How much rates vary
Facilitymedian $631 · 10th to 90th $240 to $2,884Professionalmedian $407 · 10th to 90th $129 to $871
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 $204.17 Median $338.84 Typical High $416.87 | Facility | None | $204.17 | $338.84 | $416.87 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $75.86 Median $125.89 Typical High $147.91 | Facility | 26 · Professional part | $75.86 | $125.89 | $147.91 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $128.82 Median $251.19 Typical High $588.84 | Facility | TC · Technical part | $128.82 | $251.19 | $588.84 |
Aetna Setting Professional Modifier None (both parts) Typical Low $204.17 Median $309.03 Typical High $575.44 | Professional | None (both parts) | $204.17 | $309.03 | $575.44 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $109.65 Typical High $181.97 | Professional | 26 · Professional part | $70.79 | $109.65 | $181.97 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $128.82 Median $194.98 Typical High $407.38 | Professional | TC · Technical part | $128.82 | $194.98 | $407.38 |
Cigna Setting Facility Modifier None Typical Low $1,380.38 Median $1,380.38 Typical High $1,380.38 | Facility | None | $1,380.38 | $1,380.38 | $1,380.38 |
Cigna Setting Professional Modifier None (both parts) Typical Low $363.08 Median $426.58 Typical High $616.60 | Professional | None (both parts) | $363.08 | $426.58 | $616.60 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $151.36 Typical High $218.78 | Professional | 26 · Professional part | $85.11 | $151.36 | $218.78 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $239.88 Median $275.42 Typical High $457.09 | Professional | TC · Technical part | $239.88 | $275.42 | $457.09 |
Hally Health Setting Professional Modifier None Typical Low $169.82 Median $338.84 Typical High $1,412.54 | Professional | None | $169.82 | $338.84 | $1,412.54 |
Hally Health Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $120.23 Typical High $257.04 | Professional | 26 · Professional part | $64.57 | $120.23 | $257.04 |
Hally Health Setting Professional Modifier TC · Technical part Typical Low $104.71 Median $213.80 Typical High $933.25 | Professional | TC · Technical part | $104.71 | $213.80 | $933.25 |
Medica Setting Facility Modifier None Typical Low $371.54 Median $660.69 Typical High $1,548.82 | Facility | None | $371.54 | $660.69 | $1,548.82 |
Medica Setting Professional Modifier None (both parts) Typical Low $263.03 Median $562.34 Typical High $3,162.28 | Professional | None (both parts) | $263.03 | $562.34 | $3,162.28 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $141.25 Typical High $575.44 | Professional | 26 · Professional part | $79.43 | $141.25 | $575.44 |
Medica Setting Professional Modifier TC · Technical part Typical Low $158.49 Median $407.38 Typical High $2,754.23 | Professional | TC · Technical part | $158.49 | $407.38 | $2,754.23 |
Midlands Setting Professional Modifier None Typical Low $398.11 Median $426.58 Typical High $616.60 | Professional | None | $398.11 | $426.58 | $616.60 |
Midlands Setting Professional Modifier 26 · Professional part Typical Low $144.54 Median $151.36 Typical High $218.78 | Professional | 26 · Professional part | $144.54 | $151.36 | $218.78 |
Midlands Setting Professional Modifier TC · Technical part Typical Low $251.19 Median $275.42 Typical High $398.11 | Professional | TC · Technical part | $251.19 | $275.42 | $398.11 |
Midlands Setting Facility Modifier None Typical Low $1,380.38 Median $1,380.38 Typical High $1,380.38 | Facility | None | $1,380.38 | $1,380.38 | $1,380.38 |
Midlands Setting Professional Modifier None (both parts) Typical Low $371.54 Median $478.63 Typical High $1,995.26 | Professional | None (both parts) | $371.54 | $478.63 | $1,995.26 |
Oscar Health Setting Facility Modifier None Typical Low $239.88 Median $1,380.38 Typical High $3,801.89 | Facility | None | $239.88 | $1,380.38 | $3,801.89 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $72.44 Median $154.88 Typical High $346.74 | Professional | None (both parts) | $72.44 | $154.88 | $346.74 |
United Setting Facility Modifier None Typical Low $354.81 Median $602.56 Typical High $758.58 | Facility | None | $354.81 | $602.56 | $758.58 |
United Setting Professional Modifier None (both parts) Typical Low $223.87 Median $354.81 Typical High $630.96 | Professional | None (both parts) | $223.87 | $354.81 | $630.96 |
United Setting Professional Modifier 26 · Professional part Typical Low $74.13 Median $109.65 Typical High $204.17 | Professional | 26 · Professional part | $74.13 | $109.65 | $204.17 |
United Setting Professional Modifier TC · Technical part Typical Low $144.54 Median $229.09 Typical High $446.68 | Professional | TC · Technical part | $144.54 | $229.09 | $446.68 |
Wellmark Setting Professional Modifier None (both parts) Typical Low $446.68 Median $446.68 Typical High $512.86 | Professional | None (both parts) | $446.68 | $446.68 | $512.86 |
Wellmark Setting Professional Modifier 26 · Professional part Typical Low $158.49 Median $158.49 Typical High $181.97 | Professional | 26 · Professional part | $158.49 | $158.49 | $181.97 |
Wellmark Setting Professional Modifier TC · Technical part Typical Low $288.40 Median $288.40 Typical High $323.59 | Professional | TC · Technical part | $288.40 | $288.40 | $323.59 |
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 $100.00 Median $102.33 Typical High $218.78 | Professional | 52 · Reduced service | $100.00 | $102.33 | $218.78 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $39.81 Median $40.74 Typical High $89.13 | Professional | 53 · Discontinued | $39.81 | $40.74 | $89.13 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $162.18 Median $162.18 Typical High $338.84 | Professional | FX · Film X-ray | $162.18 | $162.18 | $338.84 |
Where Iowa sits
The same service costs 24.0 times more in Vermont 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
$417
VT $2,951UT $123
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.