How much rates vary
Facilitymedian $1,380 · 10th to 90th $562 to $4,169Professionalmedian $1,148 · 10th to 90th $288 to $3,020
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 $630.96 Median $630.96 Typical High $1,862.09 | Facility | None | $630.96 | $630.96 | $1,862.09 |
Aetna Setting Professional Modifier None (both parts) Typical Low $426.58 Median $630.96 Typical High $891.25 | Professional | None (both parts) | $426.58 | $630.96 | $891.25 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $125.89 Median $162.18 Typical High $257.04 | Professional | 26 · Professional part | $125.89 | $162.18 | $257.04 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $338.84 Median $575.44 Typical High $812.83 | Professional | TC · Technical part | $338.84 | $575.44 | $812.83 |
Cigna Setting Facility Modifier None Typical Low $1,096.48 Median $1,096.48 Typical High $1,096.48 | Facility | None | $1,096.48 | $1,096.48 | $1,096.48 |
Cigna Setting Professional Modifier None (both parts) Typical Low $1,148.15 Median $1,659.59 Typical High $3,019.95 | Professional | None (both parts) | $1,148.15 | $1,659.59 | $3,019.95 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $162.18 Median $331.13 Typical High $467.74 | Professional | 26 · Professional part | $162.18 | $331.13 | $467.74 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $831.76 Median $1,445.44 Typical High $2,691.53 | Professional | TC · Technical part | $831.76 | $1,445.44 | $2,691.53 |
Hally Health Setting Professional Modifier None Typical Low $446.68 Median $676.08 Typical High $1,288.25 | Professional | None | $446.68 | $676.08 | $1,288.25 |
Hally Health Setting Professional Modifier 26 · Professional part Typical Low $138.04 Median $263.03 Typical High $524.81 | Professional | 26 · Professional part | $138.04 | $263.03 | $524.81 |
Hally Health Setting Professional Modifier TC · Technical part Typical Low $398.11 Median $524.81 Typical High $1,047.13 | Professional | TC · Technical part | $398.11 | $524.81 | $1,047.13 |
Medica Setting Facility Modifier None Typical Low $436.52 Median $1,479.11 Typical High $4,168.69 | Facility | None | $436.52 | $1,479.11 | $4,168.69 |
Medica Setting Professional Modifier None (both parts) Typical Low $501.19 Median $1,548.82 Typical High $7,079.46 | Professional | None (both parts) | $501.19 | $1,548.82 | $7,079.46 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $165.96 Median $288.40 Typical High $1,659.59 | Professional | 26 · Professional part | $165.96 | $288.40 | $1,659.59 |
Medica Setting Professional Modifier TC · Technical part Typical Low $309.03 Median $794.33 Typical High $6,918.31 | Professional | TC · Technical part | $309.03 | $794.33 | $6,918.31 |
Midlands Setting Professional Modifier None Typical Low $1,513.56 Median $3,019.95 Typical High $3,019.95 | Professional | None | $1,513.56 | $3,019.95 | $3,019.95 |
Midlands Setting Professional Modifier 26 · Professional part Typical Low $309.03 Median $331.13 Typical High $489.78 | Professional | 26 · Professional part | $309.03 | $331.13 | $489.78 |
Midlands Setting Professional Modifier TC · Technical part Typical Low $1,096.48 Median $2,691.53 Typical High $2,691.53 | Professional | TC · Technical part | $1,096.48 | $2,691.53 | $2,691.53 |
Midlands Setting Facility Modifier None Typical Low $1,096.48 Median $1,096.48 Typical High $1,096.48 | Facility | None | $1,096.48 | $1,096.48 | $1,096.48 |
Midlands Setting Professional Modifier None (both parts) Typical Low $1,548.82 Median $1,584.89 Typical High $3,235.94 | Professional | None (both parts) | $1,548.82 | $1,584.89 | $3,235.94 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $154.88 Median $275.42 Typical High $338.84 | Professional | None (both parts) | $154.88 | $275.42 | $338.84 |
United Setting Facility Modifier None Typical Low $812.83 Median $1,380.38 Typical High $1,737.80 | Facility | None | $812.83 | $1,380.38 | $1,737.80 |
United Setting Professional Modifier None (both parts) Typical Low $436.52 Median $891.25 Typical High $1,513.56 | Professional | None (both parts) | $436.52 | $891.25 | $1,513.56 |
United Setting Professional Modifier 26 · Professional part Typical Low $154.88 Median $229.09 Typical High $426.58 | Professional | 26 · Professional part | $154.88 | $229.09 | $426.58 |
United Setting Professional Modifier TC · Technical part Typical Low $263.03 Median $660.69 Typical High $1,122.02 | Professional | TC · Technical part | $263.03 | $660.69 | $1,122.02 |
Wellmark Setting Professional Modifier None (both parts) Typical Low $1,445.44 Median $1,445.44 Typical High $1,659.59 | Professional | None (both parts) | $1,445.44 | $1,445.44 | $1,659.59 |
Wellmark Setting Professional Modifier 26 · Professional part Typical Low $363.08 Median $363.08 Typical High $407.38 | Professional | 26 · Professional part | $363.08 | $363.08 | $407.38 |
Wellmark Setting Professional Modifier TC · Technical part Typical Low $1,096.48 Median $1,096.48 Typical High $1,230.27 | Professional | TC · Technical part | $1,096.48 | $1,096.48 | $1,230.27 |
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 $213.80 Median $316.23 Typical High $446.68 | Professional | 52 · Reduced service | $213.80 | $316.23 | $446.68 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $85.11 Median $125.89 Typical High $177.83 | Professional | 53 · Discontinued | $85.11 | $125.89 | $177.83 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $338.84 Median $501.19 Typical High $501.19 | Professional | FX · Film X-ray | $338.84 | $501.19 | $501.19 |
Where Iowa sits
The same service costs 12.3 times more in Wyoming than in Hawaii. 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
$1,175
WY $3,467HI $282
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.