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 $128.82 Median $251.19 Typical High $281.84 | Facility | None | $128.82 | $251.19 | $281.84 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $81.28 Median $158.49 Typical High $371.54 | Facility | TC · Technical part | $81.28 | $158.49 | $371.54 |
Aetna Setting Professional Modifier None (both parts) Typical Low $128.82 Median $165.96 Typical High $331.13 | Professional | None (both parts) | $128.82 | $165.96 | $331.13 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $50.12 Typical High $102.33 | Professional | 26 · Professional part | $46.77 | $50.12 | $102.33 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $109.65 Typical High $251.19 | Professional | TC · Technical part | $81.28 | $109.65 | $251.19 |
Cigna Setting Facility Modifier None Typical Low $758.58 Median $758.58 Typical High $758.58 | Facility | None | $758.58 | $758.58 | $758.58 |
Cigna Setting Professional Modifier None (both parts) Typical Low $204.17 Median $288.40 Typical High $416.87 | Professional | None (both parts) | $204.17 | $288.40 | $416.87 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $102.33 Typical High $138.04 | Professional | 26 · Professional part | $63.10 | $102.33 | $138.04 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $162.18 Median $186.21 Typical High $269.15 | Professional | TC · Technical part | $162.18 | $186.21 | $269.15 |
Hally Health Setting Professional Modifier None Typical Low $114.82 Median $229.09 Typical High $776.25 | Professional | None | $114.82 | $229.09 | $776.25 |
Hally Health Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $85.11 Typical High $194.98 | Professional | 26 · Professional part | $43.65 | $85.11 | $194.98 |
Hally Health Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $144.54 Typical High $537.03 | Professional | TC · Technical part | $72.44 | $144.54 | $537.03 |
Medica Setting Facility Modifier None Typical Low $218.78 Median $436.52 Typical High $954.99 | Facility | None | $218.78 | $436.52 | $954.99 |
Medica Setting Professional Modifier None (both parts) Typical Low $173.78 Median $363.08 Typical High $1,621.81 | Professional | None (both parts) | $173.78 | $363.08 | $1,621.81 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $93.33 Typical High $380.19 | Professional | 26 · Professional part | $53.70 | $93.33 | $380.19 |
Medica Setting Professional Modifier TC · Technical part Typical Low $107.15 Median $213.80 Typical High $1,348.96 | Professional | TC · Technical part | $107.15 | $213.80 | $1,348.96 |
Midlands Setting Professional Modifier None Typical Low $269.15 Median $288.40 Typical High $371.54 | Professional | None | $269.15 | $288.40 | $371.54 |
Midlands Setting Professional Modifier 26 · Professional part Typical Low $97.72 Median $102.33 Typical High $131.83 | Professional | 26 · Professional part | $97.72 | $102.33 | $131.83 |
Midlands Setting Professional Modifier TC · Technical part Typical Low $169.82 Median $186.21 Typical High $239.88 | Professional | TC · Technical part | $169.82 | $186.21 | $239.88 |
Midlands Setting Facility Modifier None Typical Low $758.58 Median $758.58 Typical High $758.58 | Facility | None | $758.58 | $758.58 | $758.58 |
Midlands Setting Professional Modifier None (both parts) Typical Low $251.19 Median $323.59 Typical High $1,023.29 | Professional | None (both parts) | $251.19 | $323.59 | $1,023.29 |
Oscar Health Setting Facility Modifier None Typical Low $380.19 Median $2,041.74 Typical High $5,754.40 | Facility | None | $380.19 | $2,041.74 | $5,754.40 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $48.98 Median $104.71 Typical High $239.88 | Professional | None (both parts) | $48.98 | $104.71 | $239.88 |
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 $154.88 Median $204.17 Typical High $371.54 | Professional | None (both parts) | $154.88 | $204.17 | $371.54 |
United Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $61.66 Typical High $112.20 | Professional | 26 · Professional part | $50.12 | $61.66 | $112.20 |
United Setting Professional Modifier TC · Technical part Typical Low $104.71 Median $134.90 Typical High $251.19 | Professional | TC · Technical part | $104.71 | $134.90 | $251.19 |
Wellmark Setting Professional Modifier None (both parts) Typical Low $251.19 Median $251.19 Typical High $288.40 | Professional | None (both parts) | $251.19 | $251.19 | $288.40 |
Wellmark Setting Professional Modifier 26 · Professional part Typical Low $91.20 Median $91.20 Typical High $102.33 | Professional | 26 · Professional part | $91.20 | $91.20 | $102.33 |
Wellmark Setting Professional Modifier TC · Technical part Typical Low $162.18 Median $162.18 Typical High $186.21 | Professional | TC · Technical part | $162.18 | $162.18 | $186.21 |
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 $64.57 Median $64.57 Typical High $138.04 | Professional | 52 · Reduced service | $64.57 | $64.57 | $138.04 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $25.70 Median $25.70 Typical High $54.95 | Professional | 53 · Discontinued | $25.70 | $25.70 | $54.95 |
Aetna Setting Professional Modifier CT · Older CT scanner Typical Low $109.65 Median $109.65 Typical High $234.42 | Professional | CT · Older CT scanner | $109.65 | $109.65 | $234.42 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $102.33 Median $102.33 Typical High $218.78 | Professional | FX · Film X-ray | $102.33 | $102.33 | $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
$263
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.