How much rates vary
Facilitymedian $120 · 10th to 90th $85 to $282Professionalmedian $68 · 10th to 90th $25 to $112
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 $38.90 Median $38.90 Typical High $85.11 | Facility | None | $38.90 | $38.90 | $85.11 |
Aetna Setting Professional Modifier None (both parts) Typical Low $38.02 Median $41.69 Typical High $83.18 | Professional | None (both parts) | $38.02 | $41.69 | $83.18 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $10.00 Median $10.72 Typical High $19.95 | Professional | 26 · Professional part | $10.00 | $10.72 | $19.95 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $27.54 Median $30.90 Typical High $63.10 | Professional | TC · Technical part | $27.54 | $30.90 | $63.10 |
Cigna Setting Facility Modifier None Typical Low $144.54 Median $144.54 Typical High $144.54 | Facility | None | $144.54 | $144.54 | $144.54 |
Cigna Setting Professional Modifier None (both parts) Typical Low $53.70 Median $97.72 Typical High $131.83 | Professional | None (both parts) | $53.70 | $97.72 | $131.83 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $12.30 Median $25.70 Typical High $33.88 | Professional | 26 · Professional part | $12.30 | $25.70 | $33.88 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $39.81 Median $72.44 Typical High $100.00 | Professional | TC · Technical part | $39.81 | $72.44 | $100.00 |
Hally Health Setting Professional Modifier None Typical Low $38.90 Median $69.18 Typical High $128.82 | Professional | None | $38.90 | $69.18 | $128.82 |
Hally Health Setting Professional Modifier 26 · Professional part Typical Low $10.96 Median $19.05 Typical High $38.02 | Professional | 26 · Professional part | $10.96 | $19.05 | $38.02 |
Hally Health Setting Professional Modifier TC · Technical part Typical Low $28.18 Median $50.12 Typical High $91.20 | Professional | TC · Technical part | $28.18 | $50.12 | $91.20 |
Medica Setting Facility Modifier None Typical Low $85.11 Median $120.23 Typical High $275.42 | Facility | None | $85.11 | $120.23 | $275.42 |
Medica Setting Professional Modifier None (both parts) Typical Low $43.65 Median $85.11 Typical High $288.40 | Professional | None (both parts) | $43.65 | $85.11 | $288.40 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $12.02 Median $21.88 Typical High $107.15 | Professional | 26 · Professional part | $12.02 | $21.88 | $107.15 |
Medica Setting Professional Modifier TC · Technical part Typical Low $30.90 Median $53.70 Typical High $269.15 | Professional | TC · Technical part | $30.90 | $53.70 | $269.15 |
Midlands Setting Professional Modifier None Typical Low $89.13 Median $97.72 Typical High $112.20 | Professional | None | $89.13 | $97.72 | $112.20 |
Midlands Setting Professional Modifier 26 · Professional part Typical Low $24.55 Median $25.70 Typical High $29.51 | Professional | 26 · Professional part | $24.55 | $25.70 | $29.51 |
Midlands Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $72.44 Typical High $83.18 | Professional | TC · Technical part | $64.57 | $72.44 | $83.18 |
Midlands Setting Facility Modifier None Typical Low $144.54 Median $144.54 Typical High $144.54 | Facility | None | $144.54 | $144.54 | $144.54 |
Midlands Setting Professional Modifier None (both parts) Typical Low $85.11 Median $104.71 Typical High $165.96 | Professional | None (both parts) | $85.11 | $104.71 | $165.96 |
Oscar Health Setting Facility Modifier None Typical Low $109.65 Median $109.65 Typical High $109.65 | Facility | None | $109.65 | $109.65 | $109.65 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $11.75 Median $36.31 Typical High $79.43 | Professional | None (both parts) | $11.75 | $36.31 | $79.43 |
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 $39.81 Median $51.29 Typical High $83.18 | Professional | None (both parts) | $39.81 | $51.29 | $83.18 |
United Setting Professional Modifier 26 · Professional part Typical Low $11.75 Median $14.45 Typical High $23.99 | Professional | 26 · Professional part | $11.75 | $14.45 | $23.99 |
United Setting Professional Modifier TC · Technical part Typical Low $28.18 Median $37.15 Typical High $60.26 | Professional | TC · Technical part | $28.18 | $37.15 | $60.26 |
Wellmark Setting Professional Modifier None (both parts) Typical Low $77.62 Median $77.62 Typical High $87.10 | Professional | None (both parts) | $77.62 | $77.62 | $87.10 |
Wellmark Setting Professional Modifier 26 · Professional part Typical Low $19.95 Median $19.95 Typical High $22.91 | Professional | 26 · Professional part | $19.95 | $19.95 | $22.91 |
Wellmark Setting Professional Modifier TC · Technical part Typical Low $57.54 Median $57.54 Typical High $66.07 | Professional | TC · Technical part | $57.54 | $57.54 | $66.07 |
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 $19.05 Median $19.50 Typical High $28.18 | Professional | 52 · Reduced service | $19.05 | $19.50 | $28.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.59 Median $7.76 Typical High $11.22 | Professional | 53 · Discontinued | $7.59 | $7.76 | $11.22 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $30.20 Median $31.62 Typical High $33.88 | Professional | FX · Film X-ray | $30.20 | $31.62 | $33.88 |
Where Iowa sits
The same service costs 3.9 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· 11th of 51
$70.79
AK $129UT $33.11
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.