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 $131.83 Median $169.82 Typical High $169.82 | Facility | None | $131.83 | $169.82 | $169.82 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $141.25 Median $239.88 Typical High $1,380.38 | Facility | TC · Technical part | $141.25 | $239.88 | $1,380.38 |
Aetna Setting Professional Modifier None (both parts) Typical Low $131.83 Median $162.18 Typical High $199.53 | Professional | None (both parts) | $131.83 | $162.18 | $199.53 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $27.54 Typical High $33.88 | Professional | 26 · Professional part | $21.88 | $27.54 | $33.88 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $109.65 Median $134.90 Typical High $218.78 | Professional | TC · Technical part | $109.65 | $134.90 | $218.78 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $144.54 Median $144.54 Typical High $144.54 | Professional | None (both parts) | $144.54 | $144.54 | $144.54 |
BCBS Setting Facility Modifier None Typical Low $239.88 Median $549.54 Typical High $851.14 | Facility | None | $239.88 | $549.54 | $851.14 |
BCBS Setting Professional Modifier None (both parts) Typical Low $30.90 Median $158.49 Typical High $213.80 | Professional | None (both parts) | $30.90 | $158.49 | $213.80 |
Christus Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $31.62 Typical High $35.48 | Professional | 26 · Professional part | $31.62 | $31.62 | $35.48 |
Cigna Setting Facility Modifier None Typical Low $389.05 Median $812.83 Typical High $1,698.24 | Facility | None | $389.05 | $812.83 | $1,698.24 |
Cigna Setting Professional Modifier None (both parts) Typical Low $123.03 Median $177.83 Typical High $363.08 | Professional | None (both parts) | $123.03 | $177.83 | $363.08 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $21.38 Median $30.20 Typical High $61.66 | Professional | 26 · Professional part | $21.38 | $30.20 | $61.66 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $102.33 Median $144.54 Typical High $302.00 | Professional | TC · Technical part | $102.33 | $144.54 | $302.00 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $1,288.25 Median $1,288.25 Typical High $1,659.59 | Professional | None (both parts) | $1,288.25 | $1,288.25 | $1,659.59 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $363.08 Median $363.08 Typical High $363.08 | Professional | 26 · Professional part | $363.08 | $363.08 | $363.08 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $1,096.48 Median $1,096.48 Typical High $1,380.38 | Professional | TC · Technical part | $1,096.48 | $1,096.48 | $1,380.38 |
Moda Health Setting Facility Modifier None Typical Low $154.88 Median $194.98 Typical High $269.15 | Facility | None | $154.88 | $194.98 | $269.15 |
Moda Health Setting Facility Modifier TC · Technical part Typical Low $141.25 Median $218.78 Typical High $676.08 | Facility | TC · Technical part | $141.25 | $218.78 | $676.08 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $131.83 Median $165.96 Typical High $331.13 | Professional | None (both parts) | $131.83 | $165.96 | $331.13 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $27.54 Typical High $46.77 | Professional | 26 · Professional part | $21.88 | $27.54 | $46.77 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $109.65 Median $134.90 Typical High $245.47 | Professional | TC · Technical part | $109.65 | $134.90 | $245.47 |
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 $199.53 Median $660.69 Typical High $1,819.70 | Facility | None | $199.53 | $660.69 | $1,819.70 |
Providence Setting Professional Modifier None (both parts) Typical Low $117.49 Median $177.83 Typical High $363.08 | Professional | None (both parts) | $117.49 | $177.83 | $363.08 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $19.95 Median $29.51 Typical High $60.26 | Professional | 26 · Professional part | $19.95 | $29.51 | $60.26 |
Providence Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $144.54 Typical High $302.00 | Professional | TC · Technical part | $97.72 | $144.54 | $302.00 |
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 $162.18 Median $218.78 Typical High $323.59 | Professional | None (both parts) | $162.18 | $218.78 | $323.59 |
United Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $36.31 Typical High $54.95 | Professional | 26 · Professional part | $28.84 | $36.31 | $54.95 |
United Setting Professional Modifier TC · Technical part Typical Low $134.90 Median $181.97 Typical High $269.15 | Professional | TC · Technical part | $134.90 | $181.97 | $269.15 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $190.55 Median $190.55 Typical High $190.55 | Professional | None (both parts) | $190.55 | $190.55 | $190.55 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $32.36 Typical High $32.36 | Professional | 26 · Professional part | $32.36 | $32.36 | $32.36 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $158.49 Median $158.49 Typical High $158.49 | Professional | TC · Technical part | $158.49 | $158.49 | $158.49 |
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 $70.79 Median $120.23 Typical High $691.83 | Facility | 52 · Reduced service | $70.79 | $120.23 | $691.83 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $28.18 Median $47.86 Typical High $275.42 | Facility | 53 · Discontinued | $28.18 | $47.86 | $275.42 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $123.03 Median $177.83 Typical High $645.65 | Facility | FX · Film X-ray | $123.03 | $177.83 | $645.65 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $66.07 Median $81.28 Typical High $128.82 | Professional | 52 · Reduced service | $66.07 | $81.28 | $128.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $26.30 Median $32.36 Typical High $52.48 | Professional | 53 · Discontinued | $26.30 | $32.36 | $52.48 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $104.71 Median $134.90 Typical High $208.93 | Professional | FX · Film X-ray | $104.71 | $134.90 | $208.93 |
Moda Health Setting Facility Modifier 52 · Reduced service Typical Low $70.79 Median $109.65 Typical High $338.84 | Facility | 52 · Reduced service | $70.79 | $109.65 | $338.84 |
Moda Health Setting Facility Modifier 53 · Discontinued Typical Low $28.18 Median $43.65 Typical High $134.90 | Facility | 53 · Discontinued | $28.18 | $43.65 | $134.90 |
Moda Health Setting Facility Modifier FX · Film X-ray Typical Low $112.20 Median $177.83 Typical High $676.08 | Facility | FX · Film X-ray | $112.20 | $177.83 | $676.08 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $66.07 Median $81.28 Typical High $104.71 | Professional | 52 · Reduced service | $66.07 | $81.28 | $104.71 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $26.30 Median $32.36 Typical High $41.69 | Professional | 53 · Discontinued | $26.30 | $32.36 | $41.69 |
Where Texas sits
The same service costs 4.6 times more in Alaska than in Texas. 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· 51st of 51
$174
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.