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 $158.49 Median $309.03 Typical High $346.74 | Facility | None | $158.49 | $309.03 | $346.74 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $95.50 Median $199.53 Typical High $407.38 | Facility | TC · Technical part | $95.50 | $199.53 | $407.38 |
Aetna Setting Professional Modifier None (both parts) Typical Low $158.49 Median $194.98 Typical High $354.81 | Professional | None (both parts) | $158.49 | $194.98 | $354.81 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $60.26 Typical High $114.82 | Professional | 26 · Professional part | $54.95 | $60.26 | $114.82 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $125.89 Typical High $251.19 | Professional | TC · Technical part | $95.50 | $125.89 | $251.19 |
Cigna Setting Facility Modifier None Typical Low $977.24 Median $977.24 Typical High $977.24 | Facility | None | $977.24 | $977.24 | $977.24 |
Cigna Setting Professional Modifier None (both parts) Typical Low $257.04 Median $354.81 Typical High $512.86 | Professional | None (both parts) | $257.04 | $354.81 | $512.86 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $74.13 Median $131.83 Typical High $177.83 | Professional | 26 · Professional part | $74.13 | $131.83 | $177.83 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $204.17 Median $223.87 Typical High $316.23 | Professional | TC · Technical part | $204.17 | $223.87 | $316.23 |
Hally Health Setting Professional Modifier None Typical Low $141.25 Median $281.84 Typical High $691.83 | Professional | None | $141.25 | $281.84 | $691.83 |
Hally Health Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $104.71 Typical High $263.03 | Professional | 26 · Professional part | $56.23 | $104.71 | $263.03 |
Hally Health Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $173.78 Typical High $436.52 | Professional | TC · Technical part | $85.11 | $173.78 | $436.52 |
Medica Setting Facility Modifier None Typical Low $218.78 Median $446.68 Typical High $660.69 | Facility | None | $218.78 | $446.68 | $660.69 |
Medica Setting Professional Modifier None (both parts) Typical Low $213.80 Median $371.54 Typical High $1,659.59 | Professional | None (both parts) | $213.80 | $371.54 | $1,659.59 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $117.49 Typical High $524.81 | Professional | 26 · Professional part | $66.07 | $117.49 | $524.81 |
Medica Setting Professional Modifier TC · Technical part Typical Low $138.04 Median $257.04 Typical High $1,318.26 | Professional | TC · Technical part | $138.04 | $257.04 | $1,318.26 |
Midlands Setting Professional Modifier None Typical Low $331.13 Median $354.81 Typical High $457.09 | Professional | None | $331.13 | $354.81 | $457.09 |
Midlands Setting Professional Modifier 26 · Professional part Typical Low $125.89 Median $131.83 Typical High $169.82 | Professional | 26 · Professional part | $125.89 | $131.83 | $169.82 |
Midlands Setting Professional Modifier TC · Technical part Typical Low $204.17 Median $223.87 Typical High $288.40 | Professional | TC · Technical part | $204.17 | $223.87 | $288.40 |
Midlands Setting Facility Modifier None Typical Low $977.24 Median $977.24 Typical High $977.24 | Facility | None | $977.24 | $977.24 | $977.24 |
Midlands Setting Professional Modifier None (both parts) Typical Low $309.03 Median $398.11 Typical High $891.25 | Professional | None (both parts) | $309.03 | $398.11 | $891.25 |
Oscar Health Setting Facility Modifier None Typical Low $107.15 Median $107.15 Typical High $107.15 | Facility | None | $107.15 | $107.15 | $107.15 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $63.10 Median $131.83 Typical High $288.40 | Professional | None (both parts) | $63.10 | $131.83 | $288.40 |
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 $199.53 Median $251.19 Typical High $478.63 | Professional | None (both parts) | $199.53 | $251.19 | $478.63 |
United Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $77.62 Typical High $141.25 | Professional | 26 · Professional part | $63.10 | $77.62 | $141.25 |
United Setting Professional Modifier TC · Technical part Typical Low $134.90 Median $165.96 Typical High $316.23 | Professional | TC · Technical part | $134.90 | $165.96 | $316.23 |
Wellmark Setting Professional Modifier None (both parts) Typical Low $309.03 Median $309.03 Typical High $354.81 | Professional | None (both parts) | $309.03 | $309.03 | $354.81 |
Wellmark Setting Professional Modifier 26 · Professional part Typical Low $114.82 Median $114.82 Typical High $131.83 | Professional | 26 · Professional part | $114.82 | $114.82 | $131.83 |
Wellmark Setting Professional Modifier TC · Technical part Typical Low $194.98 Median $194.98 Typical High $218.78 | Professional | TC · Technical part | $194.98 | $194.98 | $218.78 |
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 $77.62 Median $77.62 Typical High $147.91 | Professional | 52 · Reduced service | $77.62 | $77.62 | $147.91 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $31.62 Median $31.62 Typical High $60.26 | Professional | 53 · Discontinued | $31.62 | $31.62 | $60.26 |
Aetna Setting Professional Modifier CT · Older CT scanner Typical Low $134.90 Median $134.90 Typical High $234.42 | Professional | CT · Older CT scanner | $134.90 | $134.90 | $234.42 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $125.89 Median $125.89 Typical High $218.78 | Professional | FX · Film X-ray | $125.89 | $125.89 | $218.78 |
Where Iowa sits
The same service costs 6.2 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
$324
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.