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 $165.96 Median $165.96 Typical High $199.53 | Facility | None | $165.96 | $165.96 | $199.53 |
Aetna Setting Professional Modifier None (both parts) Typical Low $114.82 Median $165.96 Typical High $794.33 | Professional | None (both parts) | $114.82 | $165.96 | $794.33 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $58.88 Typical High $177.83 | Professional | 26 · Professional part | $38.90 | $58.88 | $177.83 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $107.15 Typical High $107.15 | Professional | TC · Technical part | $74.13 | $107.15 | $107.15 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $112.20 Median $323.59 Typical High $870.96 | Professional | None (both parts) | $112.20 | $323.59 | $870.96 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $117.49 Typical High $316.23 | Professional | 26 · Professional part | $39.81 | $117.49 | $316.23 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $208.93 Typical High $562.34 | Professional | TC · Technical part | $70.79 | $208.93 | $562.34 |
Cigna Setting Facility Modifier None Typical Low $416.87 Median $478.63 Typical High $707.95 | Facility | None | $416.87 | $478.63 | $707.95 |
Cigna Setting Professional Modifier None (both parts) Typical Low $158.49 Median $158.49 Typical High $549.54 | Professional | None (both parts) | $158.49 | $158.49 | $549.54 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $56.23 Typical High $165.96 | Professional | 26 · Professional part | $50.12 | $56.23 | $165.96 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $102.33 Median $102.33 Typical High $398.11 | Professional | TC · Technical part | $102.33 | $102.33 | $398.11 |
DeanCare Setting Facility Modifier None Typical Low $100.00 Median $173.78 Typical High $281.84 | Facility | None | $100.00 | $173.78 | $281.84 |
DeanCare Setting Professional Modifier None (both parts) Typical Low $165.96 Median $354.81 Typical High $354.81 | Professional | None (both parts) | $165.96 | $354.81 | $354.81 |
DeanCare Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $81.28 Typical High $104.71 | Professional | 26 · Professional part | $69.18 | $81.28 | $104.71 |
Medica Setting Facility Modifier None Typical Low $100.00 Median $173.78 Typical High $323.59 | Facility | None | $100.00 | $173.78 | $323.59 |
Medica Setting Professional Modifier None (both parts) Typical Low $173.78 Median $457.09 Typical High $1,584.89 | Professional | None (both parts) | $173.78 | $457.09 | $1,584.89 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $128.82 Typical High $794.33 | Professional | 26 · Professional part | $46.77 | $128.82 | $794.33 |
Medica Setting Professional Modifier TC · Technical part Typical Low $123.03 Median $346.74 Typical High $1,348.96 | Professional | TC · Technical part | $123.03 | $346.74 | $1,348.96 |
Network Health Setting Professional Modifier None (both parts) Typical Low $295.12 Median $426.58 Typical High $489.78 | Professional | None (both parts) | $295.12 | $426.58 | $489.78 |
Network Health Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $70.79 Typical High $104.71 | Professional | 26 · Professional part | $53.70 | $70.79 | $104.71 |
Prevea360 Setting Facility Modifier None Typical Low $100.00 Median $173.78 Typical High $281.84 | Facility | None | $100.00 | $173.78 | $281.84 |
Quartz Setting Professional Modifier None Typical Low $123.03 Median $245.47 Typical High $537.03 | Professional | None | $123.03 | $245.47 | $537.03 |
Quartz Setting Professional Modifier None (both parts) Typical Low $158.49 Median $158.49 Typical High $323.59 | Professional | None (both parts) | $158.49 | $158.49 | $323.59 |
Quartz Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $56.23 Typical High $75.86 | Professional | 26 · Professional part | $56.23 | $56.23 | $75.86 |
Quartz Setting Professional Modifier TC · Technical part Typical Low $102.33 Median $102.33 Typical High $234.42 | Professional | TC · Technical part | $102.33 | $102.33 | $234.42 |
Security Health Setting Professional Modifier None Typical Low $389.05 Median $389.05 Typical High $389.05 | Professional | None | $389.05 | $389.05 | $389.05 |
Security Health Setting Professional Modifier None (both parts) Typical Low $524.81 Median $954.99 Typical High $1,023.29 | Professional | None (both parts) | $524.81 | $954.99 | $1,023.29 |
Security Health Setting Professional Modifier 26 · Professional part Typical Low $93.33 Median $194.98 Typical High $512.86 | Professional | 26 · Professional part | $93.33 | $194.98 | $512.86 |
Security Health Setting Professional Modifier TC · Technical part Typical Low $275.42 Median $389.05 Typical High $436.52 | Professional | TC · Technical part | $275.42 | $389.05 | $436.52 |
United Setting Professional Modifier None (both parts) Typical Low $169.82 Median $269.15 Typical High $630.96 | Professional | None (both parts) | $169.82 | $269.15 | $630.96 |
United Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $64.57 Typical High $190.55 | Professional | 26 · Professional part | $41.69 | $64.57 | $190.55 |
United Setting Professional Modifier TC · Technical part Typical Low $123.03 Median $213.80 Typical High $446.68 | Professional | TC · Technical part | $123.03 | $213.80 | $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 $57.54 Median $83.18 Typical High $398.11 | Professional | 52 · Reduced service | $57.54 | $83.18 | $398.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $22.91 Median $33.11 Typical High $158.49 | Professional | 53 · Discontinued | $22.91 | $33.11 | $158.49 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $77.62 Median $91.20 Typical High $131.83 | Professional | FX · Film X-ray | $77.62 | $91.20 | $131.83 |
Where Wisconsin sits
The same service costs 5.2 times more in North Dakota 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· 17th 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.