How much rates vary
Facilitymedian $692 · 10th to 90th $302 to $4,365Professionalmedian $537 · 10th to 90th $191 to $912
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 $257.04 Median $512.86 Typical High $562.34 | Facility | None | $257.04 | $512.86 | $562.34 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $173.78 Median $363.08 Typical High $741.31 | Facility | TC · Technical part | $173.78 | $363.08 | $741.31 |
Aetna Setting Professional Modifier None (both parts) Typical Low $257.04 Median $302.00 Typical High $660.69 | Professional | None (both parts) | $257.04 | $302.00 | $660.69 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $85.11 Typical High $173.78 | Professional | 26 · Professional part | $75.86 | $85.11 | $173.78 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $173.78 Median $218.78 Typical High $457.09 | Professional | TC · Technical part | $173.78 | $218.78 | $457.09 |
Cigna Setting Facility Modifier None Typical Low $1,819.70 Median $1,819.70 Typical High $1,819.70 | Facility | None | $1,819.70 | $1,819.70 | $1,819.70 |
Cigna Setting Professional Modifier None (both parts) Typical Low $478.63 Median $588.84 Typical High $851.14 | Professional | None (both parts) | $478.63 | $588.84 | $851.14 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $100.00 Median $177.83 Typical High $245.47 | Professional | 26 · Professional part | $100.00 | $177.83 | $245.47 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $354.81 Median $398.11 Typical High $630.96 | Professional | TC · Technical part | $354.81 | $398.11 | $630.96 |
Hally Health Setting Professional Modifier None Typical Low $245.47 Median $489.78 Typical High $1,348.96 | Professional | None | $245.47 | $489.78 | $1,348.96 |
Hally Health Setting Professional Modifier 26 · Professional part Typical Low $77.62 Median $147.91 Typical High $257.04 | Professional | 26 · Professional part | $77.62 | $147.91 | $257.04 |
Hally Health Setting Professional Modifier TC · Technical part Typical Low $169.82 Median $338.84 Typical High $933.25 | Professional | TC · Technical part | $169.82 | $338.84 | $933.25 |
Medica Setting Facility Modifier None Typical Low $398.11 Median $758.58 Typical High $1,174.90 | Facility | None | $398.11 | $758.58 | $1,174.90 |
Medica Setting Professional Modifier None (both parts) Typical Low $316.23 Median $562.34 Typical High $3,235.94 | Professional | None (both parts) | $316.23 | $562.34 | $3,235.94 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $89.13 Median $162.18 Typical High $562.34 | Professional | 26 · Professional part | $89.13 | $162.18 | $562.34 |
Medica Setting Professional Modifier TC · Technical part Typical Low $213.80 Median $446.68 Typical High $2,754.23 | Professional | TC · Technical part | $213.80 | $446.68 | $2,754.23 |
Midlands Setting Professional Modifier None Typical Low $524.81 Median $588.84 Typical High $794.33 | Professional | None | $524.81 | $588.84 | $794.33 |
Midlands Setting Professional Modifier 26 · Professional part Typical Low $169.82 Median $177.83 Typical High $229.09 | Professional | 26 · Professional part | $169.82 | $177.83 | $229.09 |
Midlands Setting Professional Modifier TC · Technical part Typical Low $354.81 Median $398.11 Typical High $575.44 | Professional | TC · Technical part | $354.81 | $398.11 | $575.44 |
Midlands Setting Facility Modifier None Typical Low $1,819.70 Median $1,819.70 Typical High $1,819.70 | Facility | None | $1,819.70 | $1,819.70 | $1,819.70 |
Midlands Setting Professional Modifier None (both parts) Typical Low $489.78 Median $645.65 Typical High $1,778.28 | Professional | None (both parts) | $489.78 | $645.65 | $1,778.28 |
Oscar Health Setting Facility Modifier None Typical Low $416.87 Median $4,365.16 Typical High $9,332.54 | Facility | None | $416.87 | $4,365.16 | $9,332.54 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $85.11 Median $213.80 Typical High $501.19 | Professional | None (both parts) | $85.11 | $213.80 | $501.19 |
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 $302.00 Median $371.54 Typical High $676.08 | Professional | None (both parts) | $302.00 | $371.54 | $676.08 |
United Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $107.15 Typical High $194.98 | Professional | 26 · Professional part | $85.11 | $107.15 | $194.98 |
United Setting Professional Modifier TC · Technical part Typical Low $208.93 Median $263.03 Typical High $562.34 | Professional | TC · Technical part | $208.93 | $263.03 | $562.34 |
Wellmark Setting Professional Modifier None (both parts) Typical Low $537.03 Median $537.03 Typical High $602.56 | Professional | None (both parts) | $537.03 | $537.03 | $602.56 |
Wellmark Setting Professional Modifier 26 · Professional part Typical Low $154.88 Median $154.88 Typical High $177.83 | Professional | 26 · Professional part | $154.88 | $154.88 | $177.83 |
Wellmark Setting Professional Modifier TC · Technical part Typical Low $380.19 Median $380.19 Typical High $426.58 | Professional | TC · Technical part | $380.19 | $380.19 | $426.58 |
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 $125.89 Median $128.82 Typical High $204.17 | Professional | 52 · Reduced service | $125.89 | $128.82 | $204.17 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $50.12 Median $51.29 Typical High $81.28 | Professional | 53 · Discontinued | $50.12 | $51.29 | $81.28 |
Aetna Setting Professional Modifier CT · Older CT scanner Typical Low $213.80 Median $218.78 Typical High $251.19 | Professional | CT · Older CT scanner | $213.80 | $218.78 | $251.19 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $204.17 Median $204.17 Typical High $234.42 | Professional | FX · Film X-ray | $204.17 | $204.17 | $234.42 |
Where Iowa sits
The same service costs 7.6 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· 10th of 51
$537
VT $1,288UT $170
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.