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 $162.18 Median $162.18 Typical High $162.18 | Facility | None | $162.18 | $162.18 | $162.18 |
Aetna Setting Professional Modifier None (both parts) Typical Low $138.04 Median $162.18 Typical High $162.18 | Professional | None (both parts) | $138.04 | $162.18 | $162.18 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $40.74 Typical High $40.74 | Professional | 26 · Professional part | $36.31 | $40.74 | $40.74 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $123.03 Typical High $123.03 | Professional | TC · Technical part | $100.00 | $123.03 | $123.03 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $30.20 Median $97.72 Typical High $117.49 | Facility | None | $30.20 | $97.72 | $117.49 |
Asuris Northwest Health Setting Professional Modifier None (both parts) Typical Low $186.21 Median $851.14 Typical High $1,122.02 | Professional | None (both parts) | $186.21 | $851.14 | $1,122.02 |
Asuris Northwest Health Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $288.40 Typical High $295.12 | Professional | 26 · Professional part | $50.12 | $288.40 | $295.12 |
Asuris Northwest Health Setting Professional Modifier TC · Technical part Typical Low $134.90 Median $630.96 Typical High $851.14 | Professional | TC · Technical part | $134.90 | $630.96 | $851.14 |
Cigna Setting Professional Modifier None (both parts) Typical Low $158.49 Median $173.78 Typical High $309.03 | Professional | None (both parts) | $158.49 | $173.78 | $309.03 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $46.77 Typical High $79.43 | Professional | 26 · Professional part | $42.66 | $46.77 | $79.43 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $114.82 Median $125.89 Typical High $229.09 | Professional | TC · Technical part | $114.82 | $125.89 | $229.09 |
Kaiser Permanente Setting Professional Modifier None (both parts) Typical Low $8.71 Median $75.86 Typical High $208.93 | Professional | None (both parts) | $8.71 | $75.86 | $208.93 |
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 $2.40 Median $40.74 Typical High $74.13 | Facility | None | $2.40 | $40.74 | $74.13 |
Premera BCBS Setting Facility Modifier None Typical Low $181.97 Median $181.97 Typical High $181.97 | Facility | None | $181.97 | $181.97 | $181.97 |
Premera BCBS Setting Professional Modifier None (both parts) Typical Low $181.97 Median $181.97 Typical High $181.97 | Professional | None (both parts) | $181.97 | $181.97 | $181.97 |
Premera BCBS Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $48.98 Typical High $48.98 | Professional | 26 · Professional part | $48.98 | $48.98 | $48.98 |
Premera BCBS Setting Professional Modifier TC · Technical part Typical Low $131.83 Median $131.83 Typical High $131.83 | Professional | TC · Technical part | $131.83 | $131.83 | $131.83 |
Regence BlueShield Setting Facility Modifier None Typical Low $134.90 Median $134.90 Typical High $134.90 | Facility | None | $134.90 | $134.90 | $134.90 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $186.21 Median $186.21 Typical High $316.23 | Professional | None (both parts) | $186.21 | $186.21 | $316.23 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $50.12 Typical High $85.11 | Professional | 26 · Professional part | $50.12 | $50.12 | $85.11 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $134.90 Median $134.90 Typical High $229.09 | Professional | TC · Technical part | $134.90 | $134.90 | $229.09 |
United Setting Professional Modifier None (both parts) Typical Low $144.54 Median $154.88 Typical High $263.03 | Professional | None (both parts) | $144.54 | $154.88 | $263.03 |
United Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $38.90 Typical High $69.18 | Professional | 26 · Professional part | $38.02 | $38.90 | $69.18 |
United Setting Professional Modifier TC · Technical part Typical Low $104.71 Median $114.82 Typical High $190.55 | Professional | TC · Technical part | $104.71 | $114.82 | $190.55 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $39.81 Median $54.95 Typical High $81.28 | Professional | None (both parts) | $39.81 | $54.95 | $81.28 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $47.86 Typical High $72.44 | Professional | 26 · Professional part | $35.48 | $47.86 | $72.44 |
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 $69.18 Median $81.28 Typical High $81.28 | Professional | 52 · Reduced service | $69.18 | $81.28 | $81.28 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $27.54 Median $32.36 Typical High $32.36 | Professional | 53 · Discontinued | $27.54 | $32.36 | $32.36 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $89.13 Median $109.65 Typical High $128.82 | Professional | FX · Film X-ray | $89.13 | $109.65 | $128.82 |
Where Washington sits
The same service costs 4.5 times more in Alaska than in Washington, DC. 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· 25th of 51
$162
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.