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 $107.15 Median $134.90 Typical High $134.90 | Facility | None | $107.15 | $134.90 | $134.90 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $120.23 Median $199.53 Typical High $1,174.90 | Facility | TC · Technical part | $120.23 | $199.53 | $1,174.90 |
Aetna Setting Professional Modifier None (both parts) Typical Low $107.15 Median $128.82 Typical High $162.18 | Professional | None (both parts) | $107.15 | $128.82 | $162.18 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $13.49 Median $16.98 Typical High $20.89 | Professional | 26 · Professional part | $13.49 | $16.98 | $20.89 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $93.33 Median $114.82 Typical High $186.21 | Professional | TC · Technical part | $93.33 | $114.82 | $186.21 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $33.88 Typical High $33.88 | Professional | 26 · Professional part | $33.88 | $33.88 | $33.88 |
BCBS Texas Setting Facility Modifier None Typical Low $199.53 Median $467.74 Typical High $776.25 | Facility | None | $199.53 | $467.74 | $776.25 |
BCBS Texas Setting Professional Modifier None (both parts) Typical Low $22.91 Median $131.83 Typical High $173.78 | Professional | None (both parts) | $22.91 | $131.83 | $173.78 |
Christus Setting Facility Modifier None Typical Low $117.49 Median $117.49 Typical High $117.49 | Facility | None | $117.49 | $117.49 | $117.49 |
Christus Setting Professional Modifier 26 · Professional part Typical Low $19.50 Median $19.50 Typical High $21.88 | Professional | 26 · Professional part | $19.50 | $19.50 | $21.88 |
Cigna Setting Facility Modifier None Typical Low $338.84 Median $707.95 Typical High $1,698.24 | Facility | None | $338.84 | $707.95 | $1,698.24 |
Cigna Setting Professional Modifier None (both parts) Typical Low $100.00 Median $141.25 Typical High $295.12 | Professional | None (both parts) | $100.00 | $141.25 | $295.12 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $13.18 Median $18.62 Typical High $38.90 | Professional | 26 · Professional part | $13.18 | $18.62 | $38.90 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $87.10 Median $123.03 Typical High $257.04 | Professional | TC · Technical part | $87.10 | $123.03 | $257.04 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $1,047.13 Median $1,047.13 Typical High $1,318.26 | Professional | None (both parts) | $1,047.13 | $1,047.13 | $1,318.26 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $302.00 Median $302.00 Typical High $302.00 | Professional | 26 · Professional part | $302.00 | $302.00 | $302.00 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $912.01 Median $912.01 Typical High $1,174.90 | Professional | TC · Technical part | $912.01 | $912.01 | $1,174.90 |
Moda Health Setting Facility Modifier None Typical Low $125.89 Median $173.78 Typical High $1,659.59 | Facility | None | $125.89 | $173.78 | $1,659.59 |
Moda Health Setting Facility Modifier TC · Technical part Typical Low $120.23 Median $190.55 Typical High $724.44 | Facility | TC · Technical part | $120.23 | $190.55 | $724.44 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $107.15 Median $131.83 Typical High $269.15 | Professional | None (both parts) | $107.15 | $131.83 | $269.15 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $13.49 Median $16.98 Typical High $31.62 | Professional | 26 · Professional part | $13.49 | $16.98 | $31.62 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $93.33 Median $114.82 Typical High $218.78 | Professional | TC · Technical part | $93.33 | $114.82 | $218.78 |
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 $162.18 Median $549.54 Typical High $1,819.70 | Facility | None | $162.18 | $549.54 | $1,819.70 |
Providence Setting Professional Modifier None (both parts) Typical Low $95.50 Median $141.25 Typical High $295.12 | Professional | None (both parts) | $95.50 | $141.25 | $295.12 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $12.02 Median $18.62 Typical High $38.90 | Professional | 26 · Professional part | $12.02 | $18.62 | $38.90 |
Providence Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $123.03 Typical High $257.04 | Professional | TC · Technical part | $83.18 | $123.03 | $257.04 |
United Setting Facility Modifier None Typical Low $602.56 Median $630.96 Typical High $831.76 | Facility | None | $602.56 | $630.96 | $831.76 |
United Setting Professional Modifier None (both parts) Typical Low $141.25 Median $177.83 Typical High $269.15 | Professional | None (both parts) | $141.25 | $177.83 | $269.15 |
United Setting Professional Modifier 26 · Professional part Typical Low $17.78 Median $22.39 Typical High $33.88 | Professional | 26 · Professional part | $17.78 | $22.39 | $33.88 |
United Setting Professional Modifier TC · Technical part Typical Low $123.03 Median $154.88 Typical High $229.09 | Professional | TC · Technical part | $123.03 | $154.88 | $229.09 |
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 $19.95 Median $19.95 Typical High $19.95 | Professional | 26 · Professional part | $19.95 | $19.95 | $19.95 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $131.83 Median $131.83 Typical High $131.83 | Professional | TC · Technical part | $131.83 | $131.83 | $131.83 |
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 $58.88 Median $100.00 Typical High $588.84 | Facility | 52 · Reduced service | $58.88 | $100.00 | $588.84 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $23.99 Median $39.81 Typical High $234.42 | Facility | 53 · Discontinued | $23.99 | $39.81 | $234.42 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $100.00 Median $147.91 Typical High $549.54 | Facility | FX · Film X-ray | $100.00 | $147.91 | $549.54 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $52.48 Median $66.07 Typical High $104.71 | Professional | 52 · Reduced service | $52.48 | $66.07 | $104.71 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $21.38 Median $26.30 Typical High $42.66 | Professional | 53 · Discontinued | $21.38 | $26.30 | $42.66 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $85.11 Median $107.15 Typical High $169.82 | Professional | FX · Film X-ray | $85.11 | $107.15 | $169.82 |
Moda Health Setting Facility Modifier 52 · Reduced service Typical Low $58.88 Median $93.33 Typical High $288.40 | Facility | 52 · Reduced service | $58.88 | $93.33 | $288.40 |
Moda Health Setting Facility Modifier 53 · Discontinued Typical Low $23.99 Median $37.15 Typical High $114.82 | Facility | 53 · Discontinued | $23.99 | $37.15 | $114.82 |
Moda Health Setting Facility Modifier FX · Film X-ray Typical Low $95.50 Median $147.91 Typical High $575.44 | Facility | FX · Film X-ray | $95.50 | $147.91 | $575.44 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $52.48 Median $64.57 Typical High $83.18 | Professional | 52 · Reduced service | $52.48 | $64.57 | $83.18 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $21.38 Median $25.70 Typical High $33.88 | Professional | 53 · Discontinued | $21.38 | $25.70 | $33.88 |
Where Texas sits
The same service costs 4.4 times more in Alaska 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
$148
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.