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 $173.78 Median $218.78 Typical High $218.78 | Facility | None | $173.78 | $218.78 | $218.78 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $199.53 Median $338.84 Typical High $1,949.84 | Facility | TC · Technical part | $199.53 | $338.84 | $1,949.84 |
Aetna Setting Professional Modifier None (both parts) Typical Low $173.78 Median $208.93 Typical High $251.19 | Professional | None (both parts) | $173.78 | $208.93 | $251.19 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $15.85 Median $20.42 Typical High $24.55 | Professional | 26 · Professional part | $15.85 | $20.42 | $24.55 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $154.88 Median $190.55 Typical High $316.23 | Professional | TC · Technical part | $154.88 | $190.55 | $316.23 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $47.86 Typical High $47.86 | Professional | 26 · Professional part | $47.86 | $47.86 | $47.86 |
BCBS Texas Setting Facility Modifier None Typical Low $346.74 Median $794.33 Typical High $1,288.25 | Facility | None | $346.74 | $794.33 | $1,288.25 |
BCBS Texas Setting Professional Modifier None (both parts) Typical Low $20.42 Median $54.95 Typical High $251.19 | Professional | None (both parts) | $20.42 | $54.95 | $251.19 |
Christus Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $22.91 Typical High $26.30 | Professional | 26 · Professional part | $22.91 | $22.91 | $26.30 |
Cigna Setting Facility Modifier None Typical Low $602.56 Median $1,348.96 Typical High $5,754.40 | Facility | None | $602.56 | $1,348.96 | $5,754.40 |
Cigna Setting Professional Modifier None (both parts) Typical Low $154.88 Median $229.09 Typical High $524.81 | Professional | None (both parts) | $154.88 | $229.09 | $524.81 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $15.14 Median $21.88 Typical High $50.12 | Professional | 26 · Professional part | $15.14 | $21.88 | $50.12 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $138.04 Median $204.17 Typical High $467.74 | Professional | TC · Technical part | $138.04 | $204.17 | $467.74 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $1,698.24 Median $1,698.24 Typical High $2,137.96 | Professional | None (both parts) | $1,698.24 | $1,698.24 | $2,137.96 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $371.54 Median $371.54 Typical High $371.54 | Professional | 26 · Professional part | $371.54 | $371.54 | $371.54 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $1,548.82 Median $1,548.82 Typical High $1,949.84 | Professional | TC · Technical part | $1,548.82 | $1,548.82 | $1,949.84 |
Moda Health Setting Facility Modifier None Typical Low $204.17 Median $257.04 Typical High $346.74 | Facility | None | $204.17 | $257.04 | $346.74 |
Moda Health Setting Facility Modifier TC · Technical part Typical Low $199.53 Median $316.23 Typical High $977.24 | Facility | TC · Technical part | $199.53 | $316.23 | $977.24 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $173.78 Median $213.80 Typical High $407.38 | Professional | None (both parts) | $173.78 | $213.80 | $407.38 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $15.85 Median $20.42 Typical High $33.88 | Professional | 26 · Professional part | $15.85 | $20.42 | $33.88 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $154.88 Median $190.55 Typical High $363.08 | Professional | TC · Technical part | $154.88 | $190.55 | $363.08 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.88 Median $190.55 Typical High $281.84 | Professional | None (both parts) | $33.88 | $190.55 | $281.84 |
Providence Setting Facility Modifier None Typical Low $263.03 Median $912.01 Typical High $6,165.95 | Facility | None | $263.03 | $912.01 | $6,165.95 |
Providence Setting Professional Modifier None (both parts) Typical Low $147.91 Median $229.09 Typical High $537.03 | Professional | None (both parts) | $147.91 | $229.09 | $537.03 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $14.13 Median $21.88 Typical High $50.12 | Professional | 26 · Professional part | $14.13 | $21.88 | $50.12 |
Providence Setting Professional Modifier TC · Technical part Typical Low $131.83 Median $199.53 Typical High $478.63 | Professional | TC · Technical part | $131.83 | $199.53 | $478.63 |
United Setting Facility Modifier None Typical Low $1,949.84 Median $2,041.74 Typical High $2,691.53 | Facility | None | $1,949.84 | $2,041.74 | $2,691.53 |
United Setting Professional Modifier None (both parts) Typical Low $229.09 Median $309.03 Typical High $457.09 | Professional | None (both parts) | $229.09 | $309.03 | $457.09 |
United Setting Professional Modifier 26 · Professional part Typical Low $20.89 Median $27.54 Typical High $41.69 | Professional | 26 · Professional part | $20.89 | $27.54 | $41.69 |
United Setting Professional Modifier TC · Technical part Typical Low $208.93 Median $275.42 Typical High $389.05 | Professional | TC · Technical part | $208.93 | $275.42 | $389.05 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $245.47 Median $245.47 Typical High $245.47 | Professional | None (both parts) | $245.47 | $245.47 | $245.47 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $23.44 Typical High $23.44 | Professional | 26 · Professional part | $23.44 | $23.44 | $23.44 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $223.87 Median $223.87 Typical High $223.87 | Professional | TC · Technical part | $223.87 | $223.87 | $223.87 |
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 $100.00 Median $169.82 Typical High $977.24 | Facility | 52 · Reduced service | $100.00 | $169.82 | $977.24 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $39.81 Median $67.61 Typical High $398.11 | Facility | 53 · Discontinued | $39.81 | $67.61 | $398.11 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $162.18 Median $251.19 Typical High $912.01 | Facility | FX · Film X-ray | $162.18 | $251.19 | $912.01 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $87.10 Median $107.15 Typical High $169.82 | Professional | 52 · Reduced service | $87.10 | $107.15 | $169.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $34.67 Median $42.66 Typical High $69.18 | Professional | 53 · Discontinued | $34.67 | $42.66 | $69.18 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $138.04 Median $173.78 Typical High $275.42 | Professional | FX · Film X-ray | $138.04 | $173.78 | $275.42 |
Moda Health Setting Facility Modifier 52 · Reduced service Typical Low $100.00 Median $154.88 Typical High $478.63 | Facility | 52 · Reduced service | $100.00 | $154.88 | $478.63 |
Moda Health Setting Facility Modifier 53 · Discontinued Typical Low $39.81 Median $63.10 Typical High $194.98 | Facility | 53 · Discontinued | $39.81 | $63.10 | $194.98 |
Moda Health Setting Facility Modifier FX · Film X-ray Typical Low $158.49 Median $251.19 Typical High $977.24 | Facility | FX · Film X-ray | $158.49 | $251.19 | $977.24 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $87.10 Median $104.71 Typical High $134.90 | Professional | 52 · Reduced service | $87.10 | $104.71 | $134.90 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $34.67 Median $41.69 Typical High $54.95 | Professional | 53 · Discontinued | $34.67 | $41.69 | $54.95 |
Where Texas sits
The same service costs 4.3 times more in Alaska than in Texas. 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· 51st of 51
$234
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.