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 $95.50 Median $95.50 Typical High $158.49 | Facility | None | $95.50 | $95.50 | $158.49 |
Aetna Setting Professional Modifier None (both parts) Typical Low $91.20 Median $95.50 Typical High $109.65 | Professional | None (both parts) | $91.20 | $95.50 | $109.65 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $31.62 Typical High $38.90 | Professional | 26 · Professional part | $28.18 | $31.62 | $38.90 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $63.10 Typical High $72.44 | Professional | TC · Technical part | $58.88 | $63.10 | $72.44 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $50.12 Typical High $50.12 | Professional | 26 · Professional part | $50.12 | $50.12 | $50.12 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $52.48 Median $100.00 Typical High $489.78 | Facility | None | $52.48 | $100.00 | $489.78 |
Asuris Northwest Health Setting Professional Modifier None (both parts) Typical Low $89.13 Median $169.82 Typical High $912.01 | Professional | None (both parts) | $89.13 | $169.82 | $912.01 |
Asuris Northwest Health Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $64.57 Typical High $363.08 | Professional | 26 · Professional part | $31.62 | $64.57 | $363.08 |
Asuris Northwest Health Setting Professional Modifier TC · Technical part Typical Low $57.54 Median $117.49 Typical High $831.76 | Professional | TC · Technical part | $57.54 | $117.49 | $831.76 |
Cigna Setting Professional Modifier None (both parts) Typical Low $102.33 Median $120.23 Typical High $194.98 | Professional | None (both parts) | $102.33 | $120.23 | $194.98 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $42.66 Typical High $66.07 | Professional | 26 · Professional part | $35.48 | $42.66 | $66.07 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $79.43 Typical High $131.83 | Professional | TC · Technical part | $66.07 | $79.43 | $131.83 |
Kaiser Permanente Setting Professional Modifier None (both parts) Typical Low $40.74 Median $89.13 Typical High $173.78 | Professional | None (both parts) | $40.74 | $89.13 | $173.78 |
Molina Setting Professional Modifier None (both parts) Typical Low $14.45 Median $44.67 Typical High $50.12 | Professional | None (both parts) | $14.45 | $44.67 | $50.12 |
Pacific Source Setting Facility Modifier None Typical Low $45.71 Median $70.79 Typical High $128.82 | Facility | None | $45.71 | $70.79 | $128.82 |
Premera BCBS Setting Facility Modifier None Typical Low $87.10 Median $87.10 Typical High $89.13 | Facility | None | $87.10 | $87.10 | $89.13 |
Premera BCBS Setting Professional Modifier None (both parts) Typical Low $89.13 Median $89.13 Typical High $89.13 | Professional | None (both parts) | $89.13 | $89.13 | $89.13 |
Premera BCBS Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $31.62 Typical High $31.62 | Professional | 26 · Professional part | $31.62 | $31.62 | $31.62 |
Premera BCBS Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $58.88 Typical High $58.88 | Professional | TC · Technical part | $58.88 | $58.88 | $58.88 |
Regence BlueShield Setting Facility Modifier None Typical Low $57.54 Median $57.54 Typical High $57.54 | Facility | None | $57.54 | $57.54 | $57.54 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $89.13 Median $89.13 Typical High $165.96 | Professional | None (both parts) | $89.13 | $89.13 | $165.96 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $31.62 Typical High $58.88 | Professional | 26 · Professional part | $31.62 | $31.62 | $58.88 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $57.54 Median $57.54 Typical High $107.15 | Professional | TC · Technical part | $57.54 | $57.54 | $107.15 |
United Setting Professional Modifier None (both parts) Typical Low $169.82 Median $173.78 Typical High $309.03 | Professional | None (both parts) | $169.82 | $173.78 | $309.03 |
United Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $36.31 Typical High $52.48 | Professional | 26 · Professional part | $25.70 | $36.31 | $52.48 |
United Setting Professional Modifier TC · Technical part Typical Low $134.90 Median $138.04 Typical High $245.47 | Professional | TC · Technical part | $134.90 | $138.04 | $245.47 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $125.89 Median $125.89 Typical High $125.89 | Professional | None (both parts) | $125.89 | $125.89 | $125.89 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $33.88 Typical High $51.29 | Professional | 26 · Professional part | $25.12 | $33.88 | $51.29 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $85.11 Typical High $85.11 | Professional | TC · Technical part | $85.11 | $85.11 | $85.11 |
3 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 Professional Modifier 52 · Reduced service Typical Low $43.65 Median $47.86 Typical High $50.12 | Professional | 52 · Reduced service | $43.65 | $47.86 | $50.12 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $17.38 Median $19.05 Typical High $20.42 | Professional | 53 · Discontinued | $17.38 | $19.05 | $20.42 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $43.65 Median $69.18 Typical High $89.13 | Professional | FX · Film X-ray | $43.65 | $69.18 | $89.13 |
Where Washington sits
The same service costs 6.6 times more in Nebraska 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.
Washington· 30th of 51
$120
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.