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 $295.12 Median $295.12 Typical High $295.12 | Facility | None | $295.12 | $295.12 | $295.12 |
Aetna Setting Professional Modifier None (both parts) Typical Low $239.88 Median $295.12 Typical High $295.12 | Professional | None (both parts) | $239.88 | $295.12 | $295.12 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $45.71 Typical High $45.71 | Professional | 26 · Professional part | $40.74 | $45.71 | $45.71 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $229.09 Median $281.84 Typical High $281.84 | Professional | TC · Technical part | $229.09 | $281.84 | $281.84 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $77.62 Median $645.65 Typical High $1,412.54 | Facility | None | $77.62 | $645.65 | $1,412.54 |
Asuris Northwest Health Setting Professional Modifier None (both parts) Typical Low $134.90 Median $234.42 Typical High $1,258.93 | Professional | None (both parts) | $134.90 | $234.42 | $1,258.93 |
Asuris Northwest Health Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $102.33 Typical High $575.44 | Professional | 26 · Professional part | $54.95 | $102.33 | $575.44 |
Asuris Northwest Health Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $144.54 Typical High $794.33 | Professional | TC · Technical part | $79.43 | $144.54 | $794.33 |
Cigna Setting Facility Modifier None Typical Low $478.63 Median $707.95 Typical High $977.24 | Facility | None | $478.63 | $707.95 | $977.24 |
Cigna Setting Professional Modifier None (both parts) Typical Low $114.82 Median $123.03 Typical High $223.87 | Professional | None (both parts) | $114.82 | $123.03 | $223.87 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $50.12 Typical High $89.13 | Professional | 26 · Professional part | $46.77 | $50.12 | $89.13 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $72.44 Typical High $138.04 | Professional | TC · Technical part | $69.18 | $72.44 | $138.04 |
Kaiser Permanente Setting Professional Modifier None (both parts) Typical Low $6.31 Median $74.13 Typical High $138.04 | Professional | None (both parts) | $6.31 | $74.13 | $138.04 |
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 $1.74 Median $47.86 Typical High $102.33 | Facility | None | $1.74 | $47.86 | $102.33 |
Premera BCBS Setting Facility Modifier None Typical Low $131.83 Median $131.83 Typical High $134.90 | Facility | None | $131.83 | $131.83 | $134.90 |
Premera BCBS Setting Professional Modifier None (both parts) Typical Low $134.90 Median $134.90 Typical High $134.90 | Professional | None (both parts) | $134.90 | $134.90 | $134.90 |
Premera BCBS Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $54.95 Typical High $54.95 | Professional | 26 · Professional part | $54.95 | $54.95 | $54.95 |
Premera BCBS Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $79.43 Typical High $79.43 | Professional | TC · Technical part | $79.43 | $79.43 | $79.43 |
Regence BlueShield Setting Facility Modifier None Typical Low $446.68 Median $691.83 Typical High $1,412.54 | Facility | None | $446.68 | $691.83 | $1,412.54 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $134.90 Median $134.90 Typical High $223.87 | Professional | None (both parts) | $134.90 | $134.90 | $223.87 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $54.95 Typical High $91.20 | Professional | 26 · Professional part | $54.95 | $54.95 | $91.20 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $79.43 Typical High $131.83 | Professional | TC · Technical part | $79.43 | $79.43 | $131.83 |
United Setting Facility Modifier None Typical Low $707.95 Median $933.25 Typical High $1,412.54 | Facility | None | $707.95 | $933.25 | $1,412.54 |
United Setting Professional Modifier None (both parts) Typical Low $194.98 Median $275.42 Typical High $501.19 | Professional | None (both parts) | $194.98 | $275.42 | $501.19 |
United Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $42.66 Typical High $77.62 | Professional | 26 · Professional part | $42.66 | $42.66 | $77.62 |
United Setting Professional Modifier TC · Technical part Typical Low $154.88 Median $234.42 Typical High $426.58 | Professional | TC · Technical part | $154.88 | $234.42 | $426.58 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $46.77 Median $63.10 Typical High $95.50 | Professional | None (both parts) | $46.77 | $63.10 | $95.50 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $58.88 Typical High $89.13 | Professional | 26 · Professional part | $43.65 | $58.88 | $89.13 |
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 $120.23 Median $147.91 Typical High $147.91 | Professional | 52 · Reduced service | $120.23 | $147.91 | $147.91 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $47.86 Median $58.88 Typical High $58.88 | Professional | 53 · Discontinued | $47.86 | $58.88 | $58.88 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $120.23 Median $190.55 Typical High $234.42 | Professional | FX · Film X-ray | $120.23 | $190.55 | $234.42 |
Where Washington sits
The same service costs 3.6 times more in Nebraska than in New Jersey. 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· 43rd of 51
$135
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.