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 $52.48 Median $52.48 Typical High $316.23 | Facility | None | $52.48 | $52.48 | $316.23 |
Aetna Setting Professional Modifier None Typical Low $51.29 Median $52.48 Typical High $77.62 | Professional | None | $51.29 | $52.48 | $77.62 |
Cigna Setting Facility Modifier None Typical Low $302.00 Median $302.00 Typical High $302.00 | Facility | None | $302.00 | $302.00 | $302.00 |
Cigna Setting Professional Modifier None Typical Low $83.18 Median $128.82 Typical High $181.97 | Professional | None | $83.18 | $128.82 | $181.97 |
Hally Health Setting Professional Modifier None Typical Low $54.95 Median $251.19 Typical High $363.08 | Professional | None | $54.95 | $251.19 | $363.08 |
Medica Setting Facility Modifier None Typical Low $117.49 Median $194.98 Typical High $870.96 | Facility | None | $117.49 | $194.98 | $870.96 |
Medica Setting Professional Modifier None Typical Low $67.61 Median $147.91 Typical High $2,884.03 | Professional | None | $67.61 | $147.91 | $2,884.03 |
Midlands Setting Professional Modifier None Typical Low $117.49 Median $128.82 Typical High $151.36 | Professional | None | $117.49 | $128.82 | $151.36 |
Midlands Setting Facility Modifier None Typical Low $302.00 Median $302.00 Typical High $302.00 | Facility | None | $302.00 | $302.00 | $302.00 |
Midlands Setting Professional Modifier None Typical Low $109.65 Median $125.89 Typical High $812.83 | Professional | None | $109.65 | $125.89 | $812.83 |
Oscar Health Setting Professional Modifier None Typical Low $50.12 Median $58.88 Typical High $112.20 | Professional | None | $50.12 | $58.88 | $112.20 |
United Setting Facility Modifier None Typical Low $524.81 Median $870.96 Typical High $1,096.48 | Facility | None | $524.81 | $870.96 | $1,096.48 |
United Setting Professional Modifier None Typical Low $58.88 Median $77.62 Typical High $165.96 | Professional | None | $58.88 | $77.62 | $165.96 |
Wellmark Setting Professional Modifier None Typical Low $87.10 Median $87.10 Typical High $97.72 | Professional | None | $87.10 | $87.10 | $97.72 |
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 $25.70 Median $26.30 Typical High $43.65 | Professional | 52 · Reduced service | $25.70 | $26.30 | $43.65 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.23 Median $10.47 Typical High $17.38 | Professional | 53 · Discontinued | $10.23 | $10.47 | $17.38 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $39.81 Median $41.69 Typical High $45.71 | Professional | FX · Film X-ray | $39.81 | $41.69 | $45.71 |
Where Iowa sits
The same service costs 4.1 times more in Alaska than in Texas. 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.
Iowa· 14th of 51
$123
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.