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 $158.49 Median $158.49 Typical High $223.87 | Facility | None | $158.49 | $158.49 | $223.87 |
Aetna Setting Professional Modifier None (both parts) Typical Low $151.36 Median $158.49 Typical High $186.21 | Professional | None (both parts) | $151.36 | $158.49 | $186.21 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $40.74 Typical High $48.98 | Professional | 26 · Professional part | $34.67 | $40.74 | $48.98 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $109.65 Median $117.49 Typical High $138.04 | Professional | TC · Technical part | $109.65 | $117.49 | $138.04 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $66.07 Typical High $66.07 | Professional | 26 · Professional part | $66.07 | $66.07 | $66.07 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $77.62 Median $100.00 Typical High $389.05 | Facility | None | $77.62 | $100.00 | $389.05 |
Asuris Northwest Health Setting Professional Modifier None (both parts) Typical Low $144.54 Median $954.99 Typical High $977.24 | Professional | None (both parts) | $144.54 | $954.99 | $977.24 |
Asuris Northwest Health Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $75.86 Typical High $380.19 | Professional | 26 · Professional part | $38.90 | $75.86 | $380.19 |
Asuris Northwest Health Setting Professional Modifier TC · Technical part Typical Low $107.15 Median $204.17 Typical High $831.76 | Professional | TC · Technical part | $107.15 | $204.17 | $831.76 |
Cigna Setting Professional Modifier None (both parts) Typical Low $165.96 Median $199.53 Typical High $302.00 | Professional | None (both parts) | $165.96 | $199.53 | $302.00 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $53.70 Typical High $81.28 | Professional | 26 · Professional part | $43.65 | $53.70 | $81.28 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $123.03 Median $147.91 Typical High $223.87 | Professional | TC · Technical part | $123.03 | $147.91 | $223.87 |
Kaiser Permanente Setting Professional Modifier None (both parts) Typical Low $10.72 Median $67.61 Typical High $239.88 | Professional | None (both parts) | $10.72 | $67.61 | $239.88 |
Molina Setting Professional Modifier None (both parts) Typical Low $10.23 Median $35.48 Typical High $66.07 | Professional | None (both parts) | $10.23 | $35.48 | $66.07 |
Pacific Source Setting Facility Modifier None Typical Low $2.95 Median $32.36 Typical High $87.10 | Facility | None | $2.95 | $32.36 | $87.10 |
Premera BCBS Setting Facility Modifier None Typical Low $134.90 Median $144.54 Typical High $144.54 | Facility | None | $134.90 | $144.54 | $144.54 |
Premera BCBS Setting Professional Modifier None (both parts) Typical Low $134.90 Median $134.90 Typical High $134.90 | Professional | None (both parts) | $134.90 | $134.90 | $134.90 |
Premera BCBS Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $36.31 Typical High $36.31 | Professional | 26 · Professional part | $36.31 | $36.31 | $36.31 |
Premera BCBS Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $97.72 Typical High $97.72 | Professional | TC · Technical part | $97.72 | $97.72 | $97.72 |
Regence BlueShield Setting Facility Modifier None Typical Low $107.15 Median $107.15 Typical High $107.15 | Facility | None | $107.15 | $107.15 | $107.15 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $144.54 Median $144.54 Typical High $257.04 | Professional | None (both parts) | $144.54 | $144.54 | $257.04 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $38.90 Typical High $70.79 | Professional | 26 · Professional part | $38.90 | $38.90 | $70.79 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $107.15 Median $107.15 Typical High $190.55 | Professional | TC · Technical part | $107.15 | $107.15 | $190.55 |
United Setting Professional Modifier None (both parts) Typical Low $177.83 Median $186.21 Typical High $316.23 | Professional | None (both parts) | $177.83 | $186.21 | $316.23 |
United Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $46.77 Typical High $63.10 | Professional | 26 · Professional part | $30.90 | $46.77 | $63.10 |
United Setting Professional Modifier TC · Technical part Typical Low $131.83 Median $138.04 Typical High $229.09 | Professional | TC · Technical part | $131.83 | $138.04 | $229.09 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $33.88 Median $45.71 Typical High $69.18 | Professional | None (both parts) | $33.88 | $45.71 | $69.18 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $38.02 Typical High $57.54 | Professional | 26 · Professional part | $28.18 | $38.02 | $57.54 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $5.75 Median $8.13 Typical High $10.96 | Professional | TC · Technical part | $5.75 | $8.13 | $10.96 |
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 $72.44 Median $79.43 Typical High $85.11 | Professional | 52 · Reduced service | $72.44 | $79.43 | $85.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $28.84 Median $31.62 Typical High $33.88 | Professional | 53 · Discontinued | $28.84 | $31.62 | $33.88 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $69.18 Median $114.82 Typical High $151.36 | Professional | FX · Film X-ray | $69.18 | $114.82 | $151.36 |
Where Washington sits
The same service costs 4.2 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· 46th of 51
$145
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.