How much rates vary
Facilitymedian $525 · 10th to 90th $263 to $1,148Professionalmedian $355 · 10th to 90th $126 to $631
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 $181.97 Median $181.97 Typical High $660.69 | Facility | None | $181.97 | $181.97 | $660.69 |
Aetna Setting Professional Modifier None (both parts) Typical Low $181.97 Median $204.17 Typical High $426.58 | Professional | None (both parts) | $181.97 | $204.17 | $426.58 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $60.26 Typical High $125.89 | Professional | 26 · Professional part | $58.88 | $60.26 | $125.89 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $120.23 Median $138.04 Typical High $316.23 | Professional | TC · Technical part | $120.23 | $138.04 | $316.23 |
Cigna Setting Facility Modifier None Typical Low $1,174.90 Median $1,174.90 Typical High $1,174.90 | Facility | None | $1,174.90 | $1,174.90 | $1,174.90 |
Cigna Setting Professional Modifier None (both parts) Typical Low $309.03 Median $407.38 Typical High $588.84 | Professional | None (both parts) | $309.03 | $407.38 | $588.84 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $77.62 Median $128.82 Typical High $177.83 | Professional | 26 · Professional part | $77.62 | $128.82 | $177.83 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $251.19 Median $281.84 Typical High $398.11 | Professional | TC · Technical part | $251.19 | $281.84 | $398.11 |
Hally Health Setting Professional Modifier None Typical Low $162.18 Median $323.59 Typical High $933.25 | Professional | None | $162.18 | $323.59 | $933.25 |
Hally Health Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $107.15 Typical High $281.84 | Professional | 26 · Professional part | $56.23 | $107.15 | $281.84 |
Hally Health Setting Professional Modifier TC · Technical part Typical Low $107.15 Median $218.78 Typical High $602.56 | Professional | TC · Technical part | $107.15 | $218.78 | $602.56 |
Medica Setting Facility Modifier None Typical Low $331.13 Median $588.84 Typical High $691.83 | Facility | None | $331.13 | $588.84 | $691.83 |
Medica Setting Professional Modifier None (both parts) Typical Low $218.78 Median $467.74 Typical High $2,089.30 | Professional | None (both parts) | $218.78 | $467.74 | $2,089.30 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $117.49 Typical High $457.09 | Professional | 26 · Professional part | $67.61 | $117.49 | $457.09 |
Medica Setting Professional Modifier TC · Technical part Typical Low $141.25 Median $288.40 Typical High $1,698.24 | Professional | TC · Technical part | $141.25 | $288.40 | $1,698.24 |
Midlands Setting Professional Modifier None Typical Low $380.19 Median $407.38 Typical High $537.03 | Professional | None | $380.19 | $407.38 | $537.03 |
Midlands Setting Professional Modifier 26 · Professional part Typical Low $123.03 Median $128.82 Typical High $165.96 | Professional | 26 · Professional part | $123.03 | $128.82 | $165.96 |
Midlands Setting Professional Modifier TC · Technical part Typical Low $257.04 Median $281.84 Typical High $371.54 | Professional | TC · Technical part | $257.04 | $281.84 | $371.54 |
Midlands Setting Facility Modifier None Typical Low $1,174.90 Median $1,174.90 Typical High $1,174.90 | Facility | None | $1,174.90 | $1,174.90 | $1,174.90 |
Midlands Setting Professional Modifier None (both parts) Typical Low $354.81 Median $457.09 Typical High $1,230.27 | Professional | None (both parts) | $354.81 | $457.09 | $1,230.27 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $61.66 Median $141.25 Typical High $338.84 | Professional | None (both parts) | $61.66 | $141.25 | $338.84 |
United Setting Facility Modifier None Typical Low $263.03 Median $436.52 Typical High $549.54 | Facility | None | $263.03 | $436.52 | $549.54 |
United Setting Professional Modifier None (both parts) Typical Low $204.17 Median $257.04 Typical High $436.52 | Professional | None (both parts) | $204.17 | $257.04 | $436.52 |
United Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $77.62 Typical High $141.25 | Professional | 26 · Professional part | $64.57 | $77.62 | $141.25 |
United Setting Professional Modifier TC · Technical part Typical Low $141.25 Median $169.82 Typical High $354.81 | Professional | TC · Technical part | $141.25 | $169.82 | $354.81 |
Wellmark Setting Professional Modifier None (both parts) Typical Low $354.81 Median $354.81 Typical High $407.38 | Professional | None (both parts) | $354.81 | $354.81 | $407.38 |
Wellmark Setting Professional Modifier 26 · Professional part Typical Low $114.82 Median $114.82 Typical High $128.82 | Professional | 26 · Professional part | $114.82 | $114.82 | $128.82 |
Wellmark Setting Professional Modifier TC · Technical part Typical Low $245.47 Median $245.47 Typical High $275.42 | Professional | TC · Technical part | $245.47 | $245.47 | $275.42 |
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 $91.20 Median $91.20 Typical High $173.78 | Professional | 52 · Reduced service | $91.20 | $91.20 | $173.78 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $36.31 Median $36.31 Typical High $69.18 | Professional | 53 · Discontinued | $36.31 | $36.31 | $69.18 |
Aetna Setting Professional Modifier CT · Older CT scanner Typical Low $154.88 Median $154.88 Typical High $234.42 | Professional | CT · Older CT scanner | $154.88 | $154.88 | $234.42 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $144.54 Median $144.54 Typical High $218.78 | Professional | FX · Film X-ray | $144.54 | $144.54 | $218.78 |
Where Iowa sits
The same service costs 5.1 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· 16th of 51
$363
AK $676UT $132
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.