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 $134.90 Median $173.78 Typical High $173.78 | Facility | None | $134.90 | $173.78 | $173.78 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $151.36 Median $257.04 Typical High $1,479.11 | Facility | TC · Technical part | $151.36 | $257.04 | $1,479.11 |
Aetna Setting Professional Modifier None (both parts) Typical Low $134.90 Median $165.96 Typical High $223.87 | Professional | None (both parts) | $134.90 | $165.96 | $223.87 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $16.60 Median $20.89 Typical High $26.92 | Professional | 26 · Professional part | $16.60 | $20.89 | $26.92 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $117.49 Median $144.54 Typical High $275.42 | Professional | TC · Technical part | $117.49 | $144.54 | $275.42 |
BCBS Texas Setting Facility Modifier None Typical Low $257.04 Median $588.84 Typical High $891.25 | Facility | None | $257.04 | $588.84 | $891.25 |
BCBS Texas Setting Professional Modifier None (both parts) Typical Low $31.62 Median $169.82 Typical High $229.09 | Professional | None (both parts) | $31.62 | $169.82 | $229.09 |
Christus Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $25.12 Typical High $27.54 | Professional | 26 · Professional part | $25.12 | $25.12 | $27.54 |
Cigna Setting Facility Modifier None Typical Low $398.11 Median $776.25 Typical High $1,698.24 | Facility | None | $398.11 | $776.25 | $1,698.24 |
Cigna Setting Professional Modifier None (both parts) Typical Low $131.83 Median $186.21 Typical High $389.05 | Professional | None (both parts) | $131.83 | $186.21 | $389.05 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $16.98 Median $22.91 Typical High $48.98 | Professional | 26 · Professional part | $16.98 | $22.91 | $48.98 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $109.65 Median $162.18 Typical High $338.84 | Professional | TC · Technical part | $109.65 | $162.18 | $338.84 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $1,348.96 Median $1,348.96 Typical High $1,905.46 | Professional | None (both parts) | $1,348.96 | $1,348.96 | $1,905.46 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $269.15 Median $269.15 Typical High $269.15 | Professional | 26 · Professional part | $269.15 | $269.15 | $269.15 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $1,174.90 Median $1,174.90 Typical High $1,698.24 | Professional | TC · Technical part | $1,174.90 | $1,174.90 | $1,698.24 |
Moda Health Setting Facility Modifier None Typical Low $141.25 Median $208.93 Typical High $331.13 | Facility | None | $141.25 | $208.93 | $331.13 |
Moda Health Setting Facility Modifier TC · Technical part Typical Low $151.36 Median $239.88 Typical High $741.31 | Facility | TC · Technical part | $151.36 | $239.88 | $741.31 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $134.90 Median $169.82 Typical High $389.05 | Professional | None (both parts) | $134.90 | $169.82 | $389.05 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $16.60 Median $21.38 Typical High $43.65 | Professional | 26 · Professional part | $16.60 | $21.38 | $43.65 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $117.49 Median $144.54 Typical High $338.84 | Professional | TC · Technical part | $117.49 | $144.54 | $338.84 |
Molina Setting Professional Modifier None (both parts) Typical Low $30.90 Median $165.96 Typical High $245.47 | Professional | None (both parts) | $30.90 | $165.96 | $245.47 |
Providence Setting Facility Modifier None Typical Low $204.17 Median $741.31 Typical High $1,819.70 | Facility | None | $204.17 | $741.31 | $1,819.70 |
Providence Setting Professional Modifier None (both parts) Typical Low $125.89 Median $186.21 Typical High $389.05 | Professional | None (both parts) | $125.89 | $186.21 | $389.05 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $15.85 Median $22.91 Typical High $48.98 | Professional | 26 · Professional part | $15.85 | $22.91 | $48.98 |
Providence Setting Professional Modifier TC · Technical part Typical Low $102.33 Median $158.49 Typical High $338.84 | Professional | TC · Technical part | $102.33 | $158.49 | $338.84 |
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 $147.91 Median $223.87 Typical High $338.84 | Professional | None (both parts) | $147.91 | $223.87 | $338.84 |
United Setting Professional Modifier 26 · Professional part Typical Low $22.39 Median $28.18 Typical High $41.69 | Professional | 26 · Professional part | $22.39 | $28.18 | $41.69 |
United Setting Professional Modifier TC · Technical part Typical Low $125.89 Median $194.98 Typical High $295.12 | Professional | TC · Technical part | $125.89 | $194.98 | $295.12 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $218.78 Median $218.78 Typical High $218.78 | Professional | None (both parts) | $218.78 | $218.78 | $218.78 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $26.92 Typical High $26.92 | Professional | 26 · Professional part | $26.92 | $26.92 | $26.92 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $194.98 Median $194.98 Typical High $194.98 | Professional | TC · Technical part | $194.98 | $194.98 | $194.98 |
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 $75.86 Median $128.82 Typical High $741.31 | Facility | 52 · Reduced service | $75.86 | $128.82 | $741.31 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $30.20 Median $51.29 Typical High $302.00 | Facility | 53 · Discontinued | $30.20 | $51.29 | $302.00 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $125.89 Median $190.55 Typical High $691.83 | Facility | FX · Film X-ray | $125.89 | $190.55 | $691.83 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $67.61 Median $83.18 Typical High $134.90 | Professional | 52 · Reduced service | $67.61 | $83.18 | $134.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $26.92 Median $33.11 Typical High $54.95 | Professional | 53 · Discontinued | $26.92 | $33.11 | $54.95 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $107.15 Median $138.04 Typical High $218.78 | Professional | FX · Film X-ray | $107.15 | $138.04 | $218.78 |
Moda Health Setting Facility Modifier 52 · Reduced service Typical Low $75.86 Median $117.49 Typical High $363.08 | Facility | 52 · Reduced service | $75.86 | $117.49 | $363.08 |
Moda Health Setting Facility Modifier 53 · Discontinued Typical Low $30.20 Median $47.86 Typical High $147.91 | Facility | 53 · Discontinued | $30.20 | $47.86 | $147.91 |
Moda Health Setting Facility Modifier FX · Film X-ray Typical Low $123.03 Median $190.55 Typical High $741.31 | Facility | FX · Film X-ray | $123.03 | $190.55 | $741.31 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $67.61 Median $83.18 Typical High $107.15 | Professional | 52 · Reduced service | $67.61 | $83.18 | $107.15 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $26.92 Median $33.11 Typical High $42.66 | Professional | 53 · Discontinued | $26.92 | $33.11 | $42.66 |
Where Texas sits
The same service costs 4.8 times more in Alaska than in Indiana. 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
$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.