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 $51.29 Median $100.00 Typical High $112.20 | Facility | None | $51.29 | $100.00 | $112.20 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $44.67 Median $75.86 Typical High $446.68 | Facility | TC · Technical part | $44.67 | $75.86 | $446.68 |
Aetna Setting Professional Modifier None (both parts) Typical Low $87.10 Median $109.65 Typical High $117.49 | Professional | None (both parts) | $87.10 | $109.65 | $117.49 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $66.07 Typical High $72.44 | Professional | 26 · Professional part | $51.29 | $66.07 | $72.44 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $34.67 Median $42.66 Typical High $56.23 | Professional | TC · Technical part | $34.67 | $42.66 | $56.23 |
Christus Setting Professional Modifier 26 · Professional part Typical Low $74.13 Median $74.13 Typical High $79.43 | Professional | 26 · Professional part | $74.13 | $74.13 | $79.43 |
Cigna Setting Facility Modifier None Typical Low $147.91 Median $331.13 Typical High $1,071.52 | Facility | None | $147.91 | $331.13 | $1,071.52 |
Cigna Setting Professional Modifier None (both parts) Typical Low $74.13 Median $120.23 Typical High $263.03 | Professional | None (both parts) | $74.13 | $120.23 | $263.03 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $72.44 Typical High $162.18 | Professional | 26 · Professional part | $44.67 | $72.44 | $162.18 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $30.20 Median $46.77 Typical High $102.33 | Professional | TC · Technical part | $30.20 | $46.77 | $102.33 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $1,174.90 Median $1,174.90 Typical High $1,174.90 | Professional | None (both parts) | $1,174.90 | $1,174.90 | $1,174.90 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $954.99 Median $954.99 Typical High $954.99 | Professional | 26 · Professional part | $954.99 | $954.99 | $954.99 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $954.99 Median $954.99 Typical High $954.99 | Professional | TC · Technical part | $954.99 | $954.99 | $954.99 |
Moda Health Setting Facility Modifier None Typical Low $51.29 Median $125.89 Typical High $269.15 | Facility | None | $51.29 | $125.89 | $269.15 |
Moda Health Setting Facility Modifier TC · Technical part Typical Low $44.67 Median $70.79 Typical High $218.78 | Facility | TC · Technical part | $44.67 | $70.79 | $218.78 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $87.10 Median $109.65 Typical High $173.78 | Professional | None (both parts) | $87.10 | $109.65 | $173.78 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $66.07 Typical High $100.00 | Professional | 26 · Professional part | $51.29 | $66.07 | $100.00 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $34.67 Median $43.65 Typical High $70.79 | Professional | TC · Technical part | $34.67 | $43.65 | $70.79 |
Molina Setting Professional Modifier None (both parts) Typical Low $10.96 Median $63.10 Typical High $134.90 | Professional | None (both parts) | $10.96 | $63.10 | $134.90 |
Providence Setting Facility Modifier None Typical Low $123.03 Median $218.78 Typical High $1,174.90 | Facility | None | $123.03 | $218.78 | $1,174.90 |
Providence Setting Professional Modifier None (both parts) Typical Low $74.13 Median $114.82 Typical High $263.03 | Professional | None (both parts) | $74.13 | $114.82 | $263.03 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $69.18 Typical High $158.49 | Professional | 26 · Professional part | $44.67 | $69.18 | $158.49 |
Providence Setting Professional Modifier TC · Technical part Typical Low $30.20 Median $46.77 Typical High $97.72 | Professional | TC · Technical part | $30.20 | $46.77 | $97.72 |
United Setting Facility Modifier None Typical Low $354.81 Median $371.54 Typical High $489.78 | Facility | None | $354.81 | $371.54 | $489.78 |
United Setting Professional Modifier None (both parts) Typical Low $117.49 Median $151.36 Typical High $245.47 | Professional | None (both parts) | $117.49 | $151.36 | $245.47 |
United Setting Professional Modifier 26 · Professional part Typical Low $72.44 Median $93.33 Typical High $141.25 | Professional | 26 · Professional part | $72.44 | $93.33 | $141.25 |
United Setting Professional Modifier TC · Technical part Typical Low $45.71 Median $64.57 Typical High $100.00 | Professional | TC · Technical part | $45.71 | $64.57 | $100.00 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $131.83 Median $131.83 Typical High $131.83 | Professional | None (both parts) | $131.83 | $131.83 | $131.83 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $77.62 Median $77.62 Typical High $77.62 | Professional | 26 · Professional part | $77.62 | $77.62 | $77.62 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $53.70 Median $53.70 Typical High $53.70 | Professional | TC · Technical part | $53.70 | $53.70 | $53.70 |
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 $25.70 Median $50.12 Typical High $218.78 | Facility | 52 · Reduced service | $25.70 | $50.12 | $218.78 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $10.23 Median $19.95 Typical High $89.13 | Facility | 53 · Discontinued | $10.23 | $19.95 | $89.13 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $38.90 Median $64.57 Typical High $204.17 | Facility | FX · Film X-ray | $38.90 | $64.57 | $204.17 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $43.65 Median $54.95 Typical High $67.61 | Professional | 52 · Reduced service | $43.65 | $54.95 | $67.61 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $17.38 Median $21.88 Typical High $27.54 | Professional | 53 · Discontinued | $17.38 | $21.88 | $27.54 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $69.18 Median $89.13 Typical High $97.72 | Professional | FX · Film X-ray | $69.18 | $89.13 | $97.72 |
Moda Health Setting Facility Modifier 52 · Reduced service Typical Low $24.55 Median $41.69 Typical High $107.15 | Facility | 52 · Reduced service | $24.55 | $41.69 | $107.15 |
Moda Health Setting Facility Modifier 53 · Discontinued Typical Low $9.77 Median $16.98 Typical High $43.65 | Facility | 53 · Discontinued | $9.77 | $16.98 | $43.65 |
Moda Health Setting Facility Modifier FX · Film X-ray Typical Low $36.31 Median $56.23 Typical High $218.78 | Facility | FX · Film X-ray | $36.31 | $56.23 | $218.78 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $43.65 Median $53.70 Typical High $58.88 | Professional | 52 · Reduced service | $43.65 | $53.70 | $58.88 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $17.38 Median $21.38 Typical High $23.99 | Professional | 53 · Discontinued | $17.38 | $21.38 | $23.99 |
Where Texas sits
The same service costs 5.6 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
$93.33
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.