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 $31.62 Median $72.44 Typical High $100.00 | Facility | None | $31.62 | $72.44 | $100.00 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $23.44 Median $53.70 Typical High $100.00 | Facility | TC · Technical part | $23.44 | $53.70 | $100.00 |
Aetna Setting Professional Modifier None (both parts) Typical Low $30.90 Median $34.67 Typical High $69.18 | Professional | None (both parts) | $30.90 | $34.67 | $69.18 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $7.94 Median $8.91 Typical High $19.95 | Professional | 26 · Professional part | $7.94 | $8.91 | $19.95 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $22.91 Median $25.12 Typical High $52.48 | Professional | TC · Technical part | $22.91 | $25.12 | $52.48 |
Cigna Setting Facility Modifier None Typical Low $123.03 Median $123.03 Typical High $123.03 | Facility | None | $123.03 | $123.03 | $123.03 |
Cigna Setting Professional Modifier None (both parts) Typical Low $41.69 Median $79.43 Typical High $107.15 | Professional | None (both parts) | $41.69 | $79.43 | $107.15 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $12.88 Median $19.05 Typical High $27.54 | Professional | 26 · Professional part | $12.88 | $19.05 | $27.54 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $28.18 Median $60.26 Typical High $83.18 | Professional | TC · Technical part | $28.18 | $60.26 | $83.18 |
Hally Health Setting Professional Modifier None Typical Low $31.62 Median $57.54 Typical High $100.00 | Professional | None | $31.62 | $57.54 | $100.00 |
Hally Health Setting Professional Modifier 26 · Professional part Typical Low $8.13 Median $15.49 Typical High $32.36 | Professional | 26 · Professional part | $8.13 | $15.49 | $32.36 |
Hally Health Setting Professional Modifier TC · Technical part Typical Low $23.44 Median $37.15 Typical High $64.57 | Professional | TC · Technical part | $23.44 | $37.15 | $64.57 |
Medica Setting Facility Modifier None Typical Low $63.10 Median $109.65 Typical High $275.42 | Facility | None | $63.10 | $109.65 | $275.42 |
Medica Setting Professional Modifier None (both parts) Typical Low $36.31 Median $69.18 Typical High $229.09 | Professional | None (both parts) | $36.31 | $69.18 | $229.09 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $10.96 Median $19.05 Typical High $77.62 | Professional | 26 · Professional part | $10.96 | $19.05 | $77.62 |
Medica Setting Professional Modifier TC · Technical part Typical Low $23.99 Median $43.65 Typical High $213.80 | Professional | TC · Technical part | $23.99 | $43.65 | $213.80 |
Midlands Setting Professional Modifier None Typical Low $72.44 Median $79.43 Typical High $91.20 | Professional | None | $72.44 | $79.43 | $91.20 |
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 $53.70 Median $60.26 Typical High $70.79 | Professional | TC · Technical part | $53.70 | $60.26 | $70.79 |
Midlands Setting Facility Modifier None Typical Low $123.03 Median $123.03 Typical High $123.03 | Facility | None | $123.03 | $123.03 | $123.03 |
Midlands Setting Professional Modifier None (both parts) Typical Low $67.61 Median $85.11 Typical High $128.82 | Professional | None (both parts) | $67.61 | $85.11 | $128.82 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $9.12 Median $30.20 Typical High $66.07 | Professional | None (both parts) | $9.12 | $30.20 | $66.07 |
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 $33.11 Median $42.66 Typical High $70.79 | Professional | None (both parts) | $33.11 | $42.66 | $70.79 |
United Setting Professional Modifier 26 · Professional part Typical Low $10.00 Median $13.18 Typical High $23.99 | Professional | 26 · Professional part | $10.00 | $13.18 | $23.99 |
United Setting Professional Modifier TC · Technical part Typical Low $22.91 Median $29.51 Typical High $47.86 | Professional | TC · Technical part | $22.91 | $29.51 | $47.86 |
Wellmark Setting Professional Modifier None (both parts) Typical Low $63.10 Median $63.10 Typical High $70.79 | Professional | None (both parts) | $63.10 | $63.10 | $70.79 |
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 $47.86 Median $47.86 Typical High $53.70 | Professional | TC · Technical part | $47.86 | $47.86 | $53.70 |
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 $15.14 Median $15.85 Typical High $22.91 | Professional | 52 · Reduced service | $15.14 | $15.85 | $22.91 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.03 Median $6.31 Typical High $9.12 | Professional | 53 · Discontinued | $6.03 | $6.31 | $9.12 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $24.55 Median $25.12 Typical High $27.54 | Professional | FX · Film X-ray | $24.55 | $25.12 | $27.54 |
Where Iowa sits
The same service costs 3.6 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
$64.57
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.