How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $97.72 Median $97.72 Typical High $199.53 | Facility | None | $97.72 | $97.72 | $199.53 |
Aetna Setting Professional Modifier None (both parts) Typical Low $66.07 Median $97.72 Typical High $707.95 | Professional | None (both parts) | $66.07 | $97.72 | $707.95 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $34.67 Typical High $186.21 | Professional | 26 · Professional part | $22.91 | $34.67 | $186.21 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $41.69 Median $61.66 Typical High $61.66 | Professional | TC · Technical part | $41.69 | $61.66 | $61.66 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $63.10 Median $229.09 Typical High $524.81 | Professional | None (both parts) | $63.10 | $229.09 | $524.81 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $22.39 Median $75.86 Typical High $186.21 | Professional | 26 · Professional part | $22.39 | $75.86 | $186.21 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $39.81 Median $138.04 Typical High $331.13 | Professional | TC · Technical part | $39.81 | $138.04 | $331.13 |
Cigna Setting Facility Modifier None Typical Low $436.52 Median $501.19 Typical High $741.31 | Facility | None | $436.52 | $501.19 | $741.31 |
Cigna Setting Professional Modifier None (both parts) Typical Low $93.33 Median $93.33 Typical High $562.34 | Professional | None (both parts) | $93.33 | $93.33 | $562.34 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $33.11 Typical High $95.50 | Professional | 26 · Professional part | $33.11 | $33.11 | $95.50 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $58.88 Typical High $478.63 | Professional | TC · Technical part | $58.88 | $58.88 | $478.63 |
DeanCare Setting Facility Modifier None Typical Low $56.23 Median $190.55 Typical High $309.03 | Facility | None | $56.23 | $190.55 | $309.03 |
DeanCare Setting Professional Modifier None (both parts) Typical Low $114.82 Median $389.05 Typical High $389.05 | Professional | None (both parts) | $114.82 | $389.05 | $389.05 |
DeanCare Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $47.86 Typical High $87.10 | Professional | 26 · Professional part | $40.74 | $47.86 | $87.10 |
Medica Setting Facility Modifier None Typical Low $56.23 Median $190.55 Typical High $316.23 | Facility | None | $56.23 | $190.55 | $316.23 |
Medica Setting Professional Modifier None (both parts) Typical Low $165.96 Median $426.58 Typical High $891.25 | Professional | None (both parts) | $165.96 | $426.58 | $891.25 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $107.15 Typical High $346.74 | Professional | 26 · Professional part | $38.02 | $107.15 | $346.74 |
Medica Setting Professional Modifier TC · Technical part Typical Low $134.90 Median $346.74 Typical High $812.83 | Professional | TC · Technical part | $134.90 | $346.74 | $812.83 |
Network Health Setting Professional Modifier None (both parts) Typical Low $269.15 Median $281.84 Typical High $354.81 | Professional | None (both parts) | $269.15 | $281.84 | $354.81 |
Network Health Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $56.23 Typical High $85.11 | Professional | 26 · Professional part | $38.02 | $56.23 | $85.11 |
Prevea360 Setting Facility Modifier None Typical Low $56.23 Median $190.55 Typical High $309.03 | Facility | None | $56.23 | $190.55 | $309.03 |
Quartz Setting Professional Modifier None Typical Low $77.62 Median $154.88 Typical High $446.68 | Professional | None | $77.62 | $154.88 | $446.68 |
Quartz Setting Professional Modifier None (both parts) Typical Low $93.33 Median $93.33 Typical High $181.97 | Professional | None (both parts) | $93.33 | $93.33 | $181.97 |
Quartz Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $33.11 Typical High $50.12 | Professional | 26 · Professional part | $33.11 | $33.11 | $50.12 |
Quartz Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $58.88 Typical High $125.89 | Professional | TC · Technical part | $58.88 | $58.88 | $125.89 |
Security Health Setting Professional Modifier None Typical Low $398.11 Median $398.11 Typical High $398.11 | Professional | None | $398.11 | $398.11 | $398.11 |
Security Health Setting Professional Modifier None (both parts) Typical Low $537.03 Median $1,000.00 Typical High $1,096.48 | Professional | None (both parts) | $537.03 | $1,000.00 | $1,096.48 |
Security Health Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $114.82 Typical High $199.53 | Professional | 26 · Professional part | $79.43 | $114.82 | $199.53 |
The Alliance Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $128.82 Typical High $218.78 | Professional | 26 · Professional part | $44.67 | $128.82 | $218.78 |
United Setting Professional Modifier None (both parts) Typical Low $154.88 Median $239.88 Typical High $691.83 | Professional | None (both parts) | $154.88 | $239.88 | $691.83 |
United Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $53.70 Typical High $154.88 | Professional | 26 · Professional part | $28.18 | $53.70 | $154.88 |
United Setting Professional Modifier TC · Technical part Typical Low $123.03 Median $186.21 Typical High $537.03 | Professional | TC · Technical part | $123.03 | $186.21 | $537.03 |
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 $33.11 Median $48.98 Typical High $354.81 | Professional | 52 · Reduced service | $33.11 | $48.98 | $354.81 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $13.18 Median $19.50 Typical High $141.25 | Professional | 53 · Discontinued | $13.18 | $19.50 | $141.25 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $43.65 Median $51.29 Typical High $77.62 | Professional | FX · Film X-ray | $43.65 | $51.29 | $77.62 |
Where Wisconsin 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.
Wisconsin· 10th of 51
$191
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.