How much rates vary
Facilitymedian $85 · 10th to 90th $48 to $234Professionalmedian $52 · 10th to 90th $26 to $85
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 $28.84 Median $57.54 Typical High $69.18 | Facility | None | $28.84 | $57.54 | $69.18 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $20.89 Median $47.86 Typical High $89.13 | Facility | TC · Technical part | $20.89 | $47.86 | $89.13 |
Aetna Setting Professional Modifier None (both parts) Typical Low $27.54 Median $29.51 Typical High $60.26 | Professional | None (both parts) | $27.54 | $29.51 | $60.26 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $7.59 Median $8.13 Typical High $15.49 | Professional | 26 · Professional part | $7.59 | $8.13 | $15.49 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $19.95 Median $21.88 Typical High $46.77 | Professional | TC · Technical part | $19.95 | $21.88 | $46.77 |
Cigna Setting Facility Modifier None Typical Low $95.50 Median $95.50 Typical High $95.50 | Facility | None | $95.50 | $95.50 | $95.50 |
Cigna Setting Professional Modifier None (both parts) Typical Low $30.20 Median $72.44 Typical High $97.72 | Professional | None (both parts) | $30.20 | $72.44 | $97.72 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $10.00 Median $19.05 Typical High $24.55 | Professional | 26 · Professional part | $10.00 | $19.05 | $24.55 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $19.50 Median $53.70 Typical High $74.13 | Professional | TC · Technical part | $19.50 | $53.70 | $74.13 |
Hally Health Setting Professional Modifier None Typical Low $28.84 Median $42.66 Typical High $100.00 | Professional | None | $28.84 | $42.66 | $100.00 |
Hally Health Setting Professional Modifier 26 · Professional part Typical Low $8.13 Median $14.45 Typical High $30.90 | Professional | 26 · Professional part | $8.13 | $14.45 | $30.90 |
Hally Health Setting Professional Modifier TC · Technical part Typical Low $20.89 Median $29.51 Typical High $63.10 | Professional | TC · Technical part | $20.89 | $29.51 | $63.10 |
Medica Setting Facility Modifier None Typical Low $50.12 Median $85.11 Typical High $223.87 | Facility | None | $50.12 | $85.11 | $223.87 |
Medica Setting Professional Modifier None (both parts) Typical Low $31.62 Median $57.54 Typical High $208.93 | Professional | None (both parts) | $31.62 | $57.54 | $208.93 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $8.71 Median $15.49 Typical High $83.18 | Professional | 26 · Professional part | $8.71 | $15.49 | $83.18 |
Medica Setting Professional Modifier TC · Technical part Typical Low $20.42 Median $38.90 Typical High $154.88 | Professional | TC · Technical part | $20.42 | $38.90 | $154.88 |
Midlands Setting Professional Modifier None Typical Low $64.57 Median $72.44 Typical High $83.18 | Professional | None | $64.57 | $72.44 | $83.18 |
Midlands Setting Professional Modifier 26 · Professional part Typical Low $17.38 Median $19.05 Typical High $22.39 | Professional | 26 · Professional part | $17.38 | $19.05 | $22.39 |
Midlands Setting Professional Modifier TC · Technical part Typical Low $47.86 Median $53.70 Typical High $61.66 | Professional | TC · Technical part | $47.86 | $53.70 | $61.66 |
Midlands Setting Facility Modifier None Typical Low $95.50 Median $95.50 Typical High $95.50 | Facility | None | $95.50 | $95.50 | $95.50 |
Midlands Setting Professional Modifier None (both parts) Typical Low $58.88 Median $77.62 Typical High $89.13 | Professional | None (both parts) | $58.88 | $77.62 | $89.13 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $9.12 Median $26.92 Typical High $60.26 | Professional | None (both parts) | $9.12 | $26.92 | $60.26 |
United Setting Facility Modifier None Typical Low $128.82 Median $218.78 Typical High $275.42 | Facility | None | $128.82 | $218.78 | $275.42 |
United Setting Professional Modifier None (both parts) Typical Low $28.18 Median $35.48 Typical High $57.54 | Professional | None (both parts) | $28.18 | $35.48 | $57.54 |
United Setting Professional Modifier 26 · Professional part Typical Low $8.32 Median $10.47 Typical High $16.98 | Professional | 26 · Professional part | $8.32 | $10.47 | $16.98 |
United Setting Professional Modifier TC · Technical part Typical Low $19.50 Median $25.12 Typical High $41.69 | Professional | TC · Technical part | $19.50 | $25.12 | $41.69 |
Wellmark Setting Professional Modifier None (both parts) Typical Low $57.54 Median $57.54 Typical High $66.07 | Professional | None (both parts) | $57.54 | $57.54 | $66.07 |
Wellmark Setting Professional Modifier 26 · Professional part Typical Low $15.14 Median $15.14 Typical High $17.38 | Professional | 26 · Professional part | $15.14 | $15.14 | $17.38 |
Wellmark Setting Professional Modifier TC · Technical part Typical Low $42.66 Median $42.66 Typical High $47.86 | Professional | TC · Technical part | $42.66 | $42.66 | $47.86 |
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 $13.80 Median $14.45 Typical High $20.89 | Professional | 52 · Reduced service | $13.80 | $14.45 | $20.89 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.50 Median $5.75 Typical High $8.32 | Professional | 53 · Discontinued | $5.50 | $5.75 | $8.32 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $21.88 Median $22.91 Typical High $25.12 | Professional | FX · Film X-ray | $21.88 | $22.91 | $25.12 |
Where Iowa sits
The same service costs 4.1 times more in Alaska than in New York. 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· 9th of 51
$54.95
AK $95.50NY $23.44
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.