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 $218.78 Median $426.58 Typical High $478.63 | Facility | None | $218.78 | $426.58 | $478.63 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $141.25 Median $295.12 Typical High $588.84 | Facility | TC · Technical part | $141.25 | $295.12 | $588.84 |
Aetna Setting Professional Modifier None (both parts) Typical Low $218.78 Median $263.03 Typical High $512.86 | Professional | None (both parts) | $218.78 | $263.03 | $512.86 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $75.86 Typical High $141.25 | Professional | 26 · Professional part | $66.07 | $75.86 | $141.25 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $141.25 Median $177.83 Typical High $363.08 | Professional | TC · Technical part | $141.25 | $177.83 | $363.08 |
Cigna Setting Facility Modifier None Typical Low $1,148.15 Median $1,148.15 Typical High $1,148.15 | Facility | None | $1,148.15 | $1,148.15 | $1,148.15 |
Cigna Setting Professional Modifier None (both parts) Typical Low $323.59 Median $489.78 Typical High $691.83 | Professional | None (both parts) | $323.59 | $489.78 | $691.83 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $165.96 Typical High $218.78 | Professional | 26 · Professional part | $83.18 | $165.96 | $218.78 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $245.47 Median $323.59 Typical High $467.74 | Professional | TC · Technical part | $245.47 | $323.59 | $467.74 |
Hally Health Setting Professional Modifier None Typical Low $194.98 Median $389.05 Typical High $954.99 | Professional | None | $194.98 | $389.05 | $954.99 |
Hally Health Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $125.89 Typical High $316.23 | Professional | 26 · Professional part | $70.79 | $125.89 | $316.23 |
Hally Health Setting Professional Modifier TC · Technical part Typical Low $125.89 Median $257.04 Typical High $602.56 | Professional | TC · Technical part | $125.89 | $257.04 | $602.56 |
Medica Setting Facility Modifier None Typical Low $371.54 Median $630.96 Typical High $794.33 | Facility | None | $371.54 | $630.96 | $794.33 |
Medica Setting Professional Modifier None (both parts) Typical Low $263.03 Median $512.86 Typical High $2,041.74 | Professional | None (both parts) | $263.03 | $512.86 | $2,041.74 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $151.36 Typical High $489.78 | Professional | 26 · Professional part | $79.43 | $151.36 | $489.78 |
Medica Setting Professional Modifier TC · Technical part Typical Low $165.96 Median $309.03 Typical High $1,995.26 | Professional | TC · Technical part | $165.96 | $309.03 | $1,995.26 |
Midlands Setting Professional Modifier None Typical Low $457.09 Median $489.78 Typical High $645.65 | Professional | None | $457.09 | $489.78 | $645.65 |
Midlands Setting Professional Modifier 26 · Professional part Typical Low $154.88 Median $165.96 Typical High $213.80 | Professional | 26 · Professional part | $154.88 | $165.96 | $213.80 |
Midlands Setting Professional Modifier TC · Technical part Typical Low $302.00 Median $323.59 Typical High $426.58 | Professional | TC · Technical part | $302.00 | $323.59 | $426.58 |
Midlands Setting Facility Modifier None Typical Low $1,148.15 Median $1,148.15 Typical High $1,148.15 | Facility | None | $1,148.15 | $1,148.15 | $1,148.15 |
Midlands Setting Professional Modifier None (both parts) Typical Low $426.58 Median $549.54 Typical High $1,230.27 | Professional | None (both parts) | $426.58 | $549.54 | $1,230.27 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $77.62 Median $165.96 Typical High $398.11 | Professional | None (both parts) | $77.62 | $165.96 | $398.11 |
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 $245.47 Median $309.03 Typical High $524.81 | Professional | None (both parts) | $245.47 | $309.03 | $524.81 |
United Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $95.50 Typical High $177.83 | Professional | 26 · Professional part | $75.86 | $95.50 | $177.83 |
United Setting Professional Modifier TC · Technical part Typical Low $165.96 Median $199.53 Typical High $346.74 | Professional | TC · Technical part | $165.96 | $199.53 | $346.74 |
Wellmark Setting Professional Modifier None (both parts) Typical Low $426.58 Median $426.58 Typical High $489.78 | Professional | None (both parts) | $426.58 | $426.58 | $489.78 |
Wellmark Setting Professional Modifier 26 · Professional part Typical Low $144.54 Median $144.54 Typical High $162.18 | Professional | 26 · Professional part | $144.54 | $144.54 | $162.18 |
Wellmark Setting Professional Modifier TC · Technical part Typical Low $281.84 Median $281.84 Typical High $323.59 | Professional | TC · Technical part | $281.84 | $281.84 | $323.59 |
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 $109.65 Median $109.65 Typical High $181.97 | Professional | 52 · Reduced service | $109.65 | $109.65 | $181.97 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $43.65 Median $43.65 Typical High $72.44 | Professional | 53 · Discontinued | $43.65 | $43.65 | $72.44 |
Aetna Setting Professional Modifier CT · Older CT scanner Typical Low $186.21 Median $186.21 Typical High $234.42 | Professional | CT · Older CT scanner | $186.21 | $186.21 | $234.42 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $173.78 Median $173.78 Typical High $218.78 | Professional | FX · Film X-ray | $173.78 | $173.78 | $218.78 |
Where Iowa sits
The same service costs 6.3 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· 11th of 51
$427
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.