How much rates vary
Facilitymedian $794 · 10th to 90th $240 to $1,698Professionalmedian $1,288 · 10th to 90th $316 to $1,288
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 $316.23 Median $812.83 Typical High $1,819.70 | Facility | None | $316.23 | $812.83 | $1,819.70 |
Aetna Setting Professional Modifier None (both parts) Typical Low $316.23 Median $316.23 Typical High $426.58 | Professional | None (both parts) | $316.23 | $316.23 | $426.58 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $95.50 Median $95.50 Typical High $112.20 | Professional | 26 · Professional part | $95.50 | $95.50 | $112.20 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $158.49 Median $158.49 Typical High $199.53 | Professional | 52 · Reduced service | $158.49 | $158.49 | $199.53 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $63.10 Median $63.10 Typical High $79.43 | Professional | 53 · Discontinued | $63.10 | $63.10 | $79.43 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $223.87 Median $223.87 Typical High $295.12 | Professional | TC · Technical part | $223.87 | $223.87 | $295.12 |
BCBS Texas Setting Facility Modifier None Typical Low $416.87 Median $1,122.02 Typical High $1,905.46 | Facility | None | $416.87 | $1,122.02 | $1,905.46 |
Christus Setting Facility Modifier None Typical Low $239.88 Median $239.88 Typical High $239.88 | Facility | None | $239.88 | $239.88 | $239.88 |
Cigna Setting Facility Modifier None Typical Low $870.96 Median $1,148.15 Typical High $1,659.59 | Facility | None | $870.96 | $1,148.15 | $1,659.59 |
Cigna Setting Professional Modifier None (both parts) Typical Low $1,288.25 Median $1,288.25 Typical High $1,288.25 | Professional | None (both parts) | $1,288.25 | $1,288.25 | $1,288.25 |
Health Smart Setting Professional Modifier None (both parts) Typical Low $549.54 Median $549.54 Typical High $575.44 | Professional | None (both parts) | $549.54 | $549.54 | $575.44 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $1,905.46 Median $1,905.46 Typical High $1,905.46 | Professional | None (both parts) | $1,905.46 | $1,905.46 | $1,905.46 |
Moda Health Setting Facility Modifier None Typical Low $354.81 Median $1,148.15 Typical High $2,511.89 | Facility | None | $354.81 | $1,148.15 | $2,511.89 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $316.23 Median $316.23 Typical High $446.68 | Professional | None (both parts) | $316.23 | $316.23 | $446.68 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $95.50 Median $95.50 Typical High $95.50 | Professional | 26 · Professional part | $95.50 | $95.50 | $95.50 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $158.49 Median $158.49 Typical High $186.21 | Professional | 52 · Reduced service | $158.49 | $158.49 | $186.21 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $63.10 Median $63.10 Typical High $74.13 | Professional | 53 · Discontinued | $63.10 | $63.10 | $74.13 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $223.87 Median $223.87 Typical High $223.87 | Professional | TC · Technical part | $223.87 | $223.87 | $223.87 |
Providence Setting Facility Modifier None Typical Low $316.23 Median $1,023.29 Typical High $1,659.59 | Facility | None | $316.23 | $1,023.29 | $1,659.59 |
Providence Setting Professional Modifier None (both parts) Typical Low $1,288.25 Median $1,288.25 Typical High $1,288.25 | Professional | None (both parts) | $1,288.25 | $1,288.25 | $1,288.25 |
United Setting Facility Modifier None Typical Low $524.81 Median $549.54 Typical High $724.44 | Facility | None | $524.81 | $549.54 | $724.44 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $602.56 Median $602.56 Typical High $602.56 | Professional | None (both parts) | $602.56 | $602.56 | $602.56 |
1 more rate 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 |
|---|---|---|---|---|---|
Moda Health Setting Facility Modifier MH · Imaging: guideline use unknown Typical Low $371.54 Median $1,122.02 Typical High $1,548.82 | Facility | MH · Imaging: guideline use unknown | $371.54 | $1,122.02 | $1,548.82 |
Where Texas sits
The same service costs 15.1 times more in Ohio than in Montana. 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· 18th of 51
$977
OH $1,288MT $85.11
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.