How much rates vary
Facilitymedian $776 · 10th to 90th $263 to $1,445Professionalmedian $525 · 10th to 90th $191 to $891
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 $263.03 Median $512.86 Typical High $776.25 | Facility | None | $263.03 | $512.86 | $776.25 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $173.78 Median $346.74 Typical High $630.96 | Facility | TC · Technical part | $173.78 | $346.74 | $630.96 |
Aetna Setting Professional Modifier None (both parts) Typical Low $257.04 Median $309.03 Typical High $676.08 | Professional | None (both parts) | $257.04 | $309.03 | $676.08 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $87.10 Typical High $181.97 | Professional | 26 · Professional part | $79.43 | $87.10 | $181.97 |
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 $1,445.44 Median $1,445.44 Typical High $1,445.44 | Facility | None | $1,445.44 | $1,445.44 | $1,445.44 |
Cigna Setting Professional Modifier None (both parts) Typical Low $416.87 Median $588.84 Typical High $870.96 | Professional | None (both parts) | $416.87 | $588.84 | $870.96 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $107.15 Median $186.21 Typical High $257.04 | Professional | 26 · Professional part | $107.15 | $186.21 | $257.04 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $302.00 Median $398.11 Typical High $630.96 | Professional | TC · Technical part | $302.00 | $398.11 | $630.96 |
Hally Health Setting Professional Modifier None Typical Low $251.19 Median $489.78 Typical High $1,412.54 | Professional | None | $251.19 | $489.78 | $1,412.54 |
Hally Health Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $154.88 Typical High $302.00 | Professional | 26 · Professional part | $79.43 | $154.88 | $302.00 |
Hally Health Setting Professional Modifier TC · Technical part Typical Low $169.82 Median $346.74 Typical High $1,047.13 | Professional | TC · Technical part | $169.82 | $346.74 | $1,047.13 |
Medica Setting Facility Modifier None Typical Low $426.58 Median $776.25 Typical High $1,698.24 | Facility | None | $426.58 | $776.25 | $1,698.24 |
Medica Setting Professional Modifier None (both parts) Typical Low $323.59 Median $660.69 Typical High $3,162.28 | Professional | None (both parts) | $323.59 | $660.69 | $3,162.28 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $97.72 Median $169.82 Typical High $1,000.00 | Professional | 26 · Professional part | $97.72 | $169.82 | $1,000.00 |
Medica Setting Professional Modifier TC · Technical part Typical Low $213.80 Median $416.87 Typical High $2,691.53 | Professional | TC · Technical part | $213.80 | $416.87 | $2,691.53 |
Midlands Setting Professional Modifier None Typical Low $524.81 Median $588.84 Typical High $812.83 | Professional | None | $524.81 | $588.84 | $812.83 |
Midlands Setting Professional Modifier 26 · Professional part Typical Low $177.83 Median $186.21 Typical High $239.88 | Professional | 26 · Professional part | $177.83 | $186.21 | $239.88 |
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 $1,445.44 Median $1,445.44 Typical High $1,445.44 | Facility | None | $1,445.44 | $1,445.44 | $1,445.44 |
Midlands Setting Professional Modifier None (both parts) Typical Low $501.19 Median $660.69 Typical High $2,041.74 | Professional | None (both parts) | $501.19 | $660.69 | $2,041.74 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $89.13 Median $218.78 Typical High $512.86 | Professional | None (both parts) | $89.13 | $218.78 | $512.86 |
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 $380.19 Typical High $660.69 | Professional | None (both parts) | $302.00 | $380.19 | $660.69 |
United Setting Professional Modifier 26 · Professional part Typical Low $93.33 Median $112.20 Typical High $204.17 | Professional | 26 · Professional part | $93.33 | $112.20 | $204.17 |
United Setting Professional Modifier TC · Technical part Typical Low $213.80 Median $263.03 Typical High $467.74 | Professional | TC · Technical part | $213.80 | $263.03 | $467.74 |
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 $162.18 Median $162.18 Typical High $186.21 | Professional | 26 · Professional part | $162.18 | $162.18 | $186.21 |
Wellmark Setting Professional Modifier TC · Technical part Typical Low $380.19 Median $380.19 Typical High $436.52 | Professional | TC · Technical part | $380.19 | $380.19 | $436.52 |
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 $128.82 Median $131.83 Typical High $204.17 | Professional | 52 · Reduced service | $128.82 | $131.83 | $204.17 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $51.29 Median $52.48 Typical High $81.28 | Professional | 53 · Discontinued | $51.29 | $52.48 | $81.28 |
Aetna Setting Professional Modifier CT · Older CT scanner Typical Low $218.78 Median $223.87 Typical High $251.19 | Professional | CT · Older CT scanner | $218.78 | $223.87 | $251.19 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $204.17 Median $208.93 Typical High $239.88 | Professional | FX · Film X-ray | $204.17 | $208.93 | $239.88 |
Where Iowa sits
The same service costs 12.3 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· 11th of 51
$537
VT $2,089UT $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.