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 $16.60 Median $16.60 Typical High $50.12 | Facility | None | $16.60 | $16.60 | $50.12 |
Aetna Setting Professional Modifier None (both parts) Typical Low $15.85 Median $17.78 Typical High $35.48 | Professional | None (both parts) | $15.85 | $17.78 | $35.48 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $8.71 Median $9.12 Typical High $18.20 | Professional | 26 · Professional part | $8.71 | $9.12 | $18.20 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $7.08 Median $8.13 Typical High $18.20 | Professional | TC · Technical part | $7.08 | $8.13 | $18.20 |
Cigna Setting Facility Modifier None Typical Low $69.18 Median $69.18 Typical High $69.18 | Facility | None | $69.18 | $69.18 | $69.18 |
Cigna Setting Professional Modifier None (both parts) Typical Low $25.70 Median $41.69 Typical High $54.95 | Professional | None (both parts) | $25.70 | $41.69 | $54.95 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $11.48 Median $21.88 Typical High $28.84 | Professional | 26 · Professional part | $11.48 | $21.88 | $28.84 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $12.59 Median $19.95 Typical High $27.54 | Professional | TC · Technical part | $12.59 | $19.95 | $27.54 |
Hally Health Setting Professional Modifier None Typical Low $16.98 Median $37.15 Typical High $123.03 | Professional | None | $16.98 | $37.15 | $123.03 |
Hally Health Setting Professional Modifier 26 · Professional part Typical Low $9.33 Median $16.98 Typical High $58.88 | Professional | 26 · Professional part | $9.33 | $16.98 | $58.88 |
Hally Health Setting Professional Modifier TC · Technical part Typical Low $7.59 Median $15.14 Typical High $67.61 | Professional | TC · Technical part | $7.59 | $15.14 | $67.61 |
Medica Setting Facility Modifier None Typical Low $36.31 Median $54.95 Typical High $223.87 | Facility | None | $36.31 | $54.95 | $223.87 |
Medica Setting Professional Modifier None (both parts) Typical Low $20.89 Median $40.74 Typical High $208.93 | Professional | None (both parts) | $20.89 | $40.74 | $208.93 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $10.47 Median $19.50 Typical High $104.71 | Professional | 26 · Professional part | $10.47 | $19.50 | $104.71 |
Medica Setting Professional Modifier TC · Technical part Typical Low $8.51 Median $15.14 Typical High $128.82 | Professional | TC · Technical part | $8.51 | $15.14 | $128.82 |
Midlands Setting Professional Modifier None Typical Low $37.15 Median $41.69 Typical High $45.71 | Professional | None | $37.15 | $41.69 | $45.71 |
Midlands Setting Professional Modifier 26 · Professional part Typical Low $19.95 Median $21.88 Typical High $24.55 | Professional | 26 · Professional part | $19.95 | $21.88 | $24.55 |
Midlands Setting Professional Modifier TC · Technical part Typical Low $16.98 Median $19.95 Typical High $21.38 | Professional | TC · Technical part | $16.98 | $19.95 | $21.38 |
Midlands Setting Facility Modifier None Typical Low $69.18 Median $69.18 Typical High $69.18 | Facility | None | $69.18 | $69.18 | $69.18 |
Midlands Setting Professional Modifier None (both parts) Typical Low $34.67 Median $44.67 Typical High $117.49 | Professional | None (both parts) | $34.67 | $44.67 | $117.49 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $9.55 Median $17.78 Typical High $36.31 | Professional | None (both parts) | $9.55 | $17.78 | $36.31 |
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 $18.20 Median $23.99 Typical High $38.90 | Professional | None (both parts) | $18.20 | $23.99 | $38.90 |
United Setting Professional Modifier 26 · Professional part Typical Low $10.23 Median $12.88 Typical High $21.88 | Professional | 26 · Professional part | $10.23 | $12.88 | $21.88 |
United Setting Professional Modifier TC · Technical part Typical Low $7.76 Median $10.47 Typical High $17.38 | Professional | TC · Technical part | $7.76 | $10.47 | $17.38 |
Wellmark Setting Professional Modifier None (both parts) Typical Low $33.88 Median $33.88 Typical High $38.90 | Professional | None (both parts) | $33.88 | $33.88 | $38.90 |
Wellmark Setting Professional Modifier 26 · Professional part Typical Low $17.78 Median $17.78 Typical High $19.95 | Professional | 26 · Professional part | $17.78 | $17.78 | $19.95 |
Wellmark Setting Professional Modifier TC · Technical part Typical Low $16.22 Median $16.22 Typical High $18.62 | Professional | TC · Technical part | $16.22 | $16.22 | $18.62 |
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 $7.94 Median $8.32 Typical High $12.30 | Professional | 52 · Reduced service | $7.94 | $8.32 | $12.30 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.16 Median $3.39 Typical High $4.90 | Professional | 53 · Discontinued | $3.16 | $3.39 | $4.90 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $12.59 Median $13.49 Typical High $14.13 | Professional | FX · Film X-ray | $12.59 | $13.49 | $14.13 |
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· 7th of 51
$38.02
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.