How much rates vary
Facilitymedian $200 · 10th to 90th $166 to $479Professionalmedian $214 · 10th to 90th $135 to $851
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 $194.98 Median $194.98 Typical High $199.53 | Facility | None | $194.98 | $194.98 | $199.53 |
Aetna Setting Professional Modifier None (both parts) Typical Low $131.83 Median $194.98 Typical High $1,348.96 | Professional | None (both parts) | $131.83 | $194.98 | $1,348.96 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $54.95 Typical High $436.52 | Professional | 26 · Professional part | $35.48 | $54.95 | $436.52 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $141.25 Typical High $141.25 | Professional | TC · Technical part | $95.50 | $141.25 | $141.25 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $125.89 Median $371.54 Typical High $1,047.13 | Professional | None (both parts) | $125.89 | $371.54 | $1,047.13 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $102.33 Typical High $288.40 | Professional | 26 · Professional part | $35.48 | $102.33 | $288.40 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $269.15 Typical High $741.31 | Professional | TC · Technical part | $91.20 | $269.15 | $741.31 |
Cigna Setting Facility Modifier None Typical Low $407.38 Median $467.74 Typical High $691.83 | Facility | None | $407.38 | $467.74 | $691.83 |
Cigna Setting Professional Modifier None (both parts) Typical Low $162.18 Median $186.21 Typical High $524.81 | Professional | None (both parts) | $162.18 | $186.21 | $524.81 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $52.48 Typical High $147.91 | Professional | 26 · Professional part | $43.65 | $52.48 | $147.91 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $117.49 Median $134.90 Typical High $398.11 | Professional | TC · Technical part | $117.49 | $134.90 | $398.11 |
DeanCare Setting Facility Modifier None Typical Low $114.82 Median $181.97 Typical High $269.15 | Facility | None | $114.82 | $181.97 | $269.15 |
DeanCare Setting Professional Modifier None (both parts) Typical Low $194.98 Median $346.74 Typical High $346.74 | Professional | None (both parts) | $194.98 | $346.74 | $346.74 |
DeanCare Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $75.86 Typical High $93.33 | Professional | 26 · Professional part | $64.57 | $75.86 | $93.33 |
Medica Setting Facility Modifier None Typical Low $114.82 Median $181.97 Typical High $295.12 | Facility | None | $114.82 | $181.97 | $295.12 |
Medica Setting Professional Modifier None (both parts) Typical Low $147.91 Median $380.19 Typical High $851.14 | Professional | None (both parts) | $147.91 | $380.19 | $851.14 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $114.82 Typical High $275.42 | Professional | 26 · Professional part | $41.69 | $114.82 | $275.42 |
Medica Setting Professional Modifier TC · Technical part Typical Low $112.20 Median $295.12 Typical High $630.96 | Professional | TC · Technical part | $112.20 | $295.12 | $630.96 |
Network Health Setting Professional Modifier None (both parts) Typical Low $245.47 Median $275.42 Typical High $489.78 | Professional | None (both parts) | $245.47 | $275.42 | $489.78 |
Network Health Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $63.10 Typical High $93.33 | Professional | 26 · Professional part | $47.86 | $63.10 | $93.33 |
Prevea360 Setting Facility Modifier None Typical Low $114.82 Median $181.97 Typical High $269.15 | Facility | None | $114.82 | $181.97 | $269.15 |
Quartz Setting Professional Modifier None Typical Low $144.54 Median $288.40 Typical High $602.56 | Professional | None | $144.54 | $288.40 | $602.56 |
Quartz Setting Professional Modifier None (both parts) Typical Low $186.21 Median $186.21 Typical High $234.42 | Professional | None (both parts) | $186.21 | $186.21 | $234.42 |
Quartz Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $52.48 Typical High $67.61 | Professional | 26 · Professional part | $52.48 | $52.48 | $67.61 |
Quartz Setting Professional Modifier TC · Technical part Typical Low $134.90 Median $134.90 Typical High $169.82 | Professional | TC · Technical part | $134.90 | $134.90 | $169.82 |
Security Health Setting Professional Modifier None Typical Low $380.19 Median $380.19 Typical High $380.19 | Professional | None | $380.19 | $380.19 | $380.19 |
Security Health Setting Professional Modifier None (both parts) Typical Low $512.86 Median $933.25 Typical High $1,000.00 | Professional | None (both parts) | $512.86 | $933.25 | $1,000.00 |
Security Health Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $128.82 Typical High $213.80 | Professional | 26 · Professional part | $85.11 | $128.82 | $213.80 |
United Setting Professional Modifier None (both parts) Typical Low $138.04 Median $213.80 Typical High $616.60 | Professional | None (both parts) | $138.04 | $213.80 | $616.60 |
United Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $57.54 Typical High $165.96 | Professional | 26 · Professional part | $37.15 | $57.54 | $165.96 |
United Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $154.88 Typical High $446.68 | Professional | TC · Technical part | $97.72 | $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 $66.07 Median $97.72 Typical High $676.08 | Professional | 52 · Reduced service | $66.07 | $97.72 | $676.08 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $26.30 Median $38.90 Typical High $269.15 | Professional | 53 · Discontinued | $26.30 | $38.90 | $269.15 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $87.10 Median $104.71 Typical High $158.49 | Professional | FX · Film X-ray | $87.10 | $104.71 | $158.49 |
Where Wisconsin 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.
Wisconsin· 9th of 51
$209
AK $389DC $87.10
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.