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 $28.18 Median $63.10 Typical High $67.61 | Facility | None | $28.18 | $63.10 | $67.61 |
Aetna Setting Professional Modifier None (both parts) Typical Low $27.54 Median $29.51 Typical High $58.88 | Professional | None (both parts) | $27.54 | $29.51 | $58.88 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $8.51 Median $9.33 Typical High $16.98 | Professional | 26 · Professional part | $8.51 | $9.33 | $16.98 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $18.62 Median $20.42 Typical High $41.69 | Professional | TC · Technical part | $18.62 | $20.42 | $41.69 |
Cigna Setting Facility Modifier None Typical Low $100.00 Median $100.00 Typical High $100.00 | Facility | None | $100.00 | $100.00 | $100.00 |
Cigna Setting Professional Modifier None (both parts) Typical Low $38.90 Median $70.79 Typical High $95.50 | Professional | None (both parts) | $38.90 | $70.79 | $95.50 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $10.72 Median $21.38 Typical High $27.54 | Professional | 26 · Professional part | $10.72 | $21.38 | $27.54 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $26.92 Median $48.98 Typical High $67.61 | Professional | TC · Technical part | $26.92 | $48.98 | $67.61 |
Hally Health Setting Professional Modifier None Typical Low $28.18 Median $52.48 Typical High $104.71 | Professional | None | $28.18 | $52.48 | $104.71 |
Hally Health Setting Professional Modifier 26 · Professional part Typical Low $8.91 Median $16.22 Typical High $35.48 | Professional | 26 · Professional part | $8.91 | $16.22 | $35.48 |
Hally Health Setting Professional Modifier TC · Technical part Typical Low $19.05 Median $34.67 Typical High $64.57 | Professional | TC · Technical part | $19.05 | $34.67 | $64.57 |
Medica Setting Facility Modifier None Typical Low $57.54 Median $81.28 Typical High $223.87 | Facility | None | $57.54 | $81.28 | $223.87 |
Medica Setting Professional Modifier None (both parts) Typical Low $32.36 Median $60.26 Typical High $208.93 | Professional | None (both parts) | $32.36 | $60.26 | $208.93 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $10.00 Median $19.05 Typical High $77.62 | Professional | 26 · Professional part | $10.00 | $19.05 | $77.62 |
Medica Setting Professional Modifier TC · Technical part Typical Low $20.42 Median $37.15 Typical High $194.98 | Professional | TC · Technical part | $20.42 | $37.15 | $194.98 |
Midlands Setting Professional Modifier None Typical Low $64.57 Median $70.79 Typical High $83.18 | Professional | None | $64.57 | $70.79 | $83.18 |
Midlands Setting Professional Modifier 26 · Professional part Typical Low $19.50 Median $21.38 Typical High $24.55 | Professional | 26 · Professional part | $19.50 | $21.38 | $24.55 |
Midlands Setting Professional Modifier TC · Technical part Typical Low $44.67 Median $48.98 Typical High $57.54 | Professional | TC · Technical part | $44.67 | $48.98 | $57.54 |
Midlands Setting Facility Modifier None Typical Low $100.00 Median $100.00 Typical High $100.00 | Facility | None | $100.00 | $100.00 | $100.00 |
Midlands Setting Professional Modifier None (both parts) Typical Low $60.26 Median $75.86 Typical High $120.23 | Professional | None (both parts) | $60.26 | $75.86 | $120.23 |
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 $28.84 Median $37.15 Typical High $60.26 | Professional | None (both parts) | $28.84 | $37.15 | $60.26 |
United Setting Professional Modifier 26 · Professional part Typical Low $10.00 Median $12.30 Typical High $20.42 | Professional | 26 · Professional part | $10.00 | $12.30 | $20.42 |
United Setting Professional Modifier TC · Technical part Typical Low $19.05 Median $24.55 Typical High $38.90 | Professional | TC · Technical part | $19.05 | $24.55 | $38.90 |
Wellmark Setting Professional Modifier None (both parts) Typical Low $56.23 Median $56.23 Typical High $63.10 | Professional | None (both parts) | $56.23 | $56.23 | $63.10 |
Wellmark Setting Professional Modifier 26 · Professional part Typical Low $16.98 Median $16.98 Typical High $19.50 | Professional | 26 · Professional part | $16.98 | $16.98 | $19.50 |
Wellmark Setting Professional Modifier TC · Technical part Typical Low $38.90 Median $38.90 Typical High $43.65 | Professional | TC · Technical part | $38.90 | $38.90 | $43.65 |
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 $14.13 Typical High $20.42 | Professional | 52 · Reduced service | $13.80 | $14.13 | $20.42 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.50 Median $5.62 Typical High $8.13 | Professional | 53 · Discontinued | $5.50 | $5.62 | $8.13 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $21.88 Median $22.39 Typical High $24.55 | Professional | FX · Film X-ray | $21.88 | $22.39 | $24.55 |
Where Iowa sits
The same service costs 3.8 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
$57.54
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.