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 $32.36 Median $32.36 Typical High $47.86 | Facility | None | $32.36 | $32.36 | $47.86 |
Aetna Setting Professional Modifier None (both parts) Typical Low $32.36 Median $32.36 Typical High $46.77 | Professional | None (both parts) | $32.36 | $32.36 | $46.77 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $7.08 Median $7.24 Typical High $10.96 | Professional | 26 · Professional part | $7.08 | $7.24 | $10.96 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $25.12 Median $25.12 Typical High $36.31 | Professional | TC · Technical part | $25.12 | $25.12 | $36.31 |
Cigna Setting Facility Modifier None Typical Low $134.90 Median $134.90 Typical High $134.90 | Facility | None | $134.90 | $134.90 | $134.90 |
Cigna Setting Professional Modifier None (both parts) Typical Low $40.74 Median $81.28 Typical High $112.20 | Professional | None (both parts) | $40.74 | $81.28 | $112.20 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $10.00 Median $17.38 Typical High $22.91 | Professional | 26 · Professional part | $10.00 | $17.38 | $22.91 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $30.20 Median $64.57 Typical High $89.13 | Professional | TC · Technical part | $30.20 | $64.57 | $89.13 |
Hally Health Setting Professional Modifier None Typical Low $32.36 Median $54.95 Typical High $79.43 | Professional | None | $32.36 | $54.95 | $79.43 |
Hally Health Setting Professional Modifier 26 · Professional part Typical Low $7.59 Median $13.49 Typical High $19.50 | Professional | 26 · Professional part | $7.59 | $13.49 | $19.50 |
Hally Health Setting Professional Modifier TC · Technical part Typical Low $25.12 Median $39.81 Typical High $60.26 | Professional | TC · Technical part | $25.12 | $39.81 | $60.26 |
Medica Setting Facility Modifier None Typical Low $47.86 Median $102.33 Typical High $223.87 | Facility | None | $47.86 | $102.33 | $223.87 |
Medica Setting Professional Modifier None (both parts) Typical Low $36.31 Median $72.44 Typical High $245.47 | Professional | None (both parts) | $36.31 | $72.44 | $245.47 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $8.91 Median $15.49 Typical High $89.13 | Professional | 26 · Professional part | $8.91 | $15.49 | $89.13 |
Medica Setting Professional Modifier TC · Technical part Typical Low $26.30 Median $47.86 Typical High $190.55 | Professional | TC · Technical part | $26.30 | $47.86 | $190.55 |
Midlands Setting Professional Modifier None Typical Low $74.13 Median $81.28 Typical High $95.50 | Professional | None | $74.13 | $81.28 | $95.50 |
Midlands Setting Professional Modifier 26 · Professional part Typical Low $16.60 Median $17.38 Typical High $20.42 | Professional | 26 · Professional part | $16.60 | $17.38 | $20.42 |
Midlands Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $64.57 Typical High $75.86 | Professional | TC · Technical part | $58.88 | $64.57 | $75.86 |
Midlands Setting Facility Modifier None Typical Low $134.90 Median $134.90 Typical High $134.90 | Facility | None | $134.90 | $134.90 | $134.90 |
Midlands Setting Professional Modifier None (both parts) Typical Low $70.79 Median $87.10 Typical High $125.89 | Professional | None (both parts) | $70.79 | $87.10 | $125.89 |
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 $33.11 Median $43.65 Typical High $70.79 | Professional | None (both parts) | $33.11 | $43.65 | $70.79 |
United Setting Professional Modifier 26 · Professional part Typical Low $8.32 Median $10.47 Typical High $17.38 | Professional | 26 · Professional part | $8.32 | $10.47 | $17.38 |
United Setting Professional Modifier TC · Technical part Typical Low $25.12 Median $32.36 Typical High $53.70 | Professional | TC · Technical part | $25.12 | $32.36 | $53.70 |
Wellmark Setting Professional Modifier None (both parts) Typical Low $64.57 Median $64.57 Typical High $74.13 | Professional | None (both parts) | $64.57 | $64.57 | $74.13 |
Wellmark Setting Professional Modifier 26 · Professional part Typical Low $14.13 Median $14.13 Typical High $15.85 | Professional | 26 · Professional part | $14.13 | $14.13 | $15.85 |
Wellmark Setting Professional Modifier TC · Technical part Typical Low $50.12 Median $50.12 Typical High $57.54 | Professional | TC · Technical part | $50.12 | $50.12 | $57.54 |
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 $16.22 Median $16.22 Typical High $23.44 | Professional | 52 · Reduced service | $16.22 | $16.22 | $23.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.46 Median $6.46 Typical High $9.33 | Professional | 53 · Discontinued | $6.46 | $6.46 | $9.33 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $25.70 Median $26.30 Typical High $28.84 | Professional | FX · Film X-ray | $25.70 | $26.30 | $28.84 |
Where Iowa sits
The same service costs 3.7 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· 10th of 51
$66.07
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.