How much rates vary
Facilitymedian $437 · 10th to 90th $166 to $3,715Professionalmedian $209 · 10th to 90th $74 to $355
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 $104.71 Median $173.78 Typical High $229.09 | Facility | None | $104.71 | $173.78 | $229.09 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $39.81 Median $66.07 Typical High $83.18 | Facility | 26 · Professional part | $39.81 | $66.07 | $83.18 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $64.57 Median $128.82 Typical High $309.03 | Facility | TC · Technical part | $64.57 | $128.82 | $309.03 |
Aetna Setting Professional Modifier None (both parts) Typical Low $104.71 Median $134.90 Typical High $275.42 | Professional | None (both parts) | $104.71 | $134.90 | $275.42 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $42.66 Typical High $85.11 | Professional | 26 · Professional part | $38.90 | $42.66 | $85.11 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $85.11 Typical High $199.53 | Professional | TC · Technical part | $64.57 | $85.11 | $199.53 |
Cigna Setting Facility Modifier None Typical Low $588.84 Median $588.84 Typical High $588.84 | Facility | None | $588.84 | $588.84 | $588.84 |
Cigna Setting Professional Modifier None (both parts) Typical Low $158.49 Median $239.88 Typical High $338.84 | Professional | None (both parts) | $158.49 | $239.88 | $338.84 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $87.10 Typical High $117.49 | Professional | 26 · Professional part | $48.98 | $87.10 | $117.49 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $117.49 Median $151.36 Typical High $213.80 | Professional | TC · Technical part | $117.49 | $151.36 | $213.80 |
Hally Health Setting Professional Modifier None Typical Low $95.50 Median $190.55 Typical High $630.96 | Professional | None | $95.50 | $190.55 | $630.96 |
Hally Health Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $69.18 Typical High $181.97 | Professional | 26 · Professional part | $37.15 | $69.18 | $181.97 |
Hally Health Setting Professional Modifier TC · Technical part Typical Low $57.54 Median $117.49 Typical High $467.74 | Professional | TC · Technical part | $57.54 | $117.49 | $467.74 |
Medica Setting Facility Modifier None Typical Low $213.80 Median $416.87 Typical High $1,348.96 | Facility | None | $213.80 | $416.87 | $1,348.96 |
Medica Setting Professional Modifier None (both parts) Typical Low $123.03 Median $269.15 Typical High $1,258.93 | Professional | None (both parts) | $123.03 | $269.15 | $1,258.93 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $79.43 Typical High $316.23 | Professional | 26 · Professional part | $44.67 | $79.43 | $316.23 |
Medica Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $154.88 Typical High $1,096.48 | Professional | TC · Technical part | $74.13 | $154.88 | $1,096.48 |
Midlands Setting Professional Modifier None Typical Low $218.78 Median $239.88 Typical High $309.03 | Professional | None | $218.78 | $239.88 | $309.03 |
Midlands Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $87.10 Typical High $112.20 | Professional | 26 · Professional part | $83.18 | $87.10 | $112.20 |
Midlands Setting Professional Modifier TC · Technical part Typical Low $134.90 Median $151.36 Typical High $194.98 | Professional | TC · Technical part | $134.90 | $151.36 | $194.98 |
Midlands Setting Facility Modifier None Typical Low $588.84 Median $588.84 Typical High $588.84 | Facility | None | $588.84 | $588.84 | $588.84 |
Midlands Setting Professional Modifier None (both parts) Typical Low $208.93 Median $269.15 Typical High $812.83 | Professional | None (both parts) | $208.93 | $269.15 | $812.83 |
Oscar Health Setting Facility Modifier None Typical Low $1,047.13 Median $3,715.35 Typical High $9,120.11 | Facility | None | $1,047.13 | $3,715.35 | $9,120.11 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $41.69 Median $89.13 Typical High $194.98 | Professional | None (both parts) | $41.69 | $89.13 | $194.98 |
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 $117.49 Median $144.54 Typical High $251.19 | Professional | None (both parts) | $117.49 | $144.54 | $251.19 |
United Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $52.48 Typical High $93.33 | Professional | 26 · Professional part | $41.69 | $52.48 | $93.33 |
United Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $91.20 Typical High $169.82 | Professional | TC · Technical part | $72.44 | $91.20 | $169.82 |
Wellmark Setting Professional Modifier None (both parts) Typical Low $208.93 Median $208.93 Typical High $234.42 | Professional | None (both parts) | $208.93 | $208.93 | $234.42 |
Wellmark Setting Professional Modifier 26 · Professional part Typical Low $77.62 Median $77.62 Typical High $87.10 | Professional | 26 · Professional part | $77.62 | $77.62 | $87.10 |
Wellmark Setting Professional Modifier TC · Technical part Typical Low $131.83 Median $131.83 Typical High $147.91 | Professional | TC · Technical part | $131.83 | $131.83 | $147.91 |
4 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 $52.48 Median $52.48 Typical High $117.49 | Professional | 52 · Reduced service | $52.48 | $52.48 | $117.49 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $20.89 Median $20.89 Typical High $46.77 | Professional | 53 · Discontinued | $20.89 | $20.89 | $46.77 |
Aetna Setting Professional Modifier CT · Older CT scanner Typical Low $89.13 Median $89.13 Typical High $218.78 | Professional | CT · Older CT scanner | $89.13 | $89.13 | $218.78 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $85.11 Median $85.11 Typical High $208.93 | Professional | FX · Film X-ray | $85.11 | $85.11 | $208.93 |
Where Iowa sits
The same service costs 20.4 times more in Vermont 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· 15th of 51
$209
VT $1,585UT $77.62
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.