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 $144.54 Median $144.54 Typical High $162.18 | Facility | None | $144.54 | $144.54 | $162.18 |
Aetna Setting Professional Modifier None (both parts) Typical Low $144.54 Median $144.54 Typical High $208.93 | Professional | None (both parts) | $144.54 | $144.54 | $208.93 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $51.29 Typical High $75.86 | Professional | 26 · Professional part | $48.98 | $51.29 | $75.86 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $93.33 Median $93.33 Typical High $141.25 | Professional | TC · Technical part | $93.33 | $93.33 | $141.25 |
Cigna Setting Facility Modifier None Typical Low $501.19 Median $501.19 Typical High $501.19 | Facility | None | $501.19 | $501.19 | $501.19 |
Cigna Setting Professional Modifier None (both parts) Typical Low $144.54 Median $354.81 Typical High $489.78 | Professional | None (both parts) | $144.54 | $354.81 | $489.78 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $123.03 Typical High $165.96 | Professional | 26 · Professional part | $67.61 | $123.03 | $165.96 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $89.13 Median $234.42 Typical High $331.13 | Professional | TC · Technical part | $89.13 | $234.42 | $331.13 |
Hally Health Setting Professional Modifier None Typical Low $144.54 Median $204.17 Typical High $426.58 | Professional | None | $144.54 | $204.17 | $426.58 |
Hally Health Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $95.50 Typical High $169.82 | Professional | 26 · Professional part | $52.48 | $95.50 | $169.82 |
Hally Health Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $128.82 Typical High $257.04 | Professional | TC · Technical part | $81.28 | $128.82 | $257.04 |
Medica Setting Facility Modifier None Typical Low $162.18 Median $407.38 Typical High $1,905.46 | Facility | None | $162.18 | $407.38 | $1,905.46 |
Medica Setting Professional Modifier None (both parts) Typical Low $169.82 Median $302.00 Typical High $1,096.48 | Professional | None (both parts) | $169.82 | $302.00 | $1,096.48 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $109.65 Typical High $363.08 | Professional | 26 · Professional part | $61.66 | $109.65 | $363.08 |
Medica Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $173.78 Typical High $741.31 | Professional | TC · Technical part | $95.50 | $173.78 | $741.31 |
Midlands Setting Professional Modifier None Typical Low $331.13 Median $354.81 Typical High $436.52 | Professional | None | $331.13 | $354.81 | $436.52 |
Midlands Setting Professional Modifier 26 · Professional part Typical Low $114.82 Median $123.03 Typical High $147.91 | Professional | 26 · Professional part | $114.82 | $123.03 | $147.91 |
Midlands Setting Professional Modifier TC · Technical part Typical Low $218.78 Median $234.42 Typical High $295.12 | Professional | TC · Technical part | $218.78 | $234.42 | $295.12 |
Midlands Setting Facility Modifier None Typical Low $501.19 Median $501.19 Typical High $501.19 | Facility | None | $501.19 | $501.19 | $501.19 |
Midlands Setting Professional Modifier None (both parts) Typical Low $309.03 Median $380.19 Typical High $436.52 | Professional | None (both parts) | $309.03 | $380.19 | $436.52 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $57.54 Median $123.03 Typical High $295.12 | Professional | None (both parts) | $57.54 | $123.03 | $295.12 |
United Setting Facility Modifier None Typical Low $1,174.90 Median $1,949.84 Typical High $2,454.71 | Facility | None | $1,174.90 | $1,949.84 | $2,454.71 |
United Setting Professional Modifier None (both parts) Typical Low $144.54 Median $190.55 Typical High $309.03 | Professional | None (both parts) | $144.54 | $190.55 | $309.03 |
United Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $72.44 Typical High $120.23 | Professional | 26 · Professional part | $58.88 | $72.44 | $120.23 |
United Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $114.82 Typical High $194.98 | Professional | TC · Technical part | $91.20 | $114.82 | $194.98 |
Wellmark Setting Professional Modifier None (both parts) Typical Low $281.84 Median $281.84 Typical High $323.59 | Professional | None (both parts) | $281.84 | $281.84 | $323.59 |
Wellmark Setting Professional Modifier 26 · Professional part Typical Low $95.50 Median $95.50 Typical High $109.65 | Professional | 26 · Professional part | $95.50 | $95.50 | $109.65 |
Wellmark Setting Professional Modifier TC · Technical part Typical Low $186.21 Median $186.21 Typical High $208.93 | Professional | TC · Technical part | $186.21 | $186.21 | $208.93 |
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 $72.44 Median $72.44 Typical High $104.71 | Professional | 52 · Reduced service | $72.44 | $72.44 | $104.71 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $28.84 Median $28.84 Typical High $41.69 | Professional | 53 · Discontinued | $28.84 | $28.84 | $41.69 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $114.82 Median $114.82 Typical High $128.82 | Professional | FX · Film X-ray | $114.82 | $114.82 | $128.82 |
Where Iowa sits
The same service costs 4.3 times more in Alaska than in Utah. 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· 10th of 51
$282
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.