How much rates vary
Facilitymedian $398 · 10th to 90th $72 to $759Professionalmedian $245 · 10th to 90th $76 to $603
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 $72.44 Median $218.78 Typical High $218.78 | Facility | None | $72.44 | $218.78 | $218.78 |
Aetna Setting Professional Modifier None (both parts) Typical Low $194.98 Median $218.78 Typical High $316.23 | Professional | None (both parts) | $194.98 | $218.78 | $316.23 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $12.30 Median $12.88 Typical High $19.50 | Professional | 26 · Professional part | $12.30 | $12.88 | $19.50 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $194.98 Median $213.80 Typical High $331.13 | Professional | TC · Technical part | $194.98 | $213.80 | $331.13 |
Cigna Setting Facility Modifier None Typical Low $758.58 Median $758.58 Typical High $758.58 | Facility | None | $758.58 | $758.58 | $758.58 |
Cigna Setting Professional Modifier None (both parts) Typical Low $57.54 Median $107.15 Typical High $575.44 | Professional | None (both parts) | $57.54 | $107.15 | $575.44 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $16.98 Median $31.62 Typical High $41.69 | Professional | 26 · Professional part | $16.98 | $31.62 | $41.69 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $41.69 Median $75.86 Typical High $537.03 | Professional | TC · Technical part | $41.69 | $75.86 | $537.03 |
Hally Health Setting Professional Modifier None Typical Low $47.86 Median $83.18 Typical High $162.18 | Professional | None | $47.86 | $83.18 | $162.18 |
Hally Health Setting Professional Modifier 26 · Professional part Typical Low $13.49 Median $23.99 Typical High $50.12 | Professional | 26 · Professional part | $13.49 | $23.99 | $50.12 |
Hally Health Setting Professional Modifier TC · Technical part Typical Low $37.15 Median $57.54 Typical High $112.20 | Professional | TC · Technical part | $37.15 | $57.54 | $112.20 |
Medica Setting Facility Modifier None Typical Low $72.44 Median $109.65 Typical High $741.31 | Facility | None | $72.44 | $109.65 | $741.31 |
Medica Setting Professional Modifier None (both parts) Typical Low $77.62 Median $245.47 Typical High $1,288.25 | Professional | None (both parts) | $77.62 | $245.47 | $1,288.25 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $15.49 Median $27.54 Typical High $89.13 | Professional | 26 · Professional part | $15.49 | $27.54 | $89.13 |
Medica Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $346.74 Typical High $1,258.93 | Professional | TC · Technical part | $100.00 | $346.74 | $1,258.93 |
Midlands Setting Professional Modifier None Typical Low $107.15 Median $107.15 Typical High $602.56 | Professional | None | $107.15 | $107.15 | $602.56 |
Midlands Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $31.62 Typical High $37.15 | Professional | 26 · Professional part | $29.51 | $31.62 | $37.15 |
Midlands Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $75.86 Typical High $562.34 | Professional | TC · Technical part | $75.86 | $75.86 | $562.34 |
Midlands Setting Facility Modifier None Typical Low $758.58 Median $758.58 Typical High $758.58 | Facility | None | $758.58 | $758.58 | $758.58 |
Midlands Setting Professional Modifier None (both parts) Typical Low $102.33 Median $186.21 Typical High $602.56 | Professional | None (both parts) | $102.33 | $186.21 | $602.56 |
United Setting Facility Modifier None Typical Low $354.81 Median $602.56 Typical High $758.58 | Facility | None | $354.81 | $602.56 | $758.58 |
United Setting Professional Modifier None (both parts) Typical Low $54.95 Median $269.15 Typical High $457.09 | Professional | None (both parts) | $54.95 | $269.15 | $457.09 |
United Setting Professional Modifier 26 · Professional part Typical Low $14.45 Median $18.20 Typical High $30.90 | Professional | 26 · Professional part | $14.45 | $18.20 | $30.90 |
United Setting Professional Modifier TC · Technical part Typical Low $36.31 Median $251.19 Typical High $426.58 | Professional | TC · Technical part | $36.31 | $251.19 | $426.58 |
Wellmark Setting Professional Modifier None (both parts) Typical Low $446.68 Median $446.68 Typical High $501.19 | Professional | None (both parts) | $446.68 | $446.68 | $501.19 |
Wellmark Setting Professional Modifier 26 · Professional part Typical Low $24.55 Median $24.55 Typical High $28.18 | Professional | 26 · Professional part | $24.55 | $24.55 | $28.18 |
Wellmark Setting Professional Modifier TC · Technical part Typical Low $416.87 Median $416.87 Typical High $478.63 | Professional | TC · Technical part | $416.87 | $416.87 | $478.63 |
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 $97.72 Median $109.65 Typical High $169.82 | Professional | 52 · Reduced service | $97.72 | $109.65 | $169.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $38.90 Median $43.65 Typical High $67.61 | Professional | 53 · Discontinued | $38.90 | $43.65 | $67.61 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $158.49 Median $173.78 Typical High $190.55 | Professional | FX · Film X-ray | $158.49 | $173.78 | $190.55 |
Where Iowa sits
The same service costs 6.6 times more in Colorado than in Michigan. 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· 6th of 51
$251
CO $316MI $47.86
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.