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 $190.55 Median $245.47 Typical High $245.47 | Facility | None | $190.55 | $245.47 | $245.47 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $213.80 Median $363.08 Typical High $2,137.96 | Facility | TC · Technical part | $213.80 | $363.08 | $2,137.96 |
Aetna Setting Professional Modifier None (both parts) Typical Low $190.55 Median $239.88 Typical High $389.05 | Professional | None (both parts) | $190.55 | $239.88 | $389.05 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $30.90 Typical High $52.48 | Professional | 26 · Professional part | $23.99 | $30.90 | $52.48 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $169.82 Median $208.93 Typical High $467.74 | Professional | TC · Technical part | $169.82 | $208.93 | $467.74 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $28.84 Typical High $57.54 | Professional | 26 · Professional part | $28.18 | $28.84 | $57.54 |
BCBS Texas Setting Facility Modifier None Typical Low $380.19 Median $912.01 Typical High $1,949.84 | Facility | None | $380.19 | $912.01 | $1,949.84 |
BCBS Texas Setting Professional Modifier None (both parts) Typical Low $30.90 Median $223.87 Typical High $302.00 | Professional | None (both parts) | $30.90 | $223.87 | $302.00 |
Christus Setting Facility Modifier None Typical Low $1,737.80 Median $1,737.80 Typical High $1,737.80 | Facility | None | $1,737.80 | $1,737.80 | $1,737.80 |
Christus Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $34.67 Typical High $38.90 | Professional | 26 · Professional part | $34.67 | $34.67 | $38.90 |
Cigna Setting Facility Modifier None Typical Low $616.60 Median $1,348.96 Typical High $5,754.40 | Facility | None | $616.60 | $1,348.96 | $5,754.40 |
Cigna Setting Professional Modifier None (both parts) Typical Low $173.78 Median $263.03 Typical High $549.54 | Professional | None (both parts) | $173.78 | $263.03 | $549.54 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $33.11 Typical High $70.79 | Professional | 26 · Professional part | $23.44 | $33.11 | $70.79 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $151.36 Median $223.87 Typical High $478.63 | Professional | TC · Technical part | $151.36 | $223.87 | $478.63 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $1,905.46 Median $1,905.46 Typical High $2,344.23 | Professional | None (both parts) | $1,905.46 | $1,905.46 | $2,344.23 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $426.58 Median $426.58 Typical High $426.58 | Professional | 26 · Professional part | $426.58 | $426.58 | $426.58 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $1,659.59 Median $1,659.59 Typical High $2,041.74 | Professional | TC · Technical part | $1,659.59 | $1,659.59 | $2,041.74 |
Moda Health Setting Facility Modifier None Typical Low $245.47 Median $1,288.25 Typical High $3,630.78 | Facility | None | $245.47 | $1,288.25 | $3,630.78 |
Moda Health Setting Facility Modifier TC · Technical part Typical Low $213.80 Median $346.74 Typical High $1,318.26 | Facility | TC · Technical part | $213.80 | $346.74 | $1,318.26 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $190.55 Median $245.47 Typical High $512.86 | Professional | None (both parts) | $190.55 | $245.47 | $512.86 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $30.90 Typical High $64.57 | Professional | 26 · Professional part | $23.99 | $30.90 | $64.57 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $169.82 Median $208.93 Typical High $467.74 | Professional | TC · Technical part | $169.82 | $208.93 | $467.74 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.88 Median $190.55 Typical High $281.84 | Professional | None (both parts) | $33.88 | $190.55 | $281.84 |
Providence Setting Facility Modifier None Typical Low $288.40 Median $1,000.00 Typical High $6,165.95 | Facility | None | $288.40 | $1,000.00 | $6,165.95 |
Providence Setting Professional Modifier None (both parts) Typical Low $165.96 Median $263.03 Typical High $549.54 | Professional | None (both parts) | $165.96 | $263.03 | $549.54 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $21.38 Median $33.11 Typical High $70.79 | Professional | 26 · Professional part | $21.38 | $33.11 | $70.79 |
Providence Setting Professional Modifier TC · Technical part Typical Low $144.54 Median $223.87 Typical High $478.63 | Professional | TC · Technical part | $144.54 | $223.87 | $478.63 |
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 $257.04 Median $323.59 Typical High $501.19 | Professional | None (both parts) | $257.04 | $323.59 | $501.19 |
United Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $40.74 Typical High $61.66 | Professional | 26 · Professional part | $31.62 | $40.74 | $61.66 |
United Setting Professional Modifier TC · Technical part Typical Low $223.87 Median $281.84 Typical High $426.58 | Professional | TC · Technical part | $223.87 | $281.84 | $426.58 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $269.15 Median $269.15 Typical High $269.15 | Professional | None (both parts) | $269.15 | $269.15 | $269.15 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $35.48 Typical High $35.48 | Professional | 26 · Professional part | $35.48 | $35.48 | $35.48 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $234.42 Median $234.42 Typical High $234.42 | Professional | TC · Technical part | $234.42 | $234.42 | $234.42 |
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 $107.15 Median $181.97 Typical High $1,071.52 | Facility | 52 · Reduced service | $107.15 | $181.97 | $1,071.52 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $43.65 Median $72.44 Typical High $426.58 | Facility | 53 · Discontinued | $43.65 | $72.44 | $426.58 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $181.97 Median $269.15 Typical High $1,000.00 | Facility | FX · Film X-ray | $181.97 | $269.15 | $1,000.00 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $95.50 Median $120.23 Typical High $194.98 | Professional | 52 · Reduced service | $95.50 | $120.23 | $194.98 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $38.90 Median $47.86 Typical High $77.62 | Professional | 53 · Discontinued | $38.90 | $47.86 | $77.62 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $154.88 Median $194.98 Typical High $309.03 | Professional | FX · Film X-ray | $154.88 | $194.98 | $309.03 |
Moda Health Setting Facility Modifier 52 · Reduced service Typical Low $107.15 Median $169.82 Typical High $524.81 | Facility | 52 · Reduced service | $107.15 | $169.82 | $524.81 |
Moda Health Setting Facility Modifier 53 · Discontinued Typical Low $43.65 Median $67.61 Typical High $208.93 | Facility | 53 · Discontinued | $43.65 | $67.61 | $208.93 |
Moda Health Setting Facility Modifier FX · Film X-ray Typical Low $173.78 Median $269.15 Typical High $1,047.13 | Facility | FX · Film X-ray | $173.78 | $269.15 | $1,047.13 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $95.50 Median $117.49 Typical High $151.36 | Professional | 52 · Reduced service | $95.50 | $117.49 | $151.36 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $38.90 Median $46.77 Typical High $60.26 | Professional | 53 · Discontinued | $38.90 | $46.77 | $60.26 |
Where Texas sits
The same service costs 3.7 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
$263
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.