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 $194.98 Median $194.98 Typical High $562.34 | Facility | None | $194.98 | $194.98 | $562.34 |
Aetna Setting Professional Modifier None (both parts) Typical Low $194.98 Median $204.17 Typical High $371.54 | Professional | None (both parts) | $194.98 | $204.17 | $371.54 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $60.26 Typical High $112.20 | Professional | 26 · Professional part | $54.95 | $60.26 | $112.20 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $134.90 Median $141.25 Typical High $275.42 | Professional | TC · Technical part | $134.90 | $141.25 | $275.42 |
Cigna Setting Facility Modifier None Typical Low $1,148.15 Median $1,148.15 Typical High $1,148.15 | Facility | None | $1,148.15 | $1,148.15 | $1,148.15 |
Cigna Setting Professional Modifier None (both parts) Typical Low $302.00 Median $446.68 Typical High $630.96 | Professional | None (both parts) | $302.00 | $446.68 | $630.96 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $72.44 Median $131.83 Typical High $173.78 | Professional | 26 · Professional part | $72.44 | $131.83 | $173.78 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $251.19 Median $309.03 Typical High $446.68 | Professional | TC · Technical part | $251.19 | $309.03 | $446.68 |
Hally Health Setting Professional Modifier None Typical Low $177.83 Median $354.81 Typical High $1,096.48 | Professional | None | $177.83 | $354.81 | $1,096.48 |
Hally Health Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $104.71 Typical High $288.40 | Professional | 26 · Professional part | $56.23 | $104.71 | $288.40 |
Hally Health Setting Professional Modifier TC · Technical part Typical Low $120.23 Median $245.47 Typical High $724.44 | Professional | TC · Technical part | $120.23 | $245.47 | $724.44 |
Medica Setting Facility Modifier None Typical Low $338.84 Median $562.34 Typical High $776.25 | Facility | None | $338.84 | $562.34 | $776.25 |
Medica Setting Professional Modifier None (both parts) Typical Low $257.04 Median $562.34 Typical High $2,290.87 | Professional | None (both parts) | $257.04 | $562.34 | $2,290.87 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $117.49 Typical High $524.81 | Professional | 26 · Professional part | $64.57 | $117.49 | $524.81 |
Medica Setting Professional Modifier TC · Technical part Typical Low $169.82 Median $331.13 Typical High $1,995.26 | Professional | TC · Technical part | $169.82 | $331.13 | $1,995.26 |
Midlands Setting Professional Modifier None Typical Low $407.38 Median $446.68 Typical High $575.44 | Professional | None | $407.38 | $446.68 | $575.44 |
Midlands Setting Professional Modifier 26 · Professional part Typical Low $123.03 Median $131.83 Typical High $165.96 | Professional | 26 · Professional part | $123.03 | $131.83 | $165.96 |
Midlands Setting Professional Modifier TC · Technical part Typical Low $281.84 Median $309.03 Typical High $407.38 | Professional | TC · Technical part | $281.84 | $309.03 | $407.38 |
Midlands Setting Facility Modifier None Typical Low $1,148.15 Median $1,148.15 Typical High $1,148.15 | Facility | None | $1,148.15 | $1,148.15 | $1,148.15 |
Midlands Setting Professional Modifier None (both parts) Typical Low $389.05 Median $501.19 Typical High $1,445.44 | Professional | None (both parts) | $389.05 | $501.19 | $1,445.44 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $61.66 Median $154.88 Typical High $363.08 | Professional | None (both parts) | $61.66 | $154.88 | $363.08 |
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 $234.42 Median $302.00 Typical High $549.54 | Professional | None (both parts) | $234.42 | $302.00 | $549.54 |
United Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $77.62 Typical High $141.25 | Professional | 26 · Professional part | $61.66 | $77.62 | $141.25 |
United Setting Professional Modifier TC · Technical part Typical Low $169.82 Median $213.80 Typical High $398.11 | Professional | TC · Technical part | $169.82 | $213.80 | $398.11 |
Wellmark Setting Professional Modifier None (both parts) Typical Low $389.05 Median $389.05 Typical High $436.52 | Professional | None (both parts) | $389.05 | $389.05 | $436.52 |
Wellmark Setting Professional Modifier 26 · Professional part Typical Low $114.82 Median $114.82 Typical High $128.82 | Professional | 26 · Professional part | $114.82 | $114.82 | $128.82 |
Wellmark Setting Professional Modifier TC · Technical part Typical Low $269.15 Median $269.15 Typical High $309.03 | Professional | TC · Technical part | $269.15 | $269.15 | $309.03 |
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 $97.72 Median $97.72 Typical High $177.83 | Professional | 52 · Reduced service | $97.72 | $97.72 | $177.83 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $38.90 Median $38.90 Typical High $70.79 | Professional | 53 · Discontinued | $38.90 | $38.90 | $70.79 |
Aetna Setting Professional Modifier CT · Older CT scanner Typical Low $165.96 Median $165.96 Typical High $234.42 | Professional | CT · Older CT scanner | $165.96 | $165.96 | $234.42 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $154.88 Median $154.88 Typical High $218.78 | Professional | FX · Film X-ray | $154.88 | $154.88 | $218.78 |
Where Iowa sits
The same service costs 5.2 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· 16th of 51
$389
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.