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 $144.54 Median $144.54 Typical High $199.53 | Facility | None | $144.54 | $144.54 | $199.53 |
Aetna Setting Professional Modifier None (both parts) Typical Low $104.71 Median $144.54 Typical High $1,737.80 | Professional | None (both parts) | $104.71 | $144.54 | $1,737.80 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $40.74 Typical High $562.34 | Professional | 26 · Professional part | $28.18 | $40.74 | $562.34 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $104.71 Typical High $104.71 | Professional | TC · Technical part | $72.44 | $104.71 | $104.71 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $95.50 Median $331.13 Typical High $870.96 | Professional | None (both parts) | $95.50 | $331.13 | $870.96 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $91.20 Typical High $245.47 | Professional | 26 · Professional part | $26.30 | $91.20 | $245.47 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $245.47 Typical High $630.96 | Professional | TC · Technical part | $69.18 | $245.47 | $630.96 |
Cigna Setting Facility Modifier None Typical Low $446.68 Median $512.86 Typical High $758.58 | Facility | None | $446.68 | $512.86 | $758.58 |
Cigna Setting Professional Modifier None (both parts) Typical Low $138.04 Median $138.04 Typical High $575.44 | Professional | None (both parts) | $138.04 | $138.04 | $575.44 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $38.90 Typical High $109.65 | Professional | 26 · Professional part | $38.90 | $38.90 | $109.65 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $100.00 Typical High $478.63 | Professional | TC · Technical part | $100.00 | $100.00 | $478.63 |
DeanCare Setting Facility Modifier None Typical Low $87.10 Median $194.98 Typical High $323.59 | Facility | None | $87.10 | $194.98 | $323.59 |
DeanCare Setting Professional Modifier None (both parts) Typical Low $144.54 Median $416.87 Typical High $416.87 | Professional | None (both parts) | $144.54 | $416.87 | $416.87 |
DeanCare Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $56.23 Typical High $112.20 | Professional | 26 · Professional part | $47.86 | $56.23 | $112.20 |
Medica Setting Facility Modifier None Typical Low $87.10 Median $204.17 Typical High $323.59 | Facility | None | $87.10 | $204.17 | $323.59 |
Medica Setting Professional Modifier None (both parts) Typical Low $181.97 Median $457.09 Typical High $933.25 | Professional | None (both parts) | $181.97 | $457.09 | $933.25 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $138.04 Typical High $371.54 | Professional | 26 · Professional part | $48.98 | $138.04 | $371.54 |
Medica Setting Professional Modifier TC · Technical part Typical Low $138.04 Median $346.74 Typical High $831.76 | Professional | TC · Technical part | $138.04 | $346.74 | $831.76 |
Network Health Setting Professional Modifier None (both parts) Typical Low $295.12 Median $302.00 Typical High $588.84 | Professional | None (both parts) | $295.12 | $302.00 | $588.84 |
Network Health Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $72.44 Typical High $107.15 | Professional | 26 · Professional part | $43.65 | $72.44 | $107.15 |
Prevea360 Setting Facility Modifier None Typical Low $87.10 Median $194.98 Typical High $323.59 | Facility | None | $87.10 | $194.98 | $323.59 |
Quartz Setting Professional Modifier None Typical Low $114.82 Median $229.09 Typical High $489.78 | Professional | None | $114.82 | $229.09 | $489.78 |
Quartz Setting Professional Modifier None (both parts) Typical Low $138.04 Median $138.04 Typical High $229.09 | Professional | None (both parts) | $138.04 | $138.04 | $229.09 |
Quartz Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $38.90 Typical High $63.10 | Professional | 26 · Professional part | $38.90 | $38.90 | $63.10 |
Quartz Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $100.00 Typical High $162.18 | Professional | TC · Technical part | $100.00 | $100.00 | $162.18 |
Security Health Setting Professional Modifier None Typical Low $416.87 Median $416.87 Typical High $416.87 | Professional | None | $416.87 | $416.87 | $416.87 |
Security Health Setting Professional Modifier None (both parts) Typical Low $562.34 Median $1,023.29 Typical High $1,148.15 | Professional | None (both parts) | $562.34 | $1,023.29 | $1,148.15 |
Security Health Setting Professional Modifier 26 · Professional part Typical Low $100.00 Median $120.23 Typical High $257.04 | Professional | 26 · Professional part | $100.00 | $120.23 | $257.04 |
The Alliance Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $144.54 Typical High $144.54 | Professional | 26 · Professional part | $75.86 | $144.54 | $144.54 |
United Setting Professional Modifier None (both parts) Typical Low $165.96 Median $257.04 Typical High $741.31 | Professional | None (both parts) | $165.96 | $257.04 | $741.31 |
United Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $67.61 Typical High $199.53 | Professional | 26 · Professional part | $36.31 | $67.61 | $199.53 |
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 $50.12 Median $72.44 Typical High $851.14 | Professional | 52 · Reduced service | $50.12 | $72.44 | $851.14 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.95 Median $28.84 Typical High $346.74 | Professional | 53 · Discontinued | $19.95 | $28.84 | $346.74 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $67.61 Median $79.43 Typical High $117.49 | Professional | FX · Film X-ray | $67.61 | $79.43 | $117.49 |
Where Wisconsin 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.
Wisconsin· 9th of 51
$229
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.