health Setting Facility Modifier None Typical Low $109.65 Median $147.91 Typical High $208.93 | Facility | None | $109.65 | $147.91 | $208.93 |
Moda Health Setting Facility Modifier TC · Technical part Typical Low $128.82 Median $199.53 Typical High $616.60 | Facility | TC · Technical part | $128.82 | $199.53 | $616.60 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $109.65 Median $134.90 Typical High $245.47 | Professional | None (both parts) | $109.65 | $134.90 | $245.47 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $8.91 Median $11.48 Typical High $19.50 | Professional | 26 · Professional part | $8.91 | $11.48 | $19.50 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $123.03 Typical High $223.87 | Professional | TC · Technical part | $100.00 | $123.03 | $223.87 |
Molina Setting Professional Modifier None (both parts) Typical Low $19.95 Median $109.65 Typical High $147.91 | Professional | None (both parts) | $19.95 | $109.65 | $147.91 |
Providence Setting Facility Modifier None Typical Low $154.88 Median $588.84 Typical High $2,344.23 | Facility | None | $154.88 | $588.84 | $2,344.23 |
Providence Setting Professional Modifier None (both parts) Typical Low $97.72 Median $144.54 Typical High $295.12 | Professional | None (both parts) | $97.72 | $144.54 | $295.12 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $7.94 Median $12.30 Typical High $25.70 | Professional | 26 · Professional part | $7.94 | $12.30 | $25.70 |
Providence Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $131.83 Typical High $269.15 | Professional | TC · Technical part | $83.18 | $131.83 | $269.15 |
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 $144.54 Median $177.83 Typical High $269.15 | Professional | None (both parts) | $144.54 | $177.83 | $269.15 |
United Setting Professional Modifier 26 · Professional part Typical Low $12.02 Median $15.14 Typical High $22.91 | Professional | 26 · Professional part | $12.02 | $15.14 | $22.91 |
United Setting Professional Modifier TC · Technical part Typical Low $131.83 Median $165.96 Typical High $245.47 | Professional | TC · Technical part | $131.83 | $165.96 | $245.47 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $154.88 Median $154.88 Typical High $154.88 | Professional | None (both parts) | $154.88 | $154.88 | $154.88 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $13.80 Median $13.80 Typical High $13.80 | Professional | 26 · Professional part | $13.80 | $13.80 | $13.80 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $144.54 Median $144.54 Typical High $144.54 | Professional | TC · Technical part | $144.54 | $144.54 | $144.54 |
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 $64.57 Median $107.15 Typical High $630.96 | Facility | 52 · Reduced service | $64.57 | $107.15 | $630.96 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $25.70 Median $42.66 Typical High $251.19 | Facility | 53 · Discontinued | $25.70 | $42.66 | $251.19 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $102.33 Median $158.49 Typical High $588.84 | Facility | FX · Film X-ray | $102.33 | $158.49 | $588.84 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $54.95 Median $67.61 Typical High $107.15 | Professional | 52 · Reduced service | $54.95 | $67.61 | $107.15 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $21.88 Median $26.92 Typical High $42.66 | Professional | 53 · Discontinued | $21.88 | $26.92 | $42.66 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $87.10 Median $109.65 Typical High $173.78 | Professional | FX · Film X-ray | $87.10 | $109.65 | $173.78 |
Moda Health Setting Facility Modifier 52 · Reduced service Typical Low $64.57 Median $100.00 Typical High $309.03 | Facility | 52 · Reduced service | $64.57 | $100.00 | $309.03 |
Moda Health Setting Facility Modifier 53 · Discontinued Typical Low $25.70 Median $39.81 Typical High $123.03 | Facility | 53 · Discontinued | $25.70 | $39.81 | $123.03 |
Moda Health Setting Facility Modifier FX · Film X-ray Typical Low $102.33 Median $158.49 Typical High $616.60 | Facility | FX · Film X-ray | $102.33 | $158.49 | $616.60 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $54.95 Median $66.07 Typical High $85.11 | Professional | 52 · Reduced service | $54.95 | $66.07 | $85.11 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $21.88 Median $26.30 Typical High $33.88 | Professional | 53 · Discontinued | $21.88 | $26.30 | $33.88 |
Where Texas sits
The same service costs 4.3 times more in Alabama than in Indiana. 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· 49th of 51
$138
AL $562IN $132
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.