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 $33.11 Median $79.43 Typical High $120.23 | Facility | None | $33.11 | $79.43 | $120.23 |
Aetna Setting Professional Modifier None (both parts) Typical Low $32.36 Median $33.11 Typical High $57.54 | Professional | None (both parts) | $32.36 | $33.11 | $57.54 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $7.59 Median $7.94 Typical High $11.75 | Professional | 26 · Professional part | $7.59 | $7.94 | $11.75 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $25.12 Median $25.70 Typical High $43.65 | Professional | TC · Technical part | $25.12 | $25.70 | $43.65 |
Cigna Setting Facility Modifier None Typical Low $117.49 Median $117.49 Typical High $117.49 | Facility | None | $117.49 | $117.49 | $117.49 |
Cigna Setting Professional Modifier None (both parts) Typical Low $38.90 Median $83.18 Typical High $114.82 | Professional | None (both parts) | $38.90 | $83.18 | $114.82 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $10.47 Median $19.05 Typical High $24.55 | Professional | 26 · Professional part | $10.47 | $19.05 | $24.55 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $28.18 Median $64.57 Typical High $89.13 | Professional | TC · Technical part | $28.18 | $64.57 | $89.13 |
Hally Health Setting Professional Modifier None Typical Low $33.11 Median $52.48 Typical High $89.13 | Professional | None | $33.11 | $52.48 | $89.13 |
Hally Health Setting Professional Modifier 26 · Professional part Typical Low $8.13 Median $14.45 Typical High $23.99 | Professional | 26 · Professional part | $8.13 | $14.45 | $23.99 |
Hally Health Setting Professional Modifier TC · Technical part Typical Low $25.12 Median $37.15 Typical High $63.10 | Professional | TC · Technical part | $25.12 | $37.15 | $63.10 |
Medica Setting Facility Modifier None Typical Low $61.66 Median $104.71 Typical High $275.42 | Facility | None | $61.66 | $104.71 | $275.42 |
Medica Setting Professional Modifier None (both parts) Typical Low $37.15 Median $67.61 Typical High $251.19 | Professional | None (both parts) | $37.15 | $67.61 | $251.19 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $9.33 Median $16.98 Typical High $54.95 | Professional | 26 · Professional part | $9.33 | $16.98 | $54.95 |
Medica Setting Professional Modifier TC · Technical part Typical Low $25.12 Median $46.77 Typical High $194.98 | Professional | TC · Technical part | $25.12 | $46.77 | $194.98 |
Midlands Setting Professional Modifier None Typical Low $75.86 Median $83.18 Typical High $100.00 | Professional | None | $75.86 | $83.18 | $100.00 |
Midlands Setting Professional Modifier 26 · Professional part Typical Low $17.78 Median $19.05 Typical High $22.39 | Professional | 26 · Professional part | $17.78 | $19.05 | $22.39 |
Midlands Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $64.57 Typical High $75.86 | Professional | TC · Technical part | $58.88 | $64.57 | $75.86 |
Midlands Setting Facility Modifier None Typical Low $117.49 Median $117.49 Typical High $117.49 | Facility | None | $117.49 | $117.49 | $117.49 |
Midlands Setting Professional Modifier None (both parts) Typical Low $72.44 Median $89.13 Typical High $120.23 | Professional | None (both parts) | $72.44 | $89.13 | $120.23 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $9.12 Median $33.88 Typical High $70.79 | Professional | None (both parts) | $9.12 | $33.88 | $70.79 |
United Setting Facility Modifier None Typical Low $154.88 Median $263.03 Typical High $331.13 | Facility | None | $154.88 | $263.03 | $331.13 |
United Setting Professional Modifier None (both parts) Typical Low $33.88 Median $43.65 Typical High $69.18 | Professional | None (both parts) | $33.88 | $43.65 | $69.18 |
United Setting Professional Modifier 26 · Professional part Typical Low $8.91 Median $11.22 Typical High $18.20 | Professional | 26 · Professional part | $8.91 | $11.22 | $18.20 |
United Setting Professional Modifier TC · Technical part Typical Low $24.55 Median $31.62 Typical High $51.29 | Professional | TC · Technical part | $24.55 | $31.62 | $51.29 |
Wellmark Setting Professional Modifier None (both parts) Typical Low $67.61 Median $67.61 Typical High $77.62 | Professional | None (both parts) | $67.61 | $67.61 | $77.62 |
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 $52.48 Median $52.48 Typical High $60.26 | Professional | TC · Technical part | $52.48 | $52.48 | $60.26 |
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 $16.22 Median $16.60 Typical High $23.99 | Professional | 52 · Reduced service | $16.22 | $16.60 | $23.99 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.46 Median $6.76 Typical High $9.77 | Professional | 53 · Discontinued | $6.46 | $6.76 | $9.77 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $25.70 Median $26.92 Typical High $29.51 | Professional | FX · Film X-ray | $25.70 | $26.92 | $29.51 |
Where Iowa sits
The same service costs 3.9 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.
Iowa· 9th of 51
$67.61
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.