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 $199.53 Median $234.42 Typical High $234.42 | Facility | None | $199.53 | $234.42 | $234.42 |
Aetna Setting Professional Modifier None (both parts) Typical Low $158.49 Median $234.42 Typical High $1,659.59 | Professional | None (both parts) | $158.49 | $234.42 | $1,659.59 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $100.00 Median $144.54 Typical High $1,230.27 | Professional | 26 · Professional part | $100.00 | $144.54 | $1,230.27 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $89.13 Typical High $89.13 | Professional | TC · Technical part | $58.88 | $89.13 | $89.13 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $147.91 Median $426.58 Typical High $1,230.27 | Professional | None (both parts) | $147.91 | $426.58 | $1,230.27 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $93.33 Median $269.15 Typical High $776.25 | Professional | 26 · Professional part | $93.33 | $269.15 | $776.25 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $56.23 Median $162.18 Typical High $467.74 | Professional | TC · Technical part | $56.23 | $162.18 | $467.74 |
Cigna Setting Facility Modifier None Typical Low $446.68 Median $501.19 Typical High $758.58 | Facility | None | $446.68 | $501.19 | $758.58 |
Cigna Setting Professional Modifier None (both parts) Typical Low $199.53 Median $223.87 Typical High $630.96 | Professional | None (both parts) | $199.53 | $223.87 | $630.96 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $114.82 Median $138.04 Typical High $389.05 | Professional | 26 · Professional part | $114.82 | $138.04 | $389.05 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $85.11 Typical High $257.04 | Professional | TC · Technical part | $85.11 | $85.11 | $257.04 |
DeanCare Setting Facility Modifier None Typical Low $138.04 Median $190.55 Typical High $338.84 | Facility | None | $138.04 | $190.55 | $338.84 |
DeanCare Setting Professional Modifier None (both parts) Typical Low $302.00 Median $407.38 Typical High $407.38 | Professional | None (both parts) | $302.00 | $407.38 | $407.38 |
DeanCare Setting Professional Modifier 26 · Professional part Typical Low $169.82 Median $199.53 Typical High $245.47 | Professional | 26 · Professional part | $169.82 | $199.53 | $245.47 |
Medica Setting Facility Modifier None Typical Low $138.04 Median $190.55 Typical High $338.84 | Facility | None | $138.04 | $190.55 | $338.84 |
Medica Setting Professional Modifier None (both parts) Typical Low $186.21 Median $501.19 Typical High $1,000.00 | Professional | None (both parts) | $186.21 | $501.19 | $1,000.00 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $112.20 Median $309.03 Typical High $616.60 | Professional | 26 · Professional part | $112.20 | $309.03 | $616.60 |
Medica Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $204.17 Typical High $776.25 | Professional | TC · Technical part | $74.13 | $204.17 | $776.25 |
Network Health Setting Professional Modifier None (both parts) Typical Low $302.00 Median $575.44 Typical High $645.65 | Professional | None (both parts) | $302.00 | $575.44 | $645.65 |
Network Health Setting Professional Modifier 26 · Professional part Typical Low $131.83 Median $186.21 Typical High $251.19 | Professional | 26 · Professional part | $131.83 | $186.21 | $251.19 |
Prevea360 Setting Facility Modifier None Typical Low $138.04 Median $190.55 Typical High $338.84 | Facility | None | $138.04 | $190.55 | $338.84 |
Quartz Setting Professional Modifier None Typical Low $181.97 Median $346.74 Typical High $724.44 | Professional | None | $181.97 | $346.74 | $724.44 |
Quartz Setting Professional Modifier None (both parts) Typical Low $223.87 Median $223.87 Typical High $275.42 | Professional | None (both parts) | $223.87 | $223.87 | $275.42 |
Quartz Setting Professional Modifier 26 · Professional part Typical Low $138.04 Median $138.04 Typical High $186.21 | Professional | 26 · Professional part | $138.04 | $138.04 | $186.21 |
Quartz Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $85.11 Typical High $104.71 | Professional | TC · Technical part | $85.11 | $85.11 | $104.71 |
Security Health Setting Professional Modifier None Typical Low $426.58 Median $426.58 Typical High $426.58 | Professional | None | $426.58 | $426.58 | $426.58 |
Security Health Setting Professional Modifier None (both parts) Typical Low $588.84 Median $1,047.13 Typical High $1,288.25 | Professional | None (both parts) | $588.84 | $1,047.13 | $1,288.25 |
Security Health Setting Professional Modifier 26 · Professional part Typical Low $251.19 Median $295.12 Typical High $575.44 | Professional | 26 · Professional part | $251.19 | $295.12 | $575.44 |
The Alliance Setting Professional Modifier 26 · Professional part Typical Low $616.60 Median $616.60 Typical High $724.44 | Professional | 26 · Professional part | $616.60 | $616.60 | $724.44 |
United Setting Professional Modifier None (both parts) Typical Low $169.82 Median $239.88 Typical High $724.44 | Professional | None (both parts) | $169.82 | $239.88 | $724.44 |
United Setting Professional Modifier 26 · Professional part Typical Low $97.72 Median $144.54 Typical High $436.52 | Professional | 26 · Professional part | $97.72 | $144.54 | $436.52 |
United Setting Professional Modifier TC · Technical part Typical Low $67.61 Median $95.50 Typical High $288.40 | Professional | TC · Technical part | $67.61 | $95.50 | $288.40 |
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 $79.43 Median $117.49 Typical High $831.76 | Professional | 52 · Reduced service | $79.43 | $117.49 | $831.76 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $31.62 Median $46.77 Typical High $331.13 | Professional | 53 · Discontinued | $31.62 | $46.77 | $331.13 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $104.71 Median $125.89 Typical High $186.21 | Professional | FX · Film X-ray | $104.71 | $125.89 | $186.21 |
Where Wisconsin sits
The same service costs 4.2 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· 10th of 51
$240
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.