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 $234.42 Median $234.42 Typical High $1,737.80 | Facility | None | $234.42 | $234.42 | $1,737.80 |
Aetna Setting Professional Modifier None (both parts) Typical Low $229.09 Median $234.42 Typical High $512.86 | Professional | None (both parts) | $229.09 | $234.42 | $512.86 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $125.89 Median $165.96 Typical High $257.04 | Professional | 26 · Professional part | $125.89 | $165.96 | $257.04 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $181.97 Median $186.21 Typical High $416.87 | Professional | TC · Technical part | $181.97 | $186.21 | $416.87 |
Cigna Setting Facility Modifier None Typical Low $1,737.80 Median $1,737.80 Typical High $1,737.80 | Facility | None | $1,737.80 | $1,737.80 | $1,737.80 |
Cigna Setting Professional Modifier None (both parts) Typical Low $562.34 Median $3,019.95 Typical High $3,311.31 | Professional | None (both parts) | $562.34 | $3,019.95 | $3,311.31 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $181.97 Median $346.74 Typical High $489.78 | Professional | 26 · Professional part | $181.97 | $346.74 | $489.78 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $2,691.53 Typical High $2,951.21 | Professional | TC · Technical part | $75.86 | $2,691.53 | $2,951.21 |
Hally Health Setting Professional Modifier None Typical Low $831.76 Median $1,659.59 Typical High $3,388.44 | Professional | None | $831.76 | $1,659.59 | $3,388.44 |
Hally Health Setting Professional Modifier 26 · Professional part Typical Low $147.91 Median $288.40 Typical High $1,258.93 | Professional | 26 · Professional part | $147.91 | $288.40 | $1,258.93 |
Hally Health Setting Professional Modifier TC · Technical part Typical Low $501.19 Median $1,445.44 Typical High $2,041.74 | Professional | TC · Technical part | $501.19 | $1,445.44 | $2,041.74 |
Medica Setting Facility Modifier None Typical Low $302.00 Median $1,412.54 Typical High $4,168.69 | Facility | None | $302.00 | $1,412.54 | $4,168.69 |
Medica Setting Professional Modifier None (both parts) Typical Low $398.11 Median $1,071.52 Typical High $9,332.54 | Professional | None (both parts) | $398.11 | $1,071.52 | $9,332.54 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $181.97 Median $309.03 Typical High $1,000.00 | Professional | 26 · Professional part | $181.97 | $309.03 | $1,000.00 |
Medica Setting Professional Modifier TC · Technical part Typical Low $213.80 Median $331.13 Typical High $9,120.11 | Professional | TC · Technical part | $213.80 | $331.13 | $9,120.11 |
Midlands Setting Professional Modifier None Typical Low $562.34 Median $3,162.28 Typical High $3,162.28 | Professional | None | $562.34 | $3,162.28 | $3,162.28 |
Midlands Setting Professional Modifier 26 · Professional part Typical Low $316.23 Median $346.74 Typical High $489.78 | Professional | 26 · Professional part | $316.23 | $346.74 | $489.78 |
Midlands Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $2,818.38 Typical High $2,818.38 | Professional | TC · Technical part | $75.86 | $2,818.38 | $2,818.38 |
Midlands Setting Facility Modifier None Typical Low $1,737.80 Median $1,737.80 Typical High $1,737.80 | Facility | None | $1,737.80 | $1,737.80 | $1,737.80 |
Midlands Setting Professional Modifier None (both parts) Typical Low $549.54 Median $562.34 Typical High $3,388.44 | Professional | None (both parts) | $549.54 | $562.34 | $3,388.44 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $162.18 Median $363.08 Typical High $851.14 | Professional | None (both parts) | $162.18 | $363.08 | $851.14 |
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 $363.08 Median $489.78 Typical High $912.01 | Professional | None (both parts) | $363.08 | $489.78 | $912.01 |
United Setting Professional Modifier 26 · Professional part Typical Low $165.96 Median $239.88 Typical High $446.68 | Professional | 26 · Professional part | $165.96 | $239.88 | $446.68 |
United Setting Professional Modifier TC · Technical part Typical Low $186.21 Median $281.84 Typical High $537.03 | Professional | TC · Technical part | $186.21 | $281.84 | $537.03 |
Wellmark Setting Professional Modifier None (both parts) Typical Low $549.54 Median $549.54 Typical High $616.60 | Professional | None (both parts) | $549.54 | $549.54 | $616.60 |
Wellmark Setting Professional Modifier 26 · Professional part Typical Low $363.08 Median $363.08 Typical High $416.87 | Professional | 26 · Professional part | $363.08 | $363.08 | $416.87 |
Wellmark Setting Professional Modifier TC · Technical part Typical Low $177.83 Median $177.83 Typical High $204.17 | Professional | TC · Technical part | $177.83 | $177.83 | $204.17 |
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 $114.82 Median $117.49 Typical High $257.04 | Professional | 52 · Reduced service | $114.82 | $117.49 | $257.04 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $45.71 Median $46.77 Typical High $104.71 | Professional | 53 · Discontinued | $45.71 | $46.77 | $104.71 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $190.55 Median $190.55 Typical High $338.84 | Professional | FX · Film X-ray | $190.55 | $190.55 | $338.84 |
Where Iowa sits
The same service costs 13.5 times more in Wyoming than in Washington. 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· 24th of 51
$617
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.