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 $331.13 Median $630.96 Typical High $676.08 | Facility | None | $331.13 | $630.96 | $676.08 |
Aetna Setting Professional Modifier None (both parts) Typical Low $323.59 Median $416.87 Typical High $741.31 | Professional | None (both parts) | $323.59 | $416.87 | $741.31 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $72.44 Median $85.11 Typical High $177.83 | Professional | 26 · Professional part | $72.44 | $85.11 | $177.83 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $251.19 Median $302.00 Typical High $575.44 | Professional | TC · Technical part | $251.19 | $302.00 | $575.44 |
Cigna Setting Facility Modifier None Typical Low $1,698.24 Median $1,698.24 Typical High $1,698.24 | Facility | None | $1,698.24 | $1,698.24 | $1,698.24 |
Cigna Setting Professional Modifier None (both parts) Typical Low $489.78 Median $691.83 Typical High $1,096.48 | Professional | None (both parts) | $489.78 | $691.83 | $1,096.48 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $151.36 Typical High $213.80 | Professional | 26 · Professional part | $81.28 | $151.36 | $213.80 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $398.11 Median $549.54 Typical High $891.25 | Professional | TC · Technical part | $398.11 | $549.54 | $891.25 |
Hally Health Setting Professional Modifier None Typical Low $295.12 Median $588.84 Typical High $1,348.96 | Professional | None | $295.12 | $588.84 | $1,348.96 |
Hally Health Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $120.23 Typical High $257.04 | Professional | 26 · Professional part | $64.57 | $120.23 | $257.04 |
Hally Health Setting Professional Modifier TC · Technical part Typical Low $229.09 Median $467.74 Typical High $1,122.02 | Professional | TC · Technical part | $229.09 | $467.74 | $1,122.02 |
Medica Setting Facility Modifier None Typical Low $501.19 Median $741.31 Typical High $1,445.44 | Facility | None | $501.19 | $741.31 | $1,445.44 |
Medica Setting Professional Modifier None (both parts) Typical Low $478.63 Median $741.31 Typical High $3,090.30 | Professional | None (both parts) | $478.63 | $741.31 | $3,090.30 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $138.04 Typical High $676.08 | Professional | 26 · Professional part | $79.43 | $138.04 | $676.08 |
Medica Setting Professional Modifier TC · Technical part Typical Low $363.08 Median $588.84 Typical High $2,691.53 | Professional | TC · Technical part | $363.08 | $588.84 | $2,691.53 |
Midlands Setting Professional Modifier None Typical Low $616.60 Median $691.83 Typical High $1,096.48 | Professional | None | $616.60 | $691.83 | $1,096.48 |
Midlands Setting Professional Modifier 26 · Professional part Typical Low $141.25 Median $151.36 Typical High $213.80 | Professional | 26 · Professional part | $141.25 | $151.36 | $213.80 |
Midlands Setting Professional Modifier TC · Technical part Typical Low $467.74 Median $549.54 Typical High $891.25 | Professional | TC · Technical part | $467.74 | $549.54 | $891.25 |
Midlands Setting Facility Modifier None Typical Low $1,698.24 Median $1,698.24 Typical High $1,698.24 | Facility | None | $1,698.24 | $1,698.24 | $1,698.24 |
Midlands Setting Professional Modifier None (both parts) Typical Low $575.44 Median $776.25 Typical High $1,778.28 | Professional | None (both parts) | $575.44 | $776.25 | $1,778.28 |
United Setting Facility Modifier None Typical Low $354.81 Median $602.56 Typical High $758.58 | Facility | None | $354.81 | $602.56 | $758.58 |
United Setting Professional Modifier None (both parts) Typical Low $407.38 Median $562.34 Typical High $1,023.29 | Professional | None (both parts) | $407.38 | $562.34 | $1,023.29 |
United Setting Professional Modifier 26 · Professional part Typical Low $74.13 Median $107.15 Typical High $199.53 | Professional | 26 · Professional part | $74.13 | $107.15 | $199.53 |
United Setting Professional Modifier TC · Technical part Typical Low $331.13 Median $489.78 Typical High $831.76 | Professional | TC · Technical part | $331.13 | $489.78 | $831.76 |
Wellmark Setting Professional Modifier None (both parts) Typical Low $776.25 Median $776.25 Typical High $891.25 | Professional | None (both parts) | $776.25 | $776.25 | $891.25 |
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 $616.60 Median $616.60 Typical High $707.95 | Professional | TC · Technical part | $616.60 | $616.60 | $707.95 |
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 $151.36 Median $165.96 Typical High $316.23 | Professional | 52 · Reduced service | $151.36 | $165.96 | $316.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $61.66 Median $66.07 Typical High $125.89 | Professional | 53 · Discontinued | $61.66 | $66.07 | $125.89 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $251.19 Median $263.03 Typical High $346.74 | Professional | FX · Film X-ray | $251.19 | $263.03 | $346.74 |
Where Iowa sits
The same service costs 6.3 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· 6th of 51
$692
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.