How much rates vary
Facilitymedian $83 · 10th to 90th $47 to $234Professionalmedian $54 · 10th to 90th $27 to $83
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 $27.54 Median $53.70 Typical High $66.07 | Facility | None | $27.54 | $53.70 | $66.07 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $19.50 Median $44.67 Typical High $81.28 | Facility | TC · Technical part | $19.50 | $44.67 | $81.28 |
Aetna Setting Professional Modifier None (both parts) Typical Low $25.12 Median $28.84 Typical High $53.70 | Professional | None (both parts) | $25.12 | $28.84 | $53.70 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $7.59 Median $8.32 Typical High $15.49 | Professional | 26 · Professional part | $7.59 | $8.32 | $15.49 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $17.78 Median $20.42 Typical High $42.66 | Professional | TC · Technical part | $17.78 | $20.42 | $42.66 |
Cigna Setting Facility Modifier None Typical Low $89.13 Median $89.13 Typical High $89.13 | Facility | None | $89.13 | $89.13 | $89.13 |
Cigna Setting Professional Modifier None (both parts) Typical Low $29.51 Median $69.18 Typical High $93.33 | Professional | None (both parts) | $29.51 | $69.18 | $93.33 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $10.00 Median $19.05 Typical High $24.55 | Professional | 26 · Professional part | $10.00 | $19.05 | $24.55 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $19.50 Median $50.12 Typical High $69.18 | Professional | TC · Technical part | $19.50 | $50.12 | $69.18 |
Hally Health Setting Professional Modifier None Typical Low $27.54 Median $40.74 Typical High $81.28 | Professional | None | $27.54 | $40.74 | $81.28 |
Hally Health Setting Professional Modifier 26 · Professional part Typical Low $8.13 Median $14.45 Typical High $23.99 | Professional | 26 · Professional part | $8.13 | $14.45 | $23.99 |
Hally Health Setting Professional Modifier TC · Technical part Typical Low $19.50 Median $27.54 Typical High $50.12 | Professional | TC · Technical part | $19.50 | $27.54 | $50.12 |
Medica Setting Facility Modifier None Typical Low $46.77 Median $83.18 Typical High $223.87 | Facility | None | $46.77 | $83.18 | $223.87 |
Medica Setting Professional Modifier None (both parts) Typical Low $30.90 Median $56.23 Typical High $204.17 | Professional | None (both parts) | $30.90 | $56.23 | $204.17 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $8.91 Median $16.98 Typical High $112.20 | Professional | 26 · Professional part | $8.91 | $16.98 | $112.20 |
Medica Setting Professional Modifier TC · Technical part Typical Low $19.50 Median $37.15 Typical High $147.91 | Professional | TC · Technical part | $19.50 | $37.15 | $147.91 |
Midlands Setting Professional Modifier None Typical Low $63.10 Median $69.18 Typical High $81.28 | Professional | None | $63.10 | $69.18 | $81.28 |
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 $44.67 Median $50.12 Typical High $58.88 | Professional | TC · Technical part | $44.67 | $50.12 | $58.88 |
Midlands Setting Facility Modifier None Typical Low $89.13 Median $89.13 Typical High $89.13 | Facility | None | $89.13 | $89.13 | $89.13 |
Midlands Setting Professional Modifier None (both parts) Typical Low $56.23 Median $74.13 Typical High $89.13 | Professional | None (both parts) | $56.23 | $74.13 | $89.13 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $9.12 Median $25.12 Typical High $57.54 | Professional | None (both parts) | $9.12 | $25.12 | $57.54 |
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 $27.54 Median $33.88 Typical High $58.88 | Professional | None (both parts) | $27.54 | $33.88 | $58.88 |
United Setting Professional Modifier 26 · Professional part Typical Low $8.91 Median $10.72 Typical High $17.78 | Professional | 26 · Professional part | $8.91 | $10.72 | $17.78 |
United Setting Professional Modifier TC · Technical part Typical Low $18.62 Median $23.44 Typical High $41.69 | Professional | TC · Technical part | $18.62 | $23.44 | $41.69 |
Wellmark Setting Professional Modifier None (both parts) Typical Low $54.95 Median $54.95 Typical High $61.66 | Professional | None (both parts) | $54.95 | $54.95 | $61.66 |
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 $38.90 Median $38.90 Typical High $44.67 | Professional | TC · Technical part | $38.90 | $38.90 | $44.67 |
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 $13.49 Median $13.80 Typical High $19.95 | Professional | 52 · Reduced service | $13.49 | $13.80 | $19.95 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.37 Median $5.50 Typical High $7.94 | Professional | 53 · Discontinued | $5.37 | $5.50 | $7.94 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $21.38 Median $21.88 Typical High $24.55 | Professional | FX · Film X-ray | $21.38 | $21.88 | $24.55 |
Where Iowa sits
The same service costs 4.3 times more in Alaska than in New York. 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
$54.95
AK $93.33NY $21.88
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.