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 $363.08 Median $724.44 Typical High $741.31 | Facility | None | $363.08 | $724.44 | $741.31 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $275.42 Median $537.03 Typical High $1,148.15 | Facility | TC · Technical part | $275.42 | $537.03 | $1,148.15 |
Aetna Setting Professional Modifier None (both parts) Typical Low $363.08 Median $426.58 Typical High $870.96 | Professional | None (both parts) | $363.08 | $426.58 | $870.96 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $112.20 Typical High $204.17 | Professional | 26 · Professional part | $85.11 | $112.20 | $204.17 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $269.15 Median $338.84 Typical High $660.69 | Professional | TC · Technical part | $269.15 | $338.84 | $660.69 |
Cigna Setting Facility Modifier None Typical Low $2,570.40 Median $2,570.40 Typical High $2,570.40 | Facility | None | $2,570.40 | $2,570.40 | $2,570.40 |
Cigna Setting Professional Modifier None (both parts) Typical Low $676.08 Median $776.25 Typical High $1,122.02 | Professional | None (both parts) | $676.08 | $776.25 | $1,122.02 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $102.33 Median $186.21 Typical High $263.03 | Professional | 26 · Professional part | $102.33 | $186.21 | $263.03 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $537.03 Median $588.84 Typical High $933.25 | Professional | TC · Technical part | $537.03 | $588.84 | $933.25 |
Hally Health Setting Professional Modifier None Typical Low $309.03 Median $602.56 Typical High $2,344.23 | Professional | None | $309.03 | $602.56 | $2,344.23 |
Hally Health Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $151.36 Typical High $416.87 | Professional | 26 · Professional part | $79.43 | $151.36 | $416.87 |
Hally Health Setting Professional Modifier TC · Technical part Typical Low $229.09 Median $457.09 Typical High $1,862.09 | Professional | TC · Technical part | $229.09 | $457.09 | $1,862.09 |
Medica Setting Facility Modifier None Typical Low $660.69 Median $1,122.02 Typical High $2,089.30 | Facility | None | $660.69 | $1,122.02 | $2,089.30 |
Medica Setting Professional Modifier None (both parts) Typical Low $416.87 Median $1,023.29 Typical High $5,370.32 | Professional | None (both parts) | $416.87 | $1,023.29 | $5,370.32 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $89.13 Median $165.96 Typical High $812.83 | Professional | 26 · Professional part | $89.13 | $165.96 | $812.83 |
Medica Setting Professional Modifier TC · Technical part Typical Low $302.00 Median $776.25 Typical High $4,897.79 | Professional | TC · Technical part | $302.00 | $776.25 | $4,897.79 |
Midlands Setting Professional Modifier None Typical Low $707.95 Median $776.25 Typical High $1,122.02 | Professional | None | $707.95 | $776.25 | $1,122.02 |
Midlands Setting Professional Modifier 26 · Professional part Typical Low $173.78 Median $186.21 Typical High $263.03 | Professional | 26 · Professional part | $173.78 | $186.21 | $263.03 |
Midlands Setting Professional Modifier TC · Technical part Typical Low $537.03 Median $588.84 Typical High $851.14 | Professional | TC · Technical part | $537.03 | $588.84 | $851.14 |
Midlands Setting Facility Modifier None Typical Low $2,570.40 Median $2,570.40 Typical High $2,570.40 | Facility | None | $2,570.40 | $2,570.40 | $2,570.40 |
Midlands Setting Professional Modifier None (both parts) Typical Low $676.08 Median $851.14 Typical High $3,388.44 | Professional | None (both parts) | $676.08 | $851.14 | $3,388.44 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $87.10 Median $288.40 Typical High $616.60 | Professional | None (both parts) | $87.10 | $288.40 | $616.60 |
United Setting Facility Modifier None Typical Low $524.81 Median $870.96 Typical High $1,096.48 | Facility | None | $524.81 | $870.96 | $1,096.48 |
United Setting Professional Modifier None (both parts) Typical Low $363.08 Median $512.86 Typical High $1,023.29 | Professional | None (both parts) | $363.08 | $512.86 | $1,023.29 |
United Setting Professional Modifier 26 · Professional part Typical Low $87.10 Median $107.15 Typical High $223.87 | Professional | 26 · Professional part | $87.10 | $107.15 | $223.87 |
United Setting Professional Modifier TC · Technical part Typical Low $275.42 Median $389.05 Typical High $851.14 | Professional | TC · Technical part | $275.42 | $389.05 | $851.14 |
Wellmark Setting Professional Modifier None (both parts) Typical Low $794.33 Median $794.33 Typical High $912.01 | Professional | None (both parts) | $794.33 | $794.33 | $912.01 |
Wellmark Setting Professional Modifier 26 · Professional part Typical Low $190.55 Median $190.55 Typical High $218.78 | Professional | 26 · Professional part | $190.55 | $190.55 | $218.78 |
Wellmark Setting Professional Modifier TC · Technical part Typical Low $602.56 Median $602.56 Typical High $691.83 | Professional | TC · Technical part | $602.56 | $602.56 | $691.83 |
3 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 $181.97 Median $181.97 Typical High $354.81 | Professional | 52 · Reduced service | $181.97 | $181.97 | $354.81 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $72.44 Median $72.44 Typical High $141.25 | Professional | 53 · Discontinued | $72.44 | $72.44 | $141.25 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $288.40 Median $288.40 Typical High $380.19 | Professional | FX · Film X-ray | $288.40 | $288.40 | $380.19 |
Where Iowa sits
The same service costs 5.6 times more in Wyoming 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· 9th of 51
$776
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.