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 $53.70 Median $104.71 Typical High $128.82 | Facility | None | $53.70 | $104.71 | $128.82 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $40.74 Median $91.20 Typical High $169.82 | Facility | TC · Technical part | $40.74 | $91.20 | $169.82 |
Aetna Setting Professional Modifier None (both parts) Typical Low $52.48 Median $61.66 Typical High $120.23 | Professional | None (both parts) | $52.48 | $61.66 | $120.23 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $12.59 Median $14.45 Typical High $32.36 | Professional | 26 · Professional part | $12.59 | $14.45 | $32.36 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $40.74 Median $45.71 Typical High $107.15 | Professional | TC · Technical part | $40.74 | $45.71 | $107.15 |
Cigna Setting Facility Modifier None Typical Low $218.78 Median $218.78 Typical High $218.78 | Facility | None | $218.78 | $218.78 | $218.78 |
Cigna Setting Professional Modifier None (both parts) Typical Low $74.13 Median $134.90 Typical High $181.97 | Professional | None (both parts) | $74.13 | $134.90 | $181.97 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $19.95 Median $32.36 Typical High $43.65 | Professional | 26 · Professional part | $19.95 | $32.36 | $43.65 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $53.70 Median $102.33 Typical High $141.25 | Professional | TC · Technical part | $53.70 | $102.33 | $141.25 |
Hally Health Setting Professional Modifier None Typical Low $53.70 Median $102.33 Typical High $190.55 | Professional | None | $53.70 | $102.33 | $190.55 |
Hally Health Setting Professional Modifier 26 · Professional part Typical Low $13.80 Median $25.70 Typical High $52.48 | Professional | 26 · Professional part | $13.80 | $25.70 | $52.48 |
Hally Health Setting Professional Modifier TC · Technical part Typical Low $39.81 Median $70.79 Typical High $138.04 | Professional | TC · Technical part | $39.81 | $70.79 | $138.04 |
Medica Setting Facility Modifier None Typical Low $109.65 Median $154.88 Typical High $275.42 | Facility | None | $109.65 | $154.88 | $275.42 |
Medica Setting Professional Modifier None (both parts) Typical Low $63.10 Median $120.23 Typical High $398.11 | Professional | None (both parts) | $63.10 | $120.23 | $398.11 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $16.22 Median $28.18 Typical High $151.36 | Professional | 26 · Professional part | $16.22 | $28.18 | $151.36 |
Medica Setting Professional Modifier TC · Technical part Typical Low $44.67 Median $77.62 Typical High $309.03 | Professional | TC · Technical part | $44.67 | $77.62 | $309.03 |
Midlands Setting Professional Modifier None Typical Low $123.03 Median $134.90 Typical High $158.49 | Professional | None | $123.03 | $134.90 | $158.49 |
Midlands Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $32.36 Typical High $38.02 | Professional | 26 · Professional part | $29.51 | $32.36 | $38.02 |
Midlands Setting Professional Modifier TC · Technical part Typical Low $93.33 Median $102.33 Typical High $123.03 | Professional | TC · Technical part | $93.33 | $102.33 | $123.03 |
Midlands Setting Facility Modifier None Typical Low $218.78 Median $218.78 Typical High $218.78 | Facility | None | $218.78 | $218.78 | $218.78 |
Midlands Setting Professional Modifier None (both parts) Typical Low $114.82 Median $144.54 Typical High $229.09 | Professional | None (both parts) | $114.82 | $144.54 | $229.09 |
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 $15.49 Median $52.48 Typical High $112.20 | Professional | None (both parts) | $15.49 | $52.48 | $112.20 |
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 $54.95 Median $72.44 Typical High $114.82 | Professional | None (both parts) | $54.95 | $72.44 | $114.82 |
United Setting Professional Modifier 26 · Professional part Typical Low $14.79 Median $19.05 Typical High $32.36 | Professional | 26 · Professional part | $14.79 | $19.05 | $32.36 |
United Setting Professional Modifier TC · Technical part Typical Low $40.74 Median $53.70 Typical High $87.10 | Professional | TC · Technical part | $40.74 | $53.70 | $87.10 |
Wellmark Setting Professional Modifier None (both parts) Typical Low $109.65 Median $109.65 Typical High $123.03 | Professional | None (both parts) | $109.65 | $109.65 | $123.03 |
Wellmark Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $25.12 Typical High $28.84 | Professional | 26 · Professional part | $25.12 | $25.12 | $28.84 |
Wellmark Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $83.18 Typical High $95.50 | Professional | TC · Technical part | $83.18 | $83.18 | $95.50 |
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 $26.30 Median $26.92 Typical High $38.90 | Professional | 52 · Reduced service | $26.30 | $26.92 | $38.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.47 Median $10.72 Typical High $15.49 | Professional | 53 · Discontinued | $10.47 | $10.72 | $15.49 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $42.66 Median $42.66 Typical High $47.86 | Professional | FX · Film X-ray | $42.66 | $42.66 | $47.86 |
Where Iowa sits
The same service costs 3.6 times more in Alaska than in Texas. 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
$97.72
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.