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 $72.44 Median $93.33 Typical High $93.33 | Facility | None | $72.44 | $93.33 | $93.33 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $79.43 Median $131.83 Typical High $776.25 | Facility | TC · Technical part | $79.43 | $131.83 | $776.25 |
Aetna Setting Professional Modifier None (both parts) Typical Low $72.44 Median $89.13 Typical High $123.03 | Professional | None (both parts) | $72.44 | $89.13 | $123.03 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $11.22 Median $14.45 Typical High $19.50 | Professional | 26 · Professional part | $11.22 | $14.45 | $19.50 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $75.86 Typical High $123.03 | Professional | TC · Technical part | $61.66 | $75.86 | $123.03 |
BCBS Texas Setting Facility Modifier None Typical Low $120.23 Median $288.40 Typical High $707.95 | Facility | None | $120.23 | $288.40 | $707.95 |
BCBS Texas Setting Professional Modifier None (both parts) Typical Low $14.79 Median $32.36 Typical High $107.15 | Professional | None (both parts) | $14.79 | $32.36 | $107.15 |
Christus Setting Professional Modifier 26 · Professional part Typical Low $15.85 Median $15.85 Typical High $18.20 | Professional | 26 · Professional part | $15.85 | $15.85 | $18.20 |
Cigna Setting Facility Modifier None Typical Low $194.98 Median $398.11 Typical High $1,698.24 | Facility | None | $194.98 | $398.11 | $1,698.24 |
Cigna Setting Professional Modifier None (both parts) Typical Low $61.66 Median $89.13 Typical High $186.21 | Professional | None (both parts) | $61.66 | $89.13 | $186.21 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $10.47 Median $15.49 Typical High $32.36 | Professional | 26 · Professional part | $10.47 | $15.49 | $32.36 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $51.29 Median $70.79 Typical High $151.36 | Professional | TC · Technical part | $51.29 | $70.79 | $151.36 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $1,122.02 Median $1,122.02 Typical High $1,122.02 | Professional | None (both parts) | $1,122.02 | $1,122.02 | $1,122.02 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $338.84 Median $338.84 Typical High $338.84 | Professional | 26 · Professional part | $338.84 | $338.84 | $338.84 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $794.33 Median $794.33 Typical High $794.33 | Professional | TC · Technical part | $794.33 | $794.33 | $794.33 |
Moda Health Setting Facility Modifier None Typical Low $85.11 Median $117.49 Typical High $977.24 | Facility | None | $85.11 | $117.49 | $977.24 |
Moda Health Setting Facility Modifier TC · Technical part Typical Low $79.43 Median $123.03 Typical High $446.68 | Facility | TC · Technical part | $79.43 | $123.03 | $446.68 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $72.44 Median $91.20 Typical High $186.21 | Professional | None (both parts) | $72.44 | $91.20 | $186.21 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $11.22 Median $14.45 Typical High $28.18 | Professional | 26 · Professional part | $11.22 | $14.45 | $28.18 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $75.86 Typical High $158.49 | Professional | TC · Technical part | $61.66 | $75.86 | $158.49 |
Molina Setting Professional Modifier None (both parts) Typical Low $10.96 Median $61.66 Typical High $102.33 | Professional | None (both parts) | $10.96 | $61.66 | $102.33 |
Providence Setting Facility Modifier None Typical Low $109.65 Median $338.84 Typical High $1,819.70 | Facility | None | $109.65 | $338.84 | $1,819.70 |
Providence Setting Professional Modifier None (both parts) Typical Low $58.88 Median $89.13 Typical High $186.21 | Professional | None (both parts) | $58.88 | $89.13 | $186.21 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $9.77 Median $15.14 Typical High $31.62 | Professional | 26 · Professional part | $9.77 | $15.14 | $31.62 |
Providence Setting Professional Modifier TC · Technical part Typical Low $48.98 Median $70.79 Typical High $151.36 | Professional | TC · Technical part | $48.98 | $70.79 | $151.36 |
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 $83.18 Median $112.20 Typical High $165.96 | Professional | None (both parts) | $83.18 | $112.20 | $165.96 |
United Setting Professional Modifier 26 · Professional part Typical Low $14.79 Median $18.62 Typical High $27.54 | Professional | 26 · Professional part | $14.79 | $18.62 | $27.54 |
United Setting Professional Modifier TC · Technical part Typical Low $67.61 Median $93.33 Typical High $138.04 | Professional | TC · Technical part | $67.61 | $93.33 | $138.04 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $100.00 Median $100.00 Typical High $100.00 | Professional | None (both parts) | $100.00 | $100.00 | $100.00 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $16.98 Median $16.98 Typical High $16.98 | Professional | 26 · Professional part | $16.98 | $16.98 | $16.98 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $83.18 Typical High $83.18 | Professional | TC · Technical part | $83.18 | $83.18 | $83.18 |
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 $39.81 Median $66.07 Typical High $389.05 | Facility | 52 · Reduced service | $39.81 | $66.07 | $389.05 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $15.85 Median $26.30 Typical High $154.88 | Facility | 53 · Discontinued | $15.85 | $26.30 | $154.88 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $67.61 Median $97.72 Typical High $363.08 | Facility | FX · Film X-ray | $67.61 | $97.72 | $363.08 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $36.31 Median $44.67 Typical High $69.18 | Professional | 52 · Reduced service | $36.31 | $44.67 | $69.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $14.45 Median $18.20 Typical High $27.54 | Professional | 53 · Discontinued | $14.45 | $18.20 | $27.54 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $58.88 Median $74.13 Typical High $109.65 | Professional | FX · Film X-ray | $58.88 | $74.13 | $109.65 |
Moda Health Setting Facility Modifier 52 · Reduced service Typical Low $39.81 Median $61.66 Typical High $190.55 | Facility | 52 · Reduced service | $39.81 | $61.66 | $190.55 |
Moda Health Setting Facility Modifier 53 · Discontinued Typical Low $15.85 Median $24.55 Typical High $75.86 | Facility | 53 · Discontinued | $15.85 | $24.55 | $75.86 |
Moda Health Setting Facility Modifier FX · Film X-ray Typical Low $63.10 Median $97.72 Typical High $380.19 | Facility | FX · Film X-ray | $63.10 | $97.72 | $380.19 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $36.31 Median $44.67 Typical High $57.54 | Professional | 52 · Reduced service | $36.31 | $44.67 | $57.54 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $14.45 Median $17.78 Typical High $22.91 | Professional | 53 · Discontinued | $14.45 | $17.78 | $22.91 |
Where Texas sits
The same service costs 5.5 times more in Alabama 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
$91.20
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.