How much rates vary
Facilitymedian $87 · 10th to 90th $58 to $234Professionalmedian $58 · 10th to 90th $28 to $87
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 $64.57 Typical High $67.61 | Facility | None | $28.18 | $64.57 | $67.61 |
Aetna Setting Professional Modifier None (both parts) Typical Low $27.54 Median $28.84 Typical High $56.23 | Professional | None (both parts) | $27.54 | $28.84 | $56.23 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $7.24 Median $7.76 Typical High $13.49 | Professional | 26 · Professional part | $7.24 | $7.76 | $13.49 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $19.95 Median $21.38 Typical High $44.67 | Professional | TC · Technical part | $19.95 | $21.38 | $44.67 |
Cigna Setting Facility Modifier None Typical Low $102.33 Median $102.33 Typical High $102.33 | Facility | None | $102.33 | $102.33 | $102.33 |
Cigna Setting Professional Modifier None (both parts) Typical Low $38.02 Median $70.79 Typical High $95.50 | Professional | None (both parts) | $38.02 | $70.79 | $95.50 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $10.00 Median $18.20 Typical High $23.99 | Professional | 26 · Professional part | $10.00 | $18.20 | $23.99 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $28.18 Median $52.48 Typical High $72.44 | Professional | TC · Technical part | $28.18 | $52.48 | $72.44 |
Hally Health Setting Professional Modifier None Typical Low $28.18 Median $52.48 Typical High $87.10 | Professional | None | $28.18 | $52.48 | $87.10 |
Hally Health Setting Professional Modifier 26 · Professional part Typical Low $7.76 Median $13.80 Typical High $21.88 | Professional | 26 · Professional part | $7.76 | $13.80 | $21.88 |
Hally Health Setting Professional Modifier TC · Technical part Typical Low $20.42 Median $37.15 Typical High $56.23 | Professional | TC · Technical part | $20.42 | $37.15 | $56.23 |
Medica Setting Facility Modifier None Typical Low $57.54 Median $87.10 Typical High $223.87 | Facility | None | $57.54 | $87.10 | $223.87 |
Medica Setting Professional Modifier None (both parts) Typical Low $31.62 Median $61.66 Typical High $208.93 | Professional | None (both parts) | $31.62 | $61.66 | $208.93 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $8.91 Median $16.22 Typical High $66.07 | Professional | 26 · Professional part | $8.91 | $16.22 | $66.07 |
Medica Setting Professional Modifier TC · Technical part Typical Low $21.38 Median $38.90 Typical High $186.21 | Professional | TC · Technical part | $21.38 | $38.90 | $186.21 |
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 $17.38 Median $18.20 Typical High $21.38 | Professional | 26 · Professional part | $17.38 | $18.20 | $21.38 |
Midlands Setting Professional Modifier TC · Technical part Typical Low $46.77 Median $52.48 Typical High $61.66 | Professional | TC · Technical part | $46.77 | $52.48 | $61.66 |
Midlands Setting Facility Modifier None Typical Low $102.33 Median $102.33 Typical High $102.33 | Facility | None | $102.33 | $102.33 | $102.33 |
Midlands Setting Professional Modifier None (both parts) Typical Low $60.26 Median $75.86 Typical High $117.49 | Professional | None (both parts) | $60.26 | $75.86 | $117.49 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $8.91 Median $26.92 Typical High $58.88 | Professional | None (both parts) | $8.91 | $26.92 | $58.88 |
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 $61.66 | Professional | None (both parts) | $28.84 | $37.15 | $61.66 |
United Setting Professional Modifier 26 · Professional part Typical Low $8.51 Median $10.72 Typical High $17.78 | Professional | 26 · Professional part | $8.51 | $10.72 | $17.78 |
United Setting Professional Modifier TC · Technical part Typical Low $19.95 Median $26.30 Typical High $43.65 | Professional | TC · Technical part | $19.95 | $26.30 | $43.65 |
Wellmark Setting Professional Modifier None (both parts) Typical Low $57.54 Median $57.54 Typical High $64.57 | Professional | None (both parts) | $57.54 | $57.54 | $64.57 |
Wellmark Setting Professional Modifier 26 · Professional part Typical Low $14.79 Median $14.79 Typical High $16.60 | Professional | 26 · Professional part | $14.79 | $14.79 | $16.60 |
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 $14.13 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 3.5 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· 8th of 51
$57.54
AK $87.10FL $25.12
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.