How much rates vary
Facilitymedian $219 · 10th to 90th $89 to $912Professionalmedian $117 · 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 $35.48 Median $69.18 Typical High $89.13 | Facility | None | $35.48 | $69.18 | $89.13 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $35.48 Median $58.88 Typical High $346.74 | Facility | TC · Technical part | $35.48 | $58.88 | $346.74 |
Aetna Setting Professional Modifier None (both parts) Typical Low $69.18 Median $85.11 Typical High $93.33 | Professional | None (both parts) | $69.18 | $85.11 | $93.33 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $53.70 Typical High $58.88 | Professional | 26 · Professional part | $41.69 | $53.70 | $58.88 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $26.92 Median $33.88 Typical High $41.69 | Professional | TC · Technical part | $26.92 | $33.88 | $41.69 |
BCBS Texas Setting Facility Modifier None Typical Low $97.72 Median $229.09 Typical High $426.58 | Facility | None | $97.72 | $229.09 | $426.58 |
BCBS Texas Setting Professional Modifier None (both parts) Typical Low $51.29 Median $56.23 Typical High $177.83 | Professional | None (both parts) | $51.29 | $56.23 | $177.83 |
Christus Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $60.26 Typical High $63.10 | Professional | 26 · Professional part | $60.26 | $60.26 | $63.10 |
Cigna Setting Facility Modifier None Typical Low $117.49 Median $257.04 Typical High $1,071.52 | Facility | None | $117.49 | $257.04 | $1,071.52 |
Cigna Setting Professional Modifier None (both parts) Typical Low $60.26 Median $97.72 Typical High $213.80 | Professional | None (both parts) | $60.26 | $97.72 | $213.80 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $58.88 Typical High $128.82 | Professional | 26 · Professional part | $35.48 | $58.88 | $128.82 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $23.99 Median $38.02 Typical High $83.18 | Professional | TC · Technical part | $23.99 | $38.02 | $83.18 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $870.96 Median $1,202.26 Typical High $1,202.26 | Professional | None (both parts) | $870.96 | $1,202.26 | $1,202.26 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $741.31 Median $1,202.26 Typical High $1,202.26 | Professional | 26 · Professional part | $741.31 | $1,202.26 | $1,202.26 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $630.96 Median $630.96 Typical High $630.96 | Professional | TC · Technical part | $630.96 | $630.96 | $630.96 |
Moda Health Setting Facility Modifier None Typical Low $38.90 Median $89.13 Typical High $218.78 | Facility | None | $38.90 | $89.13 | $218.78 |
Moda Health Setting Facility Modifier TC · Technical part Typical Low $35.48 Median $54.95 Typical High $165.96 | Facility | TC · Technical part | $35.48 | $54.95 | $165.96 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $69.18 Median $85.11 Typical High $93.33 | Professional | None (both parts) | $69.18 | $85.11 | $93.33 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $53.70 Typical High $81.28 | Professional | 26 · Professional part | $41.69 | $53.70 | $81.28 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $26.92 Median $33.11 Typical High $35.48 | Professional | TC · Technical part | $26.92 | $33.11 | $35.48 |
Molina Setting Professional Modifier None (both parts) Typical Low $52.48 Median $67.61 Typical High $81.28 | Professional | None (both parts) | $52.48 | $67.61 | $81.28 |
Providence Setting Facility Modifier None Typical Low $85.11 Median $173.78 Typical High $1,174.90 | Facility | None | $85.11 | $173.78 | $1,174.90 |
Providence Setting Professional Modifier None (both parts) Typical Low $60.26 Median $93.33 Typical High $213.80 | Professional | None (both parts) | $60.26 | $93.33 | $213.80 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $57.54 Typical High $125.89 | Professional | 26 · Professional part | $35.48 | $57.54 | $125.89 |
Providence Setting Professional Modifier TC · Technical part Typical Low $23.99 Median $36.31 Typical High $83.18 | Professional | TC · Technical part | $23.99 | $36.31 | $83.18 |
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 $100.00 Median $204.17 Typical High $316.23 | Professional | None (both parts) | $100.00 | $204.17 | $316.23 |
United Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $77.62 Typical High $120.23 | Professional | 26 · Professional part | $60.26 | $77.62 | $120.23 |
United Setting Professional Modifier TC · Technical part Typical Low $40.74 Median $131.83 Typical High $204.17 | Professional | TC · Technical part | $40.74 | $131.83 | $204.17 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $138.04 Median $138.04 Typical High $138.04 | Professional | None (both parts) | $138.04 | $138.04 | $138.04 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $61.66 Typical High $61.66 | Professional | 26 · Professional part | $61.66 | $61.66 | $61.66 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $54.95 Median $54.95 Typical High $54.95 | Professional | TC · Technical part | $54.95 | $54.95 | $54.95 |
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 $19.95 Median $39.81 Typical High $173.78 | Facility | 52 · Reduced service | $19.95 | $39.81 | $173.78 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $7.94 Median $15.85 Typical High $69.18 | Facility | 53 · Discontinued | $7.94 | $15.85 | $69.18 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $30.20 Median $51.29 Typical High $158.49 | Facility | FX · Film X-ray | $30.20 | $51.29 | $158.49 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $33.88 Median $43.65 Typical High $50.12 | Professional | 52 · Reduced service | $33.88 | $43.65 | $50.12 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $13.80 Median $17.38 Typical High $19.95 | Professional | 53 · Discontinued | $13.80 | $17.38 | $19.95 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $54.95 Median $70.79 Typical High $70.79 | Professional | FX · Film X-ray | $54.95 | $70.79 | $70.79 |
Moda Health Setting Facility Modifier 52 · Reduced service Typical Low $19.05 Median $32.36 Typical High $83.18 | Facility | 52 · Reduced service | $19.05 | $32.36 | $83.18 |
Moda Health Setting Facility Modifier 53 · Discontinued Typical Low $7.59 Median $12.88 Typical High $33.88 | Facility | 53 · Discontinued | $7.59 | $12.88 | $33.88 |
Moda Health Setting Facility Modifier FX · Film X-ray Typical Low $28.18 Median $43.65 Typical High $165.96 | Facility | FX · Film X-ray | $28.18 | $43.65 | $165.96 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $33.88 Median $42.66 Typical High $44.67 | Professional | 52 · Reduced service | $33.88 | $42.66 | $44.67 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $13.80 Median $16.98 Typical High $17.78 | Professional | 53 · Discontinued | $13.80 | $16.98 | $17.78 |
Where Texas sits
The same service costs 4.7 times more in Nebraska than in New Jersey. 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· 43rd of 51
$138
NE $537NJ $115
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.