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 $208.93 Median $269.15 Typical High $269.15 | Facility | None | $208.93 | $269.15 | $269.15 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $245.47 Median $407.38 Typical High $2,398.83 | Facility | TC · Technical part | $245.47 | $407.38 | $2,398.83 |
Aetna Setting Professional Modifier None (both parts) Typical Low $208.93 Median $251.19 Typical High $309.03 | Professional | None (both parts) | $208.93 | $251.19 | $309.03 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $18.62 Median $22.91 Typical High $28.18 | Professional | 26 · Professional part | $18.62 | $22.91 | $28.18 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $190.55 Median $234.42 Typical High $389.05 | Professional | TC · Technical part | $190.55 | $234.42 | $389.05 |
BCBS Texas Setting Professional Modifier None (both parts) Typical Low $38.02 Median $52.48 Typical High $323.59 | Professional | None (both parts) | $38.02 | $52.48 | $323.59 |
Christus Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $26.92 Typical High $30.90 | Professional | 26 · Professional part | $26.92 | $26.92 | $30.90 |
Cigna Setting Facility Modifier None Typical Low $575.44 Median $1,174.90 Typical High $2,187.76 | Facility | None | $575.44 | $1,174.90 | $2,187.76 |
Cigna Setting Professional Modifier None (both parts) Typical Low $177.83 Median $275.42 Typical High $562.34 | Professional | None (both parts) | $177.83 | $275.42 | $562.34 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $18.20 Median $25.70 Typical High $52.48 | Professional | 26 · Professional part | $18.20 | $25.70 | $52.48 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $154.88 Median $245.47 Typical High $512.86 | Professional | TC · Technical part | $154.88 | $245.47 | $512.86 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $2,041.74 Median $2,041.74 Typical High $2,570.40 | Professional | None (both parts) | $2,041.74 | $2,041.74 | $2,570.40 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $263.03 Median $263.03 Typical High $263.03 | Professional | 26 · Professional part | $263.03 | $263.03 | $263.03 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $1,862.09 Median $1,862.09 Typical High $2,344.23 | Professional | TC · Technical part | $1,862.09 | $1,862.09 | $2,344.23 |
Moda Health Setting Facility Modifier None Typical Low $208.93 Median $281.84 Typical High $398.11 | Facility | None | $208.93 | $281.84 | $398.11 |
Moda Health Setting Facility Modifier TC · Technical part Typical Low $245.47 Median $380.19 Typical High $1,174.90 | Facility | TC · Technical part | $245.47 | $380.19 | $1,174.90 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $208.93 Median $257.04 Typical High $489.78 | Professional | None (both parts) | $208.93 | $257.04 | $489.78 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $18.62 Median $23.99 Typical High $39.81 | Professional | 26 · Professional part | $18.62 | $23.99 | $39.81 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $190.55 Median $234.42 Typical High $436.52 | Professional | TC · Technical part | $190.55 | $234.42 | $436.52 |
Molina Setting Professional Modifier None (both parts) Typical Low $37.15 Median $218.78 Typical High $316.23 | Professional | None (both parts) | $37.15 | $218.78 | $316.23 |
Providence Setting Facility Modifier None Typical Low $281.84 Median $1,122.02 Typical High $2,344.23 | Facility | None | $281.84 | $1,122.02 | $2,344.23 |
Providence Setting Professional Modifier None (both parts) Typical Low $169.82 Median $275.42 Typical High $562.34 | Professional | None (both parts) | $169.82 | $275.42 | $562.34 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $16.98 Median $25.12 Typical High $51.29 | Professional | 26 · Professional part | $16.98 | $25.12 | $51.29 |
Providence Setting Professional Modifier TC · Technical part Typical Low $154.88 Median $245.47 Typical High $512.86 | Professional | TC · Technical part | $154.88 | $245.47 | $512.86 |
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 $208.93 Median $338.84 Typical High $512.86 | Professional | None (both parts) | $208.93 | $338.84 | $512.86 |
United Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $30.90 Typical High $46.77 | Professional | 26 · Professional part | $25.12 | $30.90 | $46.77 |
United Setting Professional Modifier TC · Technical part Typical Low $181.97 Median $309.03 Typical High $467.74 | Professional | TC · Technical part | $181.97 | $309.03 | $467.74 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $295.12 Median $295.12 Typical High $295.12 | Professional | None (both parts) | $295.12 | $295.12 | $295.12 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $28.18 Typical High $28.18 | Professional | 26 · Professional part | $28.18 | $28.18 | $28.18 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $269.15 Median $269.15 Typical High $269.15 | Professional | TC · Technical part | $269.15 | $269.15 | $269.15 |
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 $123.03 Median $204.17 Typical High $1,202.26 | Facility | 52 · Reduced service | $123.03 | $204.17 | $1,202.26 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $48.98 Median $83.18 Typical High $478.63 | Facility | 53 · Discontinued | $48.98 | $83.18 | $478.63 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $194.98 Median $302.00 Typical High $1,122.02 | Facility | FX · Film X-ray | $194.98 | $302.00 | $1,122.02 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $104.71 Median $128.82 Typical High $208.93 | Professional | 52 · Reduced service | $104.71 | $128.82 | $208.93 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $41.69 Median $51.29 Typical High $83.18 | Professional | 53 · Discontinued | $41.69 | $51.29 | $83.18 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $165.96 Median $213.80 Typical High $331.13 | Professional | FX · Film X-ray | $165.96 | $213.80 | $331.13 |
Moda Health Setting Facility Modifier 52 · Reduced service Typical Low $123.03 Median $190.55 Typical High $588.84 | Facility | 52 · Reduced service | $123.03 | $190.55 | $588.84 |
Moda Health Setting Facility Modifier 53 · Discontinued Typical Low $48.98 Median $75.86 Typical High $234.42 | Facility | 53 · Discontinued | $48.98 | $75.86 | $234.42 |
Moda Health Setting Facility Modifier FX · Film X-ray Typical Low $194.98 Median $302.00 Typical High $1,174.90 | Facility | FX · Film X-ray | $194.98 | $302.00 | $1,174.90 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $104.71 Median $128.82 Typical High $165.96 | Professional | 52 · Reduced service | $104.71 | $128.82 | $165.96 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $41.69 Median $51.29 Typical High $66.07 | Professional | 53 · Discontinued | $41.69 | $51.29 | $66.07 |
Where Texas sits
The same service costs 4.9 times more in Alaska 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
$263
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.