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 $46.77 Median $104.71 Typical High $112.20 | Facility | None | $46.77 | $104.71 | $112.20 |
Aetna Setting Professional Modifier None (both parts) Typical Low $43.65 Median $47.86 Typical High $93.33 | Professional | None (both parts) | $43.65 | $47.86 | $93.33 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $10.00 Median $10.72 Typical High $19.05 | Professional | 26 · Professional part | $10.00 | $10.72 | $19.05 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $33.11 Median $37.15 Typical High $74.13 | Professional | TC · Technical part | $33.11 | $37.15 | $74.13 |
Cigna Setting Facility Modifier None Typical Low $162.18 Median $162.18 Typical High $162.18 | Facility | None | $162.18 | $162.18 | $162.18 |
Cigna Setting Professional Modifier None (both parts) Typical Low $51.29 Median $117.49 Typical High $154.88 | Professional | None (both parts) | $51.29 | $117.49 | $154.88 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $13.49 Median $25.12 Typical High $33.11 | Professional | 26 · Professional part | $13.49 | $25.12 | $33.11 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $38.02 Median $91.20 Typical High $120.23 | Professional | TC · Technical part | $38.02 | $91.20 | $120.23 |
Hally Health Setting Professional Modifier None Typical Low $45.71 Median $70.79 Typical High $144.54 | Professional | None | $45.71 | $70.79 | $144.54 |
Hally Health Setting Professional Modifier 26 · Professional part Typical Low $10.72 Median $19.05 Typical High $37.15 | Professional | 26 · Professional part | $10.72 | $19.05 | $37.15 |
Hally Health Setting Professional Modifier TC · Technical part Typical Low $35.48 Median $51.29 Typical High $100.00 | Professional | TC · Technical part | $35.48 | $51.29 | $100.00 |
Medica Setting Facility Modifier None Typical Low $81.28 Median $114.82 Typical High $223.87 | Facility | None | $81.28 | $114.82 | $223.87 |
Medica Setting Professional Modifier None (both parts) Typical Low $52.48 Median $95.50 Typical High $346.74 | Professional | None (both parts) | $52.48 | $95.50 | $346.74 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $12.88 Median $22.91 Typical High $141.25 | Professional | 26 · Professional part | $12.88 | $22.91 | $141.25 |
Medica Setting Professional Modifier TC · Technical part Typical Low $35.48 Median $67.61 Typical High $275.42 | Professional | TC · Technical part | $35.48 | $67.61 | $275.42 |
Midlands Setting Professional Modifier None Typical Low $104.71 Median $117.49 Typical High $134.90 | Professional | None | $104.71 | $117.49 | $134.90 |
Midlands Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $25.12 Typical High $29.51 | Professional | 26 · Professional part | $23.44 | $25.12 | $29.51 |
Midlands Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $91.20 Typical High $107.15 | Professional | TC · Technical part | $81.28 | $91.20 | $107.15 |
Midlands Setting Facility Modifier None Typical Low $162.18 Median $162.18 Typical High $162.18 | Facility | None | $162.18 | $162.18 | $162.18 |
Midlands Setting Professional Modifier None (both parts) Typical Low $97.72 Median $125.89 Typical High $162.18 | Professional | None (both parts) | $97.72 | $125.89 | $162.18 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $12.30 Median $48.98 Typical High $97.72 | Professional | None (both parts) | $12.30 | $48.98 | $97.72 |
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 $47.86 Median $60.26 Typical High $95.50 | Professional | None (both parts) | $47.86 | $60.26 | $95.50 |
United Setting Professional Modifier 26 · Professional part Typical Low $12.02 Median $15.14 Typical High $25.12 | Professional | 26 · Professional part | $12.02 | $15.14 | $25.12 |
United Setting Professional Modifier TC · Technical part Typical Low $35.48 Median $44.67 Typical High $72.44 | Professional | TC · Technical part | $35.48 | $44.67 | $72.44 |
Wellmark Setting Professional Modifier None (both parts) Typical Low $93.33 Median $93.33 Typical High $107.15 | Professional | None (both parts) | $93.33 | $93.33 | $107.15 |
Wellmark Setting Professional Modifier 26 · Professional part Typical Low $19.95 Median $19.95 Typical High $22.91 | Professional | 26 · Professional part | $19.95 | $19.95 | $22.91 |
Wellmark Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $74.13 Typical High $83.18 | Professional | TC · Technical part | $74.13 | $74.13 | $83.18 |
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 $22.91 Median $23.44 Typical High $33.11 | Professional | 52 · Reduced service | $22.91 | $23.44 | $33.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $9.12 Median $9.33 Typical High $13.49 | Professional | 53 · Discontinued | $9.12 | $9.33 | $13.49 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $36.31 Median $37.15 Typical High $40.74 | Professional | FX · Film X-ray | $36.31 | $37.15 | $40.74 |
Where Iowa sits
The same service costs 4.5 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
$93.33
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.