How much rates vary
Facilitymedian $110 · 10th to 90th $63 to $1,096Professionalmedian $56 · 10th to 90th $23 to $100
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 $34.67 Median $66.07 Typical High $83.18 | Facility | None | $34.67 | $66.07 | $83.18 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $9.77 Median $16.60 Typical High $21.88 | Facility | 26 · Professional part | $9.77 | $16.60 | $21.88 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $25.12 Median $48.98 Typical High $93.33 | Facility | TC · Technical part | $25.12 | $48.98 | $93.33 |
Aetna Setting Professional Modifier None (both parts) Typical Low $33.88 Median $38.02 Typical High $75.86 | Professional | None (both parts) | $33.88 | $38.02 | $75.86 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $9.33 Median $10.47 Typical High $20.89 | Professional | 26 · Professional part | $9.33 | $10.47 | $20.89 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $24.55 Median $26.92 Typical High $58.88 | Professional | TC · Technical part | $24.55 | $26.92 | $58.88 |
Cigna Setting Facility Modifier None Typical Low $123.03 Median $123.03 Typical High $123.03 | Facility | None | $123.03 | $123.03 | $123.03 |
Cigna Setting Professional Modifier None (both parts) Typical Low $43.65 Median $87.10 Typical High $117.49 | Professional | None (both parts) | $43.65 | $87.10 | $117.49 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $13.49 Median $23.44 Typical High $30.90 | Professional | 26 · Professional part | $13.49 | $23.44 | $30.90 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $30.20 Median $63.10 Typical High $87.10 | Professional | TC · Technical part | $30.20 | $63.10 | $87.10 |
Hally Health Setting Professional Modifier None Typical Low $34.67 Median $58.88 Typical High $100.00 | Professional | None | $34.67 | $58.88 | $100.00 |
Hally Health Setting Professional Modifier 26 · Professional part Typical Low $10.00 Median $17.78 Typical High $40.74 | Professional | 26 · Professional part | $10.00 | $17.78 | $40.74 |
Hally Health Setting Professional Modifier TC · Technical part Typical Low $24.55 Median $38.90 Typical High $60.26 | Professional | TC · Technical part | $24.55 | $38.90 | $60.26 |
Medica Setting Facility Modifier None Typical Low $66.07 Median $107.15 Typical High $323.59 | Facility | None | $66.07 | $107.15 | $323.59 |
Medica Setting Professional Modifier None (both parts) Typical Low $38.90 Median $70.79 Typical High $257.04 | Professional | None (both parts) | $38.90 | $70.79 | $257.04 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $11.75 Median $20.89 Typical High $83.18 | Professional | 26 · Professional part | $11.75 | $20.89 | $83.18 |
Medica Setting Professional Modifier TC · Technical part Typical Low $25.70 Median $45.71 Typical High $208.93 | Professional | TC · Technical part | $25.70 | $45.71 | $208.93 |
Midlands Setting Professional Modifier None Typical Low $79.43 Median $87.10 Typical High $102.33 | Professional | None | $79.43 | $87.10 | $102.33 |
Midlands Setting Professional Modifier 26 · Professional part Typical Low $22.39 Median $23.44 Typical High $26.92 | Professional | 26 · Professional part | $22.39 | $23.44 | $26.92 |
Midlands Setting Professional Modifier TC · Technical part Typical Low $57.54 Median $63.10 Typical High $75.86 | Professional | TC · Technical part | $57.54 | $63.10 | $75.86 |
Midlands Setting Facility Modifier None Typical Low $123.03 Median $123.03 Typical High $123.03 | Facility | None | $123.03 | $123.03 | $123.03 |
Midlands Setting Professional Modifier None (both parts) Typical Low $72.44 Median $93.33 Typical High $131.83 | Professional | None (both parts) | $72.44 | $93.33 | $131.83 |
Oscar Health Setting Facility Modifier None Typical Low $100.00 Median $549.54 Typical High $1,513.56 | Facility | None | $100.00 | $549.54 | $1,513.56 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $11.22 Median $33.11 Typical High $74.13 | Professional | None (both parts) | $11.22 | $33.11 | $74.13 |
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 $35.48 Median $44.67 Typical High $70.79 | Professional | None (both parts) | $35.48 | $44.67 | $70.79 |
United Setting Professional Modifier 26 · Professional part Typical Low $10.96 Median $13.80 Typical High $22.91 | Professional | 26 · Professional part | $10.96 | $13.80 | $22.91 |
United Setting Professional Modifier TC · Technical part Typical Low $24.55 Median $30.90 Typical High $50.12 | Professional | TC · Technical part | $24.55 | $30.90 | $50.12 |
Wellmark Setting Professional Modifier None (both parts) Typical Low $70.79 Median $70.79 Typical High $81.28 | Professional | None (both parts) | $70.79 | $70.79 | $81.28 |
Wellmark Setting Professional Modifier 26 · Professional part Typical Low $18.62 Median $18.62 Typical High $21.38 | Professional | 26 · Professional part | $18.62 | $18.62 | $21.38 |
Wellmark Setting Professional Modifier TC · Technical part Typical Low $52.48 Median $52.48 Typical High $58.88 | Professional | TC · Technical part | $52.48 | $52.48 | $58.88 |
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 $16.98 Median $17.38 Typical High $25.12 | Professional | 52 · Reduced service | $16.98 | $17.38 | $25.12 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.76 Median $6.92 Typical High $10.00 | Professional | 53 · Discontinued | $6.76 | $6.92 | $10.00 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $26.92 Median $27.54 Typical High $30.90 | Professional | FX · Film X-ray | $26.92 | $27.54 | $30.90 |
Where Iowa sits
The same service costs 12.6 times more in Vermont than in Florida. 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
$63.10
VT $389FL $30.90
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.