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 $125.89 Median $251.19 Typical High $275.42 | Facility | None | $125.89 | $251.19 | $275.42 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $85.11 Median $169.82 Typical High $338.84 | Facility | TC · Technical part | $85.11 | $169.82 | $338.84 |
Aetna Setting Professional Modifier None (both parts) Typical Low $125.89 Median $169.82 Typical High $323.59 | Professional | None (both parts) | $125.89 | $169.82 | $323.59 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $48.98 Typical High $97.72 | Professional | 26 · Professional part | $40.74 | $48.98 | $97.72 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $114.82 Typical High $234.42 | Professional | TC · Technical part | $85.11 | $114.82 | $234.42 |
Cigna Setting Facility Modifier None Typical Low $812.83 Median $812.83 Typical High $812.83 | Facility | None | $812.83 | $812.83 | $812.83 |
Cigna Setting Professional Modifier None (both parts) Typical Low $208.93 Median $281.84 Typical High $407.38 | Professional | None (both parts) | $208.93 | $281.84 | $407.38 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $89.13 Typical High $117.49 | Professional | 26 · Professional part | $53.70 | $89.13 | $117.49 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $165.96 Median $194.98 Typical High $281.84 | Professional | TC · Technical part | $165.96 | $194.98 | $281.84 |
Hally Health Setting Professional Modifier None Typical Low $114.82 Median $229.09 Typical High $660.69 | Professional | None | $114.82 | $229.09 | $660.69 |
Hally Health Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $74.13 Typical High $194.98 | Professional | 26 · Professional part | $38.02 | $74.13 | $194.98 |
Hally Health Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $154.88 Typical High $489.78 | Professional | TC · Technical part | $75.86 | $154.88 | $489.78 |
Medica Setting Facility Modifier None Typical Low $223.87 Median $407.38 Typical High $891.25 | Facility | None | $223.87 | $407.38 | $891.25 |
Medica Setting Professional Modifier None (both parts) Typical Low $151.36 Median $354.81 Typical High $1,412.54 | Professional | None (both parts) | $151.36 | $354.81 | $1,412.54 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $81.28 Typical High $331.13 | Professional | 26 · Professional part | $45.71 | $81.28 | $331.13 |
Medica Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $199.53 Typical High $1,230.27 | Professional | TC · Technical part | $97.72 | $199.53 | $1,230.27 |
Midlands Setting Professional Modifier None Typical Low $263.03 Median $281.84 Typical High $371.54 | Professional | None | $263.03 | $281.84 | $371.54 |
Midlands Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $89.13 Typical High $112.20 | Professional | 26 · Professional part | $83.18 | $89.13 | $112.20 |
Midlands Setting Professional Modifier TC · Technical part Typical Low $181.97 Median $194.98 Typical High $257.04 | Professional | TC · Technical part | $181.97 | $194.98 | $257.04 |
Midlands Setting Facility Modifier None Typical Low $812.83 Median $812.83 Typical High $812.83 | Facility | None | $812.83 | $812.83 | $812.83 |
Midlands Setting Professional Modifier None (both parts) Typical Low $251.19 Median $323.59 Typical High $851.14 | Professional | None (both parts) | $251.19 | $323.59 | $851.14 |
Oscar Health Setting Facility Modifier None Typical Low $549.54 Median $3,019.95 Typical High $8,317.64 | Facility | None | $549.54 | $3,019.95 | $8,317.64 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $41.69 Median $97.72 Typical High $234.42 | Professional | None (both parts) | $41.69 | $97.72 | $234.42 |
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 $141.25 Median $173.78 Typical High $302.00 | Professional | None (both parts) | $141.25 | $173.78 | $302.00 |
United Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $56.23 Typical High $95.50 | Professional | 26 · Professional part | $43.65 | $56.23 | $95.50 |
United Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $120.23 Typical High $234.42 | Professional | TC · Technical part | $95.50 | $120.23 | $234.42 |
Wellmark Setting Professional Modifier None (both parts) Typical Low $251.19 Median $251.19 Typical High $281.84 | Professional | None (both parts) | $251.19 | $251.19 | $281.84 |
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 $173.78 Median $173.78 Typical High $194.98 | Professional | TC · Technical part | $173.78 | $173.78 | $194.98 |
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 $63.10 Median $63.10 Typical High $138.04 | Professional | 52 · Reduced service | $63.10 | $63.10 | $138.04 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $25.12 Median $25.12 Typical High $54.95 | Professional | 53 · Discontinued | $25.12 | $25.12 | $54.95 |
Aetna Setting Professional Modifier CT · Older CT scanner Typical Low $107.15 Median $107.15 Typical High $234.42 | Professional | CT · Older CT scanner | $107.15 | $107.15 | $234.42 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $100.00 Median $100.00 Typical High $218.78 | Professional | FX · Film X-ray | $100.00 | $100.00 | $218.78 |
Where Iowa sits
The same service costs 4.9 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· 13th of 51
$257
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.