How much rates vary
Facilitymedian $603 · 10th to 90th $240 to $1,230Professionalmedian $170 · 10th to 90th $28 to $331
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 $138.04 Median $177.83 Typical High $177.83 | Facility | None | $138.04 | $177.83 | $177.83 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $158.49 Median $263.03 Typical High $1,548.82 | Facility | TC · Technical part | $158.49 | $263.03 | $1,548.82 |
Aetna Setting Professional Modifier None (both parts) Typical Low $138.04 Median $162.18 Typical High $199.53 | Professional | None (both parts) | $138.04 | $162.18 | $199.53 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $14.79 Median $18.20 Typical High $21.88 | Professional | 26 · Professional part | $14.79 | $18.20 | $21.88 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $123.03 Median $151.36 Typical High $245.47 | Professional | TC · Technical part | $123.03 | $151.36 | $245.47 |
BCBS Texas Setting Facility Modifier None Typical Low $263.03 Median $602.56 Typical High $1,000.00 | Facility | None | $263.03 | $602.56 | $1,000.00 |
BCBS Texas Setting Professional Modifier None (both parts) Typical Low $20.89 Median $169.82 Typical High $218.78 | Professional | None (both parts) | $20.89 | $169.82 | $218.78 |
Christus Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $21.88 Typical High $23.99 | Professional | 26 · Professional part | $21.88 | $21.88 | $23.99 |
Cigna Setting Facility Modifier None Typical Low $398.11 Median $870.96 Typical High $1,698.24 | Facility | None | $398.11 | $870.96 | $1,698.24 |
Cigna Setting Professional Modifier None (both parts) Typical Low $128.82 Median $181.97 Typical High $363.08 | Professional | None (both parts) | $128.82 | $181.97 | $363.08 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $14.45 Median $20.42 Typical High $42.66 | Professional | 26 · Professional part | $14.45 | $20.42 | $42.66 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $114.82 Median $162.18 Typical High $323.59 | Professional | TC · Technical part | $114.82 | $162.18 | $323.59 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $1,348.96 Median $1,348.96 Typical High $1,778.28 | Professional | None (both parts) | $1,348.96 | $1,348.96 | $1,778.28 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $331.13 Median $331.13 Typical High $331.13 | Professional | 26 · Professional part | $331.13 | $331.13 | $331.13 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $1,202.26 Median $1,202.26 Typical High $1,584.89 | Professional | TC · Technical part | $1,202.26 | $1,202.26 | $1,584.89 |
Moda Health Setting Facility Modifier None Typical Low $162.18 Median $204.17 Typical High $269.15 | Facility | None | $162.18 | $204.17 | $269.15 |
Moda Health Setting Facility Modifier TC · Technical part Typical Low $158.49 Median $245.47 Typical High $758.58 | Facility | TC · Technical part | $158.49 | $245.47 | $758.58 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $138.04 Median $169.82 Typical High $354.81 | Professional | None (both parts) | $138.04 | $169.82 | $354.81 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $14.79 Median $19.05 Typical High $33.11 | Professional | 26 · Professional part | $14.79 | $19.05 | $33.11 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $123.03 Median $151.36 Typical High $295.12 | Professional | TC · Technical part | $123.03 | $151.36 | $295.12 |
Molina Setting Professional Modifier None (both parts) Typical Low $26.30 Median $147.91 Typical High $208.93 | Professional | None (both parts) | $26.30 | $147.91 | $208.93 |
Providence Setting Facility Modifier None Typical Low $208.93 Median $741.31 Typical High $1,819.70 | Facility | None | $208.93 | $741.31 | $1,819.70 |
Providence Setting Professional Modifier None (both parts) Typical Low $125.89 Median $181.97 Typical High $363.08 | Professional | None (both parts) | $125.89 | $181.97 | $363.08 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $13.49 Median $20.42 Typical High $41.69 | Professional | 26 · Professional part | $13.49 | $20.42 | $41.69 |
Providence Setting Professional Modifier TC · Technical part Typical Low $112.20 Median $162.18 Typical High $323.59 | Professional | TC · Technical part | $112.20 | $162.18 | $323.59 |
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 $165.96 Median $218.78 Typical High $331.13 | Professional | None (both parts) | $165.96 | $218.78 | $331.13 |
United Setting Professional Modifier 26 · Professional part Typical Low $19.50 Median $23.99 Typical High $36.31 | Professional | 26 · Professional part | $19.50 | $23.99 | $36.31 |
United Setting Professional Modifier TC · Technical part Typical Low $147.91 Median $194.98 Typical High $295.12 | Professional | TC · Technical part | $147.91 | $194.98 | $295.12 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $204.17 Median $204.17 Typical High $204.17 | Professional | None (both parts) | $204.17 | $204.17 | $204.17 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $22.91 Typical High $22.91 | Professional | 26 · Professional part | $22.91 | $22.91 | $22.91 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $181.97 Median $181.97 Typical High $181.97 | Professional | TC · Technical part | $181.97 | $181.97 | $181.97 |
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 $79.43 Median $131.83 Typical High $776.25 | Facility | 52 · Reduced service | $79.43 | $131.83 | $776.25 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $31.62 Median $52.48 Typical High $309.03 | Facility | 53 · Discontinued | $31.62 | $52.48 | $309.03 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $128.82 Median $194.98 Typical High $724.44 | Facility | FX · Film X-ray | $128.82 | $194.98 | $724.44 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $69.18 Median $85.11 Typical High $134.90 | Professional | 52 · Reduced service | $69.18 | $85.11 | $134.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $27.54 Median $33.88 Typical High $54.95 | Professional | 53 · Discontinued | $27.54 | $33.88 | $54.95 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $109.65 Median $138.04 Typical High $218.78 | Professional | FX · Film X-ray | $109.65 | $138.04 | $218.78 |
Moda Health Setting Facility Modifier 52 · Reduced service Typical Low $79.43 Median $123.03 Typical High $380.19 | Facility | 52 · Reduced service | $79.43 | $123.03 | $380.19 |
Moda Health Setting Facility Modifier 53 · Discontinued Typical Low $31.62 Median $48.98 Typical High $151.36 | Facility | 53 · Discontinued | $31.62 | $48.98 | $151.36 |
Moda Health Setting Facility Modifier FX · Film X-ray Typical Low $125.89 Median $194.98 Typical High $758.58 | Facility | FX · Film X-ray | $125.89 | $194.98 | $758.58 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $69.18 Median $83.18 Typical High $107.15 | Professional | 52 · Reduced service | $69.18 | $83.18 | $107.15 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $27.54 Median $33.88 Typical High $43.65 | Professional | 53 · Discontinued | $27.54 | $33.88 | $43.65 |
Where Texas sits
The same service costs 4.8 times more in Alaska than in Kentucky. 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· 48th of 51
$191
AK $851KY $178
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.