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 $46.77 Median $60.26 Typical High $60.26 | Facility | None | $46.77 | $60.26 | $60.26 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $53.70 Median $91.20 Typical High $537.03 | Facility | TC · Technical part | $53.70 | $91.20 | $537.03 |
Aetna Setting Professional Modifier None (both parts) Typical Low $46.77 Median $57.54 Typical High $75.86 | Professional | None (both parts) | $46.77 | $57.54 | $75.86 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $4.79 Median $6.03 Typical High $7.59 | Professional | 26 · Professional part | $4.79 | $6.03 | $7.59 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $41.69 Median $52.48 Typical High $87.10 | Professional | TC · Technical part | $41.69 | $52.48 | $87.10 |
BCBS Texas Setting Professional Modifier None (both parts) Typical Low $6.03 Median $15.49 Typical High $64.57 | Professional | None (both parts) | $6.03 | $15.49 | $64.57 |
Christus Setting Professional Modifier 26 · Professional part Typical Low $6.92 Median $6.92 Typical High $7.76 | Professional | 26 · Professional part | $6.92 | $6.92 | $7.76 |
Cigna Setting Facility Modifier None Typical Low $141.25 Median $239.88 Typical High $363.08 | Facility | None | $141.25 | $239.88 | $363.08 |
Cigna Setting Professional Modifier None (both parts) Typical Low $41.69 Median $61.66 Typical High $125.89 | Professional | None (both parts) | $41.69 | $61.66 | $125.89 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $4.68 Median $6.61 Typical High $14.13 | Professional | 26 · Professional part | $4.68 | $6.61 | $14.13 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $37.15 Median $56.23 Typical High $109.65 | Professional | TC · Technical part | $37.15 | $56.23 | $109.65 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $501.19 Median $501.19 Typical High $630.96 | Professional | None (both parts) | $501.19 | $501.19 | $630.96 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $151.36 Median $154.88 Typical High $154.88 | Professional | 26 · Professional part | $151.36 | $154.88 | $154.88 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $416.87 Median $416.87 Typical High $575.44 | Professional | TC · Technical part | $416.87 | $416.87 | $575.44 |
Moda Health Setting Facility Modifier None Typical Low $54.95 Median $72.44 Typical High $109.65 | Facility | None | $54.95 | $72.44 | $109.65 |
Moda Health Setting Facility Modifier TC · Technical part Typical Low $53.70 Median $85.11 Typical High $263.03 | Facility | TC · Technical part | $53.70 | $85.11 | $263.03 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $46.77 Median $58.88 Typical High $128.82 | Professional | None (both parts) | $46.77 | $58.88 | $128.82 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $4.79 Median $6.17 Typical High $10.96 | Professional | 26 · Professional part | $4.79 | $6.17 | $10.96 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $41.69 Median $52.48 Typical High $114.82 | Professional | TC · Technical part | $41.69 | $52.48 | $114.82 |
Molina Setting Professional Modifier None (both parts) Typical Low $10.00 Median $54.95 Typical High $74.13 | Professional | None (both parts) | $10.00 | $54.95 | $74.13 |
Providence Setting Facility Modifier None Typical Low $69.18 Median $223.87 Typical High $302.00 | Facility | None | $69.18 | $223.87 | $302.00 |
Providence Setting Professional Modifier None (both parts) Typical Low $39.81 Median $61.66 Typical High $123.03 | Professional | None (both parts) | $39.81 | $61.66 | $123.03 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $4.37 Median $6.61 Typical High $13.49 | Professional | 26 · Professional part | $4.37 | $6.61 | $13.49 |
Providence Setting Professional Modifier TC · Technical part Typical Low $35.48 Median $53.70 Typical High $109.65 | Professional | TC · Technical part | $35.48 | $53.70 | $109.65 |
United Setting Professional Modifier None (both parts) Typical Low $63.10 Median $77.62 Typical High $120.23 | Professional | None (both parts) | $63.10 | $77.62 | $120.23 |
United Setting Professional Modifier 26 · Professional part Typical Low $6.31 Median $7.94 Typical High $12.02 | Professional | 26 · Professional part | $6.31 | $7.94 | $12.02 |
United Setting Professional Modifier TC · Technical part Typical Low $56.23 Median $70.79 Typical High $104.71 | Professional | TC · Technical part | $56.23 | $70.79 | $104.71 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $72.44 Median $72.44 Typical High $72.44 | Professional | None (both parts) | $72.44 | $72.44 | $72.44 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $7.76 Median $7.76 Typical High $7.76 | Professional | 26 · Professional part | $7.76 | $7.76 | $7.76 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $66.07 Typical High $66.07 | Professional | TC · Technical part | $66.07 | $66.07 | $66.07 |
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 $26.92 Median $45.71 Typical High $263.03 | Facility | 52 · Reduced service | $26.92 | $45.71 | $263.03 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $10.72 Median $18.20 Typical High $107.15 | Facility | 53 · Discontinued | $10.72 | $18.20 | $107.15 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $44.67 Median $67.61 Typical High $245.47 | Facility | FX · Film X-ray | $44.67 | $67.61 | $245.47 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $23.44 Median $28.84 Typical High $47.86 | Professional | 52 · Reduced service | $23.44 | $28.84 | $47.86 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $9.33 Median $11.75 Typical High $19.05 | Professional | 53 · Discontinued | $9.33 | $11.75 | $19.05 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $38.02 Median $47.86 Typical High $75.86 | Professional | FX · Film X-ray | $38.02 | $47.86 | $75.86 |
Moda Health Setting Facility Modifier 52 · Reduced service Typical Low $26.92 Median $41.69 Typical High $128.82 | Facility | 52 · Reduced service | $26.92 | $41.69 | $128.82 |
Moda Health Setting Facility Modifier 53 · Discontinued Typical Low $10.72 Median $16.98 Typical High $52.48 | Facility | 53 · Discontinued | $10.72 | $16.98 | $52.48 |
Moda Health Setting Facility Modifier FX · Film X-ray Typical Low $43.65 Median $67.61 Typical High $263.03 | Facility | FX · Film X-ray | $43.65 | $67.61 | $263.03 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $23.44 Median $28.84 Typical High $37.15 | Professional | 52 · Reduced service | $23.44 | $28.84 | $37.15 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $9.33 Median $11.48 Typical High $14.79 | Professional | 53 · Discontinued | $9.33 | $11.48 | $14.79 |
Where Texas sits
The same service costs 4.6 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· 50th of 51
$61.66
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.