How much rates vary
Facilitymedian $120 · 10th to 90th $83 to $282Professionalmedian $81 · 10th to 90th $44 to $151
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 $41.69 Median $95.50 Typical High $100.00 | Facility | None | $41.69 | $95.50 | $100.00 |
Aetna Setting Professional Modifier None (both parts) Typical Low $40.74 Median $44.67 Typical High $91.20 | Professional | None (both parts) | $40.74 | $44.67 | $91.20 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $12.02 Median $12.88 Typical High $27.54 | Professional | 26 · Professional part | $12.02 | $12.88 | $27.54 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $28.18 Median $31.62 Typical High $69.18 | Professional | TC · Technical part | $28.18 | $31.62 | $69.18 |
Cigna Setting Facility Modifier None Typical Low $144.54 Median $144.54 Typical High $144.54 | Facility | None | $144.54 | $144.54 | $144.54 |
Cigna Setting Professional Modifier None (both parts) Typical Low $51.29 Median $104.71 Typical High $141.25 | Professional | None (both parts) | $51.29 | $104.71 | $141.25 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $15.85 Median $29.51 Typical High $38.90 | Professional | 26 · Professional part | $15.85 | $29.51 | $38.90 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $35.48 Median $75.86 Typical High $104.71 | Professional | TC · Technical part | $35.48 | $75.86 | $104.71 |
Hally Health Setting Professional Modifier None Typical Low $41.69 Median $70.79 Typical High $123.03 | Professional | None | $41.69 | $70.79 | $123.03 |
Hally Health Setting Professional Modifier 26 · Professional part Typical Low $12.59 Median $22.39 Typical High $39.81 | Professional | 26 · Professional part | $12.59 | $22.39 | $39.81 |
Hally Health Setting Professional Modifier TC · Technical part Typical Low $29.51 Median $46.77 Typical High $79.43 | Professional | TC · Technical part | $29.51 | $46.77 | $79.43 |
Medica Setting Facility Modifier None Typical Low $83.18 Median $114.82 Typical High $275.42 | Facility | None | $83.18 | $114.82 | $275.42 |
Medica Setting Professional Modifier None (both parts) Typical Low $47.86 Median $87.10 Typical High $436.52 | Professional | None (both parts) | $47.86 | $87.10 | $436.52 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $14.45 Median $26.30 Typical High $97.72 | Professional | 26 · Professional part | $14.45 | $26.30 | $97.72 |
Medica Setting Professional Modifier TC · Technical part Typical Low $29.51 Median $56.23 Typical High $426.58 | Professional | TC · Technical part | $29.51 | $56.23 | $426.58 |
Midlands Setting Professional Modifier None Typical Low $95.50 Median $104.71 Typical High $123.03 | Professional | None | $95.50 | $104.71 | $123.03 |
Midlands Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $29.51 Typical High $34.67 | Professional | 26 · Professional part | $27.54 | $29.51 | $34.67 |
Midlands Setting Professional Modifier TC · Technical part Typical Low $67.61 Median $75.86 Typical High $89.13 | Professional | TC · Technical part | $67.61 | $75.86 | $89.13 |
Midlands Setting Facility Modifier None Typical Low $144.54 Median $144.54 Typical High $144.54 | Facility | None | $144.54 | $144.54 | $144.54 |
Midlands Setting Professional Modifier None (both parts) Typical Low $89.13 Median $112.20 Typical High $158.49 | Professional | None (both parts) | $89.13 | $112.20 | $158.49 |
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 $43.65 Median $53.70 Typical High $87.10 | Professional | None (both parts) | $43.65 | $53.70 | $87.10 |
United Setting Professional Modifier 26 · Professional part Typical Low $13.80 Median $17.38 Typical High $28.18 | Professional | 26 · Professional part | $13.80 | $17.38 | $28.18 |
United Setting Professional Modifier TC · Technical part Typical Low $29.51 Median $36.31 Typical High $60.26 | Professional | TC · Technical part | $29.51 | $36.31 | $60.26 |
Wellmark Setting Professional Modifier None (both parts) Typical Low $81.28 Median $81.28 Typical High $93.33 | Professional | None (both parts) | $81.28 | $81.28 | $93.33 |
Wellmark Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $22.91 Typical High $25.70 | Professional | 26 · Professional part | $22.91 | $22.91 | $25.70 |
Wellmark Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $58.88 Typical High $67.61 | Professional | TC · Technical part | $58.88 | $58.88 | $67.61 |
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 $20.42 Median $20.89 Typical High $30.20 | Professional | 52 · Reduced service | $20.42 | $20.89 | $30.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.32 Median $8.32 Typical High $12.02 | Professional | 53 · Discontinued | $8.32 | $8.32 | $12.02 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $33.11 Median $33.88 Typical High $36.31 | Professional | FX · Film X-ray | $33.11 | $33.88 | $36.31 |
Where Iowa sits
The same service costs 4.1 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· 8th of 51
$85.11
AK $132UT $32.36
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.