How much rates vary
Facilitymedian $200 · 10th to 90th $120 to $417Professionalmedian $186 · 10th to 90th $123 to $759
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 $173.78 Median $173.78 Typical High $199.53 | Facility | None | $173.78 | $173.78 | $199.53 |
Aetna Setting Professional Modifier None (both parts) Typical Low $114.82 Median $173.78 Typical High $933.25 | Professional | None (both parts) | $114.82 | $173.78 | $933.25 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $97.72 Typical High $616.60 | Professional | 26 · Professional part | $61.66 | $97.72 | $616.60 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $53.70 Median $77.62 Typical High $77.62 | Professional | TC · Technical part | $53.70 | $77.62 | $77.62 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $112.20 Median $331.13 Typical High $933.25 | Professional | None (both parts) | $112.20 | $331.13 | $933.25 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $181.97 Typical High $512.86 | Professional | 26 · Professional part | $63.10 | $181.97 | $512.86 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $50.12 Median $147.91 Typical High $416.87 | Professional | TC · Technical part | $50.12 | $147.91 | $416.87 |
Cigna Setting Facility Modifier None Typical Low $354.81 Median $398.11 Typical High $602.56 | Facility | None | $354.81 | $398.11 | $602.56 |
Cigna Setting Professional Modifier None (both parts) Typical Low $147.91 Median $165.96 Typical High $489.78 | Professional | None (both parts) | $147.91 | $165.96 | $489.78 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $77.62 Median $93.33 Typical High $263.03 | Professional | 26 · Professional part | $77.62 | $93.33 | $263.03 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $74.13 Typical High $229.09 | Professional | TC · Technical part | $69.18 | $74.13 | $229.09 |
DeanCare Setting Facility Modifier None Typical Low $102.33 Median $144.54 Typical High $251.19 | Facility | None | $102.33 | $144.54 | $251.19 |
DeanCare Setting Professional Modifier None (both parts) Typical Low $213.80 Median $316.23 Typical High $316.23 | Professional | None (both parts) | $213.80 | $316.23 | $316.23 |
DeanCare Setting Professional Modifier 26 · Professional part Typical Low $114.82 Median $134.90 Typical High $165.96 | Professional | 26 · Professional part | $114.82 | $134.90 | $165.96 |
Medica Setting Facility Modifier None Typical Low $102.33 Median $144.54 Typical High $251.19 | Facility | None | $102.33 | $144.54 | $251.19 |
Medica Setting Professional Modifier None (both parts) Typical Low $138.04 Median $363.08 Typical High $741.31 | Professional | None (both parts) | $138.04 | $363.08 | $741.31 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $72.44 Median $213.80 Typical High $407.38 | Professional | 26 · Professional part | $72.44 | $213.80 | $407.38 |
Medica Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $186.21 Typical High $562.34 | Professional | TC · Technical part | $69.18 | $186.21 | $562.34 |
Network Health Setting Professional Modifier None (both parts) Typical Low $229.09 Median $446.68 Typical High $537.03 | Professional | None (both parts) | $229.09 | $446.68 | $537.03 |
Network Health Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $123.03 Typical High $165.96 | Professional | 26 · Professional part | $85.11 | $123.03 | $165.96 |
Prevea360 Setting Facility Modifier None Typical Low $102.33 Median $144.54 Typical High $251.19 | Facility | None | $102.33 | $144.54 | $251.19 |
Quartz Setting Professional Modifier None Typical Low $131.83 Median $251.19 Typical High $537.03 | Professional | None | $131.83 | $251.19 | $537.03 |
Quartz Setting Professional Modifier None (both parts) Typical Low $165.96 Median $165.96 Typical High $208.93 | Professional | None (both parts) | $165.96 | $165.96 | $208.93 |
Quartz Setting Professional Modifier 26 · Professional part Typical Low $93.33 Median $93.33 Typical High $120.23 | Professional | 26 · Professional part | $93.33 | $93.33 | $120.23 |
Quartz Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $74.13 Typical High $93.33 | Professional | TC · Technical part | $74.13 | $74.13 | $93.33 |
Security Health Setting Professional Modifier None Typical Low $331.13 Median $331.13 Typical High $331.13 | Professional | None | $331.13 | $331.13 | $331.13 |
Security Health Setting Professional Modifier None (both parts) Typical Low $446.68 Median $812.83 Typical High $1,000.00 | Professional | None (both parts) | $446.68 | $812.83 | $1,000.00 |
Security Health Setting Professional Modifier 26 · Professional part Typical Low $162.18 Median $190.55 Typical High $389.05 | Professional | 26 · Professional part | $162.18 | $190.55 | $389.05 |
United Setting Professional Modifier None (both parts) Typical Low $125.89 Median $181.97 Typical High $549.54 | Professional | None (both parts) | $125.89 | $181.97 | $549.54 |
United Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $95.50 Typical High $295.12 | Professional | 26 · Professional part | $66.07 | $95.50 | $295.12 |
United Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $87.10 Typical High $263.03 | Professional | TC · Technical part | $60.26 | $87.10 | $263.03 |
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 $87.10 Typical High $467.74 | Professional | 52 · Reduced service | $57.54 | $87.10 | $467.74 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $22.91 Median $34.67 Typical High $190.55 | Professional | 53 · Discontinued | $22.91 | $34.67 | $190.55 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $77.62 Median $91.20 Typical High $141.25 | Professional | FX · Film X-ray | $77.62 | $91.20 | $141.25 |
Where Wisconsin sits
The same service costs 4.5 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
$186
AK $372FL $83.18
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.