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 $144.54 Median $169.82 Typical High $186.21 | Facility | None | $144.54 | $169.82 | $186.21 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $144.54 Median $251.19 Typical High $1,445.44 | Facility | TC · Technical part | $144.54 | $251.19 | $1,445.44 |
Aetna Setting Professional Modifier None (both parts) Typical Low $144.54 Median $181.97 Typical High $281.84 | Professional | None (both parts) | $144.54 | $181.97 | $281.84 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $36.31 Typical High $54.95 | Professional | 26 · Professional part | $28.18 | $36.31 | $54.95 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $114.82 Median $144.54 Typical High $281.84 | Professional | TC · Technical part | $114.82 | $144.54 | $281.84 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $281.84 Median $281.84 Typical High $281.84 | Professional | None (both parts) | $281.84 | $281.84 | $281.84 |
BCBS Texas Setting Facility Modifier None Typical Low $251.19 Median $602.56 Typical High $1,412.54 | Facility | None | $251.19 | $602.56 | $1,412.54 |
BCBS Texas Setting Professional Modifier None (both parts) Typical Low $47.86 Median $177.83 Typical High $245.47 | Professional | None (both parts) | $47.86 | $177.83 | $245.47 |
Christus Setting Facility Modifier None Typical Low $436.52 Median $436.52 Typical High $436.52 | Facility | None | $436.52 | $436.52 | $436.52 |
Christus Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $41.69 Typical High $46.77 | Professional | 26 · Professional part | $41.69 | $41.69 | $46.77 |
Cigna Setting Facility Modifier None Typical Low $426.58 Median $891.25 Typical High $2,187.76 | Facility | None | $426.58 | $891.25 | $2,187.76 |
Cigna Setting Professional Modifier None (both parts) Typical Low $134.90 Median $194.98 Typical High $398.11 | Professional | None (both parts) | $134.90 | $194.98 | $398.11 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $38.90 Typical High $81.28 | Professional | 26 · Professional part | $27.54 | $38.90 | $81.28 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $107.15 Median $154.88 Typical High $316.23 | Professional | TC · Technical part | $107.15 | $154.88 | $316.23 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $1,584.89 Median $1,584.89 Typical High $1,819.70 | Professional | None (both parts) | $1,584.89 | $1,584.89 | $1,819.70 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $467.74 Median $467.74 Typical High $467.74 | Professional | 26 · Professional part | $467.74 | $467.74 | $467.74 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $1,148.15 Median $1,148.15 Typical High $1,445.44 | Professional | TC · Technical part | $1,148.15 | $1,148.15 | $1,445.44 |
Moda Health Setting Facility Modifier None Typical Low $177.83 Median $371.54 Typical High $1,479.11 | Facility | None | $177.83 | $371.54 | $1,479.11 |
Moda Health Setting Facility Modifier TC · Technical part Typical Low $147.91 Median $239.88 Typical High $1,096.48 | Facility | TC · Technical part | $147.91 | $239.88 | $1,096.48 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $144.54 Median $181.97 Typical High $363.08 | Professional | None (both parts) | $144.54 | $181.97 | $363.08 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $36.31 Typical High $69.18 | Professional | 26 · Professional part | $28.18 | $36.31 | $69.18 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $114.82 Median $144.54 Typical High $295.12 | Professional | TC · Technical part | $114.82 | $144.54 | $295.12 |
Molina Setting Professional Modifier None (both parts) Typical Low $26.30 Median $138.04 Typical High $204.17 | Professional | None (both parts) | $26.30 | $138.04 | $204.17 |
Providence Setting Facility Modifier None Typical Low $218.78 Median $691.83 Typical High $2,344.23 | Facility | None | $218.78 | $691.83 | $2,344.23 |
Providence Setting Professional Modifier None (both parts) Typical Low $128.82 Median $194.98 Typical High $398.11 | Professional | None (both parts) | $128.82 | $194.98 | $398.11 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $38.90 Typical High $79.43 | Professional | 26 · Professional part | $25.70 | $38.90 | $79.43 |
Providence Setting Professional Modifier TC · Technical part Typical Low $102.33 Median $151.36 Typical High $309.03 | Professional | TC · Technical part | $102.33 | $151.36 | $309.03 |
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 $190.55 Median $239.88 Typical High $363.08 | Professional | None (both parts) | $190.55 | $239.88 | $363.08 |
United Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $47.86 Typical High $70.79 | Professional | 26 · Professional part | $38.02 | $47.86 | $70.79 |
United Setting Professional Modifier TC · Technical part Typical Low $154.88 Median $190.55 Typical High $288.40 | Professional | TC · Technical part | $154.88 | $190.55 | $288.40 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $208.93 Median $208.93 Typical High $208.93 | Professional | None (both parts) | $208.93 | $208.93 | $208.93 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $43.65 Typical High $43.65 | Professional | 26 · Professional part | $43.65 | $43.65 | $43.65 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $165.96 Median $165.96 Typical High $165.96 | Professional | TC · Technical part | $165.96 | $165.96 | $165.96 |
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 $74.13 Median $125.89 Typical High $724.44 | Facility | 52 · Reduced service | $74.13 | $125.89 | $724.44 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $29.51 Median $50.12 Typical High $295.12 | Facility | 53 · Discontinued | $29.51 | $50.12 | $295.12 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $128.82 Median $186.21 Typical High $676.08 | Facility | FX · Film X-ray | $128.82 | $186.21 | $676.08 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $72.44 Median $89.13 Typical High $141.25 | Professional | 52 · Reduced service | $72.44 | $89.13 | $141.25 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $28.84 Median $35.48 Typical High $56.23 | Professional | 53 · Discontinued | $28.84 | $35.48 | $56.23 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $114.82 Median $147.91 Typical High $223.87 | Professional | FX · Film X-ray | $114.82 | $147.91 | $223.87 |
Moda Health Setting Facility Modifier 52 · Reduced service Typical Low $74.13 Median $114.82 Typical High $354.81 | Facility | 52 · Reduced service | $74.13 | $114.82 | $354.81 |
Moda Health Setting Facility Modifier 53 · Discontinued Typical Low $29.51 Median $46.77 Typical High $144.54 | Facility | 53 · Discontinued | $29.51 | $46.77 | $144.54 |
Moda Health Setting Facility Modifier FX · Film X-ray Typical Low $117.49 Median $186.21 Typical High $724.44 | Facility | FX · Film X-ray | $117.49 | $186.21 | $724.44 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $72.44 Median $89.13 Typical High $114.82 | Professional | 52 · Reduced service | $72.44 | $89.13 | $114.82 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $28.84 Median $35.48 Typical High $45.71 | Professional | 53 · Discontinued | $28.84 | $35.48 | $45.71 |
Where Texas sits
The same service costs 3.8 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
$200
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.