How much rates vary
Facilitymedian $200 · 10th to 90th $148 to $447Professionalmedian $186 · 10th to 90th $105 to $724
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 $147.91 Median $147.91 Typical High $199.53 | Facility | None | $147.91 | $147.91 | $199.53 |
Aetna Setting Professional Modifier None (both parts) Typical Low $102.33 Median $147.91 Typical High $1,230.27 | Professional | None (both parts) | $102.33 | $147.91 | $1,230.27 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $38.02 Typical High $281.84 | Professional | 26 · Professional part | $25.12 | $38.02 | $281.84 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $109.65 Typical High $109.65 | Professional | TC · Technical part | $75.86 | $109.65 | $109.65 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $97.72 Median $281.84 Typical High $794.33 | Professional | None (both parts) | $97.72 | $281.84 | $794.33 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $72.44 Typical High $204.17 | Professional | 26 · Professional part | $25.12 | $72.44 | $204.17 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $208.93 Typical High $588.84 | Professional | TC · Technical part | $72.44 | $208.93 | $588.84 |
Cigna Setting Facility Modifier None Typical Low $380.19 Median $436.52 Typical High $645.65 | Facility | None | $380.19 | $436.52 | $645.65 |
Cigna Setting Professional Modifier None (both parts) Typical Low $141.25 Median $141.25 Typical High $489.78 | Professional | None (both parts) | $141.25 | $141.25 | $489.78 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $36.31 Typical High $102.33 | Professional | 26 · Professional part | $30.20 | $36.31 | $102.33 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $107.15 Median $107.15 Typical High $398.11 | Professional | TC · Technical part | $107.15 | $107.15 | $398.11 |
DeanCare Setting Facility Modifier None Typical Low $87.10 Median $151.36 Typical High $251.19 | Facility | None | $87.10 | $151.36 | $251.19 |
DeanCare Setting Professional Modifier None (both parts) Typical Low $147.91 Median $323.59 Typical High $323.59 | Professional | None (both parts) | $147.91 | $323.59 | $323.59 |
DeanCare Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $52.48 Typical High $66.07 | Professional | 26 · Professional part | $44.67 | $52.48 | $66.07 |
Medica Setting Facility Modifier None Typical Low $87.10 Median $154.88 Typical High $275.42 | Facility | None | $87.10 | $154.88 | $275.42 |
Medica Setting Professional Modifier None (both parts) Typical Low $134.90 Median $346.74 Typical High $724.44 | Professional | None (both parts) | $134.90 | $346.74 | $724.44 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $81.28 Typical High $199.53 | Professional | 26 · Professional part | $28.84 | $81.28 | $199.53 |
Medica Setting Professional Modifier TC · Technical part Typical Low $112.20 Median $288.40 Typical High $588.84 | Professional | TC · Technical part | $112.20 | $288.40 | $588.84 |
Network Health Setting Professional Modifier None (both parts) Typical Low $229.09 Median $239.88 Typical High $380.19 | Professional | None (both parts) | $229.09 | $239.88 | $380.19 |
Network Health Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $42.66 Typical High $66.07 | Professional | 26 · Professional part | $32.36 | $42.66 | $66.07 |
Prevea360 Setting Facility Modifier None Typical Low $87.10 Median $151.36 Typical High $251.19 | Facility | None | $87.10 | $151.36 | $251.19 |
Quartz Setting Professional Modifier None Typical Low $112.20 Median $223.87 Typical High $467.74 | Professional | None | $112.20 | $223.87 | $467.74 |
Quartz Setting Professional Modifier None (both parts) Typical Low $141.25 Median $141.25 Typical High $177.83 | Professional | None (both parts) | $141.25 | $141.25 | $177.83 |
Quartz Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $36.31 Typical High $47.86 | Professional | 26 · Professional part | $36.31 | $36.31 | $47.86 |
Quartz Setting Professional Modifier TC · Technical part Typical Low $107.15 Median $107.15 Typical High $134.90 | Professional | TC · Technical part | $107.15 | $107.15 | $134.90 |
Security Health Setting Professional Modifier None Typical Low $346.74 Median $346.74 Typical High $346.74 | Professional | None | $346.74 | $346.74 | $346.74 |
Security Health Setting Professional Modifier None (both parts) Typical Low $467.74 Median $870.96 Typical High $912.01 | Professional | None (both parts) | $467.74 | $870.96 | $912.01 |
Security Health Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $93.33 Typical High $151.36 | Professional | 26 · Professional part | $58.88 | $93.33 | $151.36 |
The Alliance Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $69.18 Typical High $69.18 | Professional | 26 · Professional part | $69.18 | $69.18 | $69.18 |
United Setting Professional Modifier None (both parts) Typical Low $125.89 Median $194.98 Typical High $562.34 | Professional | None (both parts) | $125.89 | $194.98 | $562.34 |
United Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $40.74 Typical High $117.49 | Professional | 26 · Professional part | $25.70 | $40.74 | $117.49 |
United Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $154.88 Typical High $446.68 | Professional | TC · Technical part | $100.00 | $154.88 | $446.68 |
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 $51.29 Median $74.13 Typical High $616.60 | Professional | 52 · Reduced service | $51.29 | $74.13 | $616.60 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $20.42 Median $29.51 Typical High $245.47 | Professional | 53 · Discontinued | $20.42 | $29.51 | $245.47 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $66.07 Median $81.28 Typical High $120.23 | Professional | FX · Film X-ray | $66.07 | $81.28 | $120.23 |
Where Wisconsin 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.
Wisconsin· 8th of 51
$186
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.