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 $47.86 Median $93.33 Typical High $112.20 | Facility | None | $47.86 | $93.33 | $112.20 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $35.48 Median $69.18 Typical High $147.91 | Facility | TC · Technical part | $35.48 | $69.18 | $147.91 |
Aetna Setting Professional Modifier None (both parts) Typical Low $44.67 Median $51.29 Typical High $104.71 | Professional | None (both parts) | $44.67 | $51.29 | $104.71 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $11.75 Median $13.18 Typical High $27.54 | Professional | 26 · Professional part | $11.75 | $13.18 | $27.54 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $33.88 Median $38.02 Typical High $75.86 | Professional | TC · Technical part | $33.88 | $38.02 | $75.86 |
Cigna Setting Facility Modifier None Typical Low $173.78 Median $173.78 Typical High $173.78 | Facility | None | $173.78 | $173.78 | $173.78 |
Cigna Setting Professional Modifier None (both parts) Typical Low $58.88 Median $117.49 Typical High $162.18 | Professional | None (both parts) | $58.88 | $117.49 | $162.18 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $17.38 Median $28.18 Typical High $38.90 | Professional | 26 · Professional part | $17.38 | $28.18 | $38.90 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $40.74 Median $89.13 Typical High $123.03 | Professional | TC · Technical part | $40.74 | $89.13 | $123.03 |
Hally Health Setting Professional Modifier None Typical Low $46.77 Median $79.43 Typical High $165.96 | Professional | None | $46.77 | $79.43 | $165.96 |
Hally Health Setting Professional Modifier 26 · Professional part Typical Low $12.02 Median $22.39 Typical High $47.86 | Professional | 26 · Professional part | $12.02 | $22.39 | $47.86 |
Hally Health Setting Professional Modifier TC · Technical part Typical Low $34.67 Median $53.70 Typical High $102.33 | Professional | TC · Technical part | $34.67 | $53.70 | $102.33 |
Medica Setting Facility Modifier None Typical Low $95.50 Median $128.82 Typical High $281.84 | Facility | None | $95.50 | $128.82 | $281.84 |
Medica Setting Professional Modifier None (both parts) Typical Low $51.29 Median $97.72 Typical High $346.74 | Professional | None (both parts) | $51.29 | $97.72 | $346.74 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $14.79 Median $25.70 Typical High $114.82 | Professional | 26 · Professional part | $14.79 | $25.70 | $114.82 |
Medica Setting Professional Modifier TC · Technical part Typical Low $34.67 Median $61.66 Typical High $257.04 | Professional | TC · Technical part | $34.67 | $61.66 | $257.04 |
Midlands Setting Professional Modifier None Typical Low $107.15 Median $117.49 Typical High $138.04 | Professional | None | $107.15 | $117.49 | $138.04 |
Midlands Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $28.18 Typical High $33.11 | Professional | 26 · Professional part | $26.30 | $28.18 | $33.11 |
Midlands Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $89.13 Typical High $102.33 | Professional | TC · Technical part | $81.28 | $89.13 | $102.33 |
Midlands Setting Facility Modifier None Typical Low $173.78 Median $173.78 Typical High $173.78 | Facility | None | $173.78 | $173.78 | $173.78 |
Midlands Setting Professional Modifier None (both parts) Typical Low $97.72 Median $125.89 Typical High $181.97 | Professional | None (both parts) | $97.72 | $125.89 | $181.97 |
Oscar Health Setting Facility Modifier None Typical Low $100.00 Median $338.84 Typical High $954.99 | Facility | None | $100.00 | $338.84 | $954.99 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $14.13 Median $46.77 Typical High $100.00 | Professional | None (both parts) | $14.13 | $46.77 | $100.00 |
United Setting Facility Modifier None Typical Low $154.88 Median $263.03 Typical High $331.13 | Facility | None | $154.88 | $263.03 | $331.13 |
United Setting Professional Modifier None (both parts) Typical Low $46.77 Median $61.66 Typical High $97.72 | Professional | None (both parts) | $46.77 | $61.66 | $97.72 |
United Setting Professional Modifier 26 · Professional part Typical Low $13.49 Median $16.98 Typical High $30.90 | Professional | 26 · Professional part | $13.49 | $16.98 | $30.90 |
United Setting Professional Modifier TC · Technical part Typical Low $33.88 Median $42.66 Typical High $67.61 | Professional | TC · Technical part | $33.88 | $42.66 | $67.61 |
Wellmark Setting Professional Modifier None (both parts) Typical Low $97.72 Median $97.72 Typical High $109.65 | Professional | None (both parts) | $97.72 | $97.72 | $109.65 |
Wellmark Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $22.91 Typical High $25.70 | Professional | 26 · Professional part | $22.91 | $22.91 | $25.70 |
Wellmark Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $74.13 Typical High $83.18 | Professional | TC · Technical part | $74.13 | $74.13 | $83.18 |
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 $22.39 Median $23.44 Typical High $33.88 | Professional | 52 · Reduced service | $22.39 | $23.44 | $33.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.91 Median $9.55 Typical High $13.80 | Professional | 53 · Discontinued | $8.91 | $9.55 | $13.80 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $36.31 Median $38.02 Typical High $40.74 | Professional | FX · Film X-ray | $36.31 | $38.02 | $40.74 |
Where Iowa sits
The same service costs 4.8 times more in Alaska 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· 10th of 51
$85.11
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.