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 $165.96 Median $165.96 Typical High $602.56 | Facility | None | $165.96 | $165.96 | $602.56 |
Aetna Setting Professional Modifier None (both parts) Typical Low $165.96 Median $213.80 Typical High $426.58 | Professional | None (both parts) | $165.96 | $213.80 | $426.58 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $58.88 Typical High $123.03 | Professional | 26 · Professional part | $54.95 | $58.88 | $123.03 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $109.65 Median $144.54 Typical High $288.40 | Professional | TC · Technical part | $109.65 | $144.54 | $288.40 |
Cigna Setting Facility Modifier None Typical Low $933.25 Median $933.25 Typical High $933.25 | Facility | None | $933.25 | $933.25 | $933.25 |
Cigna Setting Professional Modifier None (both parts) Typical Low $251.19 Median $380.19 Typical High $549.54 | Professional | None (both parts) | $251.19 | $380.19 | $549.54 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $125.89 Typical High $165.96 | Professional | 26 · Professional part | $69.18 | $125.89 | $165.96 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $199.53 Median $251.19 Typical High $363.08 | Professional | TC · Technical part | $199.53 | $251.19 | $363.08 |
Hally Health Setting Professional Modifier None Typical Low $151.36 Median $302.00 Typical High $891.25 | Professional | None | $151.36 | $302.00 | $891.25 |
Hally Health Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $100.00 Typical High $269.15 | Professional | 26 · Professional part | $53.70 | $100.00 | $269.15 |
Hally Health Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $199.53 Typical High $575.44 | Professional | TC · Technical part | $97.72 | $199.53 | $575.44 |
Medica Setting Facility Modifier None Typical Low $323.59 Median $537.03 Typical High $660.69 | Facility | None | $323.59 | $537.03 | $660.69 |
Medica Setting Professional Modifier None (both parts) Typical Low $218.78 Median $478.63 Typical High $1,905.46 | Professional | None (both parts) | $218.78 | $478.63 | $1,905.46 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $112.20 Typical High $436.52 | Professional | 26 · Professional part | $63.10 | $112.20 | $436.52 |
Medica Setting Professional Modifier TC · Technical part Typical Low $138.04 Median $263.03 Typical High $1,949.84 | Professional | TC · Technical part | $138.04 | $263.03 | $1,949.84 |
Midlands Setting Professional Modifier None Typical Low $346.74 Median $380.19 Typical High $489.78 | Professional | None | $346.74 | $380.19 | $489.78 |
Midlands Setting Professional Modifier 26 · Professional part Typical Low $117.49 Median $125.89 Typical High $162.18 | Professional | 26 · Professional part | $117.49 | $125.89 | $162.18 |
Midlands Setting Professional Modifier TC · Technical part Typical Low $229.09 Median $251.19 Typical High $331.13 | Professional | TC · Technical part | $229.09 | $251.19 | $331.13 |
Midlands Setting Facility Modifier None Typical Low $933.25 Median $933.25 Typical High $933.25 | Facility | None | $933.25 | $933.25 | $933.25 |
Midlands Setting Professional Modifier None (both parts) Typical Low $331.13 Median $426.58 Typical High $1,202.26 | Professional | None (both parts) | $331.13 | $426.58 | $1,202.26 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $58.88 Median $125.89 Typical High $309.03 | Professional | None (both parts) | $58.88 | $125.89 | $309.03 |
United Setting Facility Modifier None Typical Low $263.03 Median $436.52 Typical High $549.54 | Facility | None | $263.03 | $436.52 | $549.54 |
United Setting Professional Modifier None (both parts) Typical Low $199.53 Median $257.04 Typical High $467.74 | Professional | None (both parts) | $199.53 | $257.04 | $467.74 |
United Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $74.13 Typical High $134.90 | Professional | 26 · Professional part | $60.26 | $74.13 | $134.90 |
United Setting Professional Modifier TC · Technical part Typical Low $138.04 Median $173.78 Typical High $323.59 | Professional | TC · Technical part | $138.04 | $173.78 | $323.59 |
Wellmark Setting Professional Modifier None (both parts) Typical Low $331.13 Median $331.13 Typical High $371.54 | Professional | None (both parts) | $331.13 | $331.13 | $371.54 |
Wellmark Setting Professional Modifier 26 · Professional part Typical Low $109.65 Median $109.65 Typical High $123.03 | Professional | 26 · Professional part | $109.65 | $109.65 | $123.03 |
Wellmark Setting Professional Modifier TC · Technical part Typical Low $218.78 Median $218.78 Typical High $251.19 | Professional | TC · Technical part | $218.78 | $218.78 | $251.19 |
4 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 $83.18 Median $83.18 Typical High $158.49 | Professional | 52 · Reduced service | $83.18 | $83.18 | $158.49 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $33.88 Median $33.88 Typical High $64.57 | Professional | 53 · Discontinued | $33.88 | $33.88 | $64.57 |
Aetna Setting Professional Modifier CT · Older CT scanner Typical Low $141.25 Median $141.25 Typical High $234.42 | Professional | CT · Older CT scanner | $141.25 | $141.25 | $234.42 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $134.90 Median $134.90 Typical High $218.78 | Professional | FX · Film X-ray | $134.90 | $134.90 | $218.78 |
Where Iowa sits
The same service costs 5.5 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· 17th of 51
$331
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.