How much rates vary
Facilitymedian $44 · 10th to 90th $2 to $107Professionalmedian $129 · 10th to 90th $32 to $741
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 $125.89 Median $125.89 Typical High $125.89 | Facility | None | $125.89 | $125.89 | $125.89 |
Aetna Setting Professional Modifier None (both parts) Typical Low $109.65 Median $125.89 Typical High $144.54 | Professional | None (both parts) | $109.65 | $125.89 | $144.54 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $28.84 Typical High $35.48 | Professional | 26 · Professional part | $26.30 | $28.84 | $35.48 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $95.50 Typical High $109.65 | Professional | TC · Technical part | $83.18 | $95.50 | $109.65 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $41.69 Typical High $56.23 | Professional | 26 · Professional part | $41.69 | $41.69 | $56.23 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $56.23 Median $75.86 Typical High $100.00 | Facility | None | $56.23 | $75.86 | $100.00 |
Asuris Northwest Health Setting Professional Modifier None (both parts) Typical Low $141.25 Median $741.31 Typical High $870.96 | Professional | None (both parts) | $141.25 | $741.31 | $870.96 |
Asuris Northwest Health Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $66.07 Typical High $208.93 | Professional | 26 · Professional part | $35.48 | $66.07 | $208.93 |
Asuris Northwest Health Setting Professional Modifier TC · Technical part Typical Low $107.15 Median $602.56 Typical High $660.69 | Professional | TC · Technical part | $107.15 | $602.56 | $660.69 |
Cigna Setting Professional Modifier None (both parts) Typical Low $123.03 Median $128.82 Typical High $239.88 | Professional | None (both parts) | $123.03 | $128.82 | $239.88 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $31.62 Typical High $56.23 | Professional | 26 · Professional part | $30.20 | $31.62 | $56.23 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $97.72 Typical High $181.97 | Professional | TC · Technical part | $91.20 | $97.72 | $181.97 |
Kaiser Permanente Setting Professional Modifier None (both parts) Typical Low $8.71 Median $53.70 Typical High $162.18 | Professional | None (both parts) | $8.71 | $53.70 | $162.18 |
Molina Setting Professional Modifier None (both parts) Typical Low $10.23 Median $34.67 Typical High $66.07 | Professional | None (both parts) | $10.23 | $34.67 | $66.07 |
Pacific Source Setting Facility Modifier None Typical Low $2.40 Median $29.51 Typical High $51.29 | Facility | None | $2.40 | $29.51 | $51.29 |
Premera BCBS Setting Facility Modifier None Typical Low $138.04 Median $138.04 Typical High $138.04 | Facility | None | $138.04 | $138.04 | $138.04 |
Premera BCBS Setting Professional Modifier None (both parts) Typical Low $138.04 Median $138.04 Typical High $138.04 | Professional | None (both parts) | $138.04 | $138.04 | $138.04 |
Premera BCBS Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $34.67 Typical High $34.67 | Professional | 26 · Professional part | $34.67 | $34.67 | $34.67 |
Premera BCBS Setting Professional Modifier TC · Technical part Typical Low $102.33 Median $102.33 Typical High $102.33 | Professional | TC · Technical part | $102.33 | $102.33 | $102.33 |
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 $141.25 Median $141.25 Typical High $234.42 | Professional | None (both parts) | $141.25 | $141.25 | $234.42 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $35.48 Typical High $58.88 | Professional | 26 · Professional part | $35.48 | $35.48 | $58.88 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $107.15 Median $107.15 Typical High $177.83 | Professional | TC · Technical part | $107.15 | $107.15 | $177.83 |
United Setting Professional Modifier None (both parts) Typical Low $131.83 Median $141.25 Typical High $239.88 | Professional | None (both parts) | $131.83 | $141.25 | $239.88 |
United Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $27.54 Typical High $48.98 | Professional | 26 · Professional part | $26.92 | $27.54 | $48.98 |
United Setting Professional Modifier TC · Technical part Typical Low $107.15 Median $114.82 Typical High $190.55 | Professional | TC · Technical part | $107.15 | $114.82 | $190.55 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $30.20 Median $40.74 Typical High $60.26 | Professional | None (both parts) | $30.20 | $40.74 | $60.26 |
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 $4.68 Median $6.61 Typical High $8.91 | Professional | TC · Technical part | $4.68 | $6.61 | $8.91 |
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 $54.95 Median $63.10 Typical High $63.10 | Professional | 52 · Reduced service | $54.95 | $63.10 | $63.10 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $21.88 Median $25.12 Typical High $25.12 | Professional | 53 · Discontinued | $21.88 | $25.12 | $25.12 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $67.61 Median $85.11 Typical High $100.00 | Professional | FX · Film X-ray | $67.61 | $85.11 | $100.00 |
Where Washington sits
The same service costs 4.0 times more in Alaska 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· 28th of 51
$129
AK $302FL $75.86
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.