How much rates vary
Facilitymedian $1,660 · 10th to 90th $661 to $3,162Professionalmedian $479 · 10th to 90th $68 to $871
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 $407.38 Median $478.63 Typical High $524.81 | Facility | None | $407.38 | $478.63 | $524.81 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $478.63 Median $812.83 Typical High $4,786.30 | Facility | TC · Technical part | $478.63 | $812.83 | $4,786.30 |
Aetna Setting Professional Modifier None (both parts) Typical Low $407.38 Median $489.78 Typical High $645.65 | Professional | None (both parts) | $407.38 | $489.78 | $645.65 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $38.02 Typical High $47.86 | Professional | 26 · Professional part | $30.20 | $38.02 | $47.86 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $371.54 Median $467.74 Typical High $758.58 | Professional | TC · Technical part | $371.54 | $467.74 | $758.58 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $107.15 Typical High $107.15 | Professional | 26 · Professional part | $44.67 | $107.15 | $107.15 |
BCBS Texas Setting Facility Modifier None Typical Low $707.95 Median $1,621.81 Typical High $2,691.53 | Facility | None | $707.95 | $1,621.81 | $2,691.53 |
BCBS Texas Setting Professional Modifier None (both parts) Typical Low $60.26 Median $467.74 Typical High $630.96 | Professional | None (both parts) | $60.26 | $467.74 | $630.96 |
Christus Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $43.65 Typical High $48.98 | Professional | 26 · Professional part | $43.65 | $43.65 | $48.98 |
Cigna Setting Facility Modifier None Typical Low $1,202.26 Median $2,238.72 Typical High $5,754.40 | Facility | None | $1,202.26 | $2,238.72 | $5,754.40 |
Cigna Setting Professional Modifier None (both parts) Typical Low $346.74 Median $512.86 Typical High $1,000.00 | Professional | None (both parts) | $346.74 | $512.86 | $1,000.00 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $41.69 Typical High $89.13 | Professional | 26 · Professional part | $29.51 | $41.69 | $89.13 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $295.12 Median $478.63 Typical High $933.25 | Professional | TC · Technical part | $295.12 | $478.63 | $933.25 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $3,981.07 Median $3,981.07 Typical High $4,897.79 | Professional | None (both parts) | $3,981.07 | $3,981.07 | $4,897.79 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $457.09 Median $457.09 Typical High $457.09 | Professional | 26 · Professional part | $457.09 | $457.09 | $457.09 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $3,715.35 Median $3,715.35 Typical High $4,466.84 | Professional | TC · Technical part | $3,715.35 | $3,715.35 | $4,466.84 |
Moda Health Setting Facility Modifier None Typical Low $524.81 Median $2,398.83 Typical High $2,630.27 | Facility | None | $524.81 | $2,398.83 | $2,630.27 |
Moda Health Setting Facility Modifier TC · Technical part Typical Low $478.63 Median $758.58 Typical High $1,412.54 | Facility | TC · Technical part | $478.63 | $758.58 | $1,412.54 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $407.38 Median $512.86 Typical High $977.24 | Professional | None (both parts) | $407.38 | $512.86 | $977.24 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $38.90 Typical High $70.79 | Professional | 26 · Professional part | $30.20 | $38.90 | $70.79 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $371.54 Median $467.74 Typical High $912.01 | Professional | TC · Technical part | $371.54 | $467.74 | $912.01 |
Molina Setting Professional Modifier None (both parts) Typical Low $38.90 Median $407.38 Typical High $602.56 | Professional | None (both parts) | $38.90 | $407.38 | $602.56 |
Providence Setting Facility Modifier None Typical Low $616.60 Median $2,137.96 Typical High $6,165.95 | Facility | None | $616.60 | $2,137.96 | $6,165.95 |
Providence Setting Professional Modifier None (both parts) Typical Low $323.59 Median $512.86 Typical High $1,000.00 | Professional | None (both parts) | $323.59 | $512.86 | $1,000.00 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $41.69 Typical High $87.10 | Professional | 26 · Professional part | $26.92 | $41.69 | $87.10 |
Providence Setting Professional Modifier TC · Technical part Typical Low $295.12 Median $478.63 Typical High $912.01 | Professional | TC · Technical part | $295.12 | $478.63 | $912.01 |
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 $467.74 Median $588.84 Typical High $954.99 | Professional | None (both parts) | $467.74 | $588.84 | $954.99 |
United Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $51.29 Typical High $75.86 | Professional | 26 · Professional part | $40.74 | $51.29 | $75.86 |
United Setting Professional Modifier TC · Technical part Typical Low $416.87 Median $537.03 Typical High $891.25 | Professional | TC · Technical part | $416.87 | $537.03 | $891.25 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $562.34 Median $562.34 Typical High $562.34 | Professional | None (both parts) | $562.34 | $562.34 | $562.34 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $44.67 Typical High $44.67 | Professional | 26 · Professional part | $44.67 | $44.67 | $44.67 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $512.86 Median $512.86 Typical High $512.86 | Professional | TC · Technical part | $512.86 | $512.86 | $512.86 |
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 $239.88 Median $407.38 Typical High $2,344.23 | Facility | 52 · Reduced service | $239.88 | $407.38 | $2,344.23 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $95.50 Median $162.18 Typical High $954.99 | Facility | 53 · Discontinued | $95.50 | $162.18 | $954.99 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $389.05 Median $602.56 Typical High $2,187.76 | Facility | FX · Film X-ray | $389.05 | $602.56 | $2,187.76 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $204.17 Median $251.19 Typical High $407.38 | Professional | 52 · Reduced service | $204.17 | $251.19 | $407.38 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $81.28 Median $100.00 Typical High $162.18 | Professional | 53 · Discontinued | $81.28 | $100.00 | $162.18 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $323.59 Median $407.38 Typical High $660.69 | Professional | FX · Film X-ray | $323.59 | $407.38 | $660.69 |
Moda Health Setting Facility Modifier 52 · Reduced service Typical Low $239.88 Median $371.54 Typical High $1,148.15 | Facility | 52 · Reduced service | $239.88 | $371.54 | $1,148.15 |
Moda Health Setting Facility Modifier 53 · Discontinued Typical Low $95.50 Median $151.36 Typical High $467.74 | Facility | 53 · Discontinued | $95.50 | $151.36 | $467.74 |
Moda Health Setting Facility Modifier FX · Film X-ray Typical Low $389.05 Median $602.56 Typical High $2,344.23 | Facility | FX · Film X-ray | $389.05 | $602.56 | $2,344.23 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $204.17 Median $245.47 Typical High $316.23 | Professional | 52 · Reduced service | $204.17 | $245.47 | $316.23 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $81.28 Median $100.00 Typical High $128.82 | Professional | 53 · Discontinued | $81.28 | $100.00 | $128.82 |
Where Texas sits
The same service costs 4.4 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· 48th of 51
$537
AK $1,950KY $447
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.