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 $338.84 Median $660.69 Typical High $691.83 | Facility | None | $338.84 | $660.69 | $691.83 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $223.87 Median $436.52 Typical High $1,023.29 | Facility | TC · Technical part | $223.87 | $436.52 | $1,023.29 |
Aetna Setting Professional Modifier None (both parts) Typical Low $331.13 Median $426.58 Typical High $776.25 | Professional | None (both parts) | $331.13 | $426.58 | $776.25 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $107.15 Median $120.23 Typical High $245.47 | Professional | 26 · Professional part | $107.15 | $120.23 | $245.47 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $223.87 Median $302.00 Typical High $537.03 | Professional | TC · Technical part | $223.87 | $302.00 | $537.03 |
Cigna Setting Facility Modifier None Typical Low $2,137.96 Median $2,137.96 Typical High $2,137.96 | Facility | None | $2,137.96 | $2,137.96 | $2,137.96 |
Cigna Setting Professional Modifier None (both parts) Typical Low $549.54 Median $707.95 Typical High $1,174.90 | Professional | None (both parts) | $549.54 | $707.95 | $1,174.90 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $141.25 Median $239.88 Typical High $338.84 | Professional | 26 · Professional part | $141.25 | $239.88 | $338.84 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $389.05 Median $478.63 Typical High $812.83 | Professional | TC · Technical part | $389.05 | $478.63 | $812.83 |
Hally Health Setting Professional Modifier None Typical Low $288.40 Median $562.34 Typical High $2,454.71 | Professional | None | $288.40 | $562.34 | $2,454.71 |
Hally Health Setting Professional Modifier 26 · Professional part Typical Low $102.33 Median $194.98 Typical High $380.19 | Professional | 26 · Professional part | $102.33 | $194.98 | $380.19 |
Hally Health Setting Professional Modifier TC · Technical part Typical Low $186.21 Median $371.54 Typical High $1,698.24 | Professional | TC · Technical part | $186.21 | $371.54 | $1,698.24 |
Medica Setting Facility Modifier None Typical Low $616.60 Median $1,047.13 Typical High $1,479.11 | Facility | None | $616.60 | $1,047.13 | $1,479.11 |
Medica Setting Professional Modifier None (both parts) Typical Low $446.68 Median $1,000.00 Typical High $6,165.95 | Professional | None (both parts) | $446.68 | $1,000.00 | $6,165.95 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $128.82 Median $218.78 Typical High $933.25 | Professional | 26 · Professional part | $128.82 | $218.78 | $933.25 |
Medica Setting Professional Modifier TC · Technical part Typical Low $281.84 Median $630.96 Typical High $5,495.41 | Professional | TC · Technical part | $281.84 | $630.96 | $5,495.41 |
Midlands Setting Professional Modifier None Typical Low $660.69 Median $707.95 Typical High $1,047.13 | Professional | None | $660.69 | $707.95 | $1,047.13 |
Midlands Setting Professional Modifier 26 · Professional part Typical Low $223.87 Median $239.88 Typical High $338.84 | Professional | 26 · Professional part | $223.87 | $239.88 | $338.84 |
Midlands Setting Professional Modifier TC · Technical part Typical Low $436.52 Median $478.63 Typical High $707.95 | Professional | TC · Technical part | $436.52 | $478.63 | $707.95 |
Midlands Setting Facility Modifier None Typical Low $2,137.96 Median $2,137.96 Typical High $2,137.96 | Facility | None | $2,137.96 | $2,137.96 | $2,137.96 |
Midlands Setting Professional Modifier None (both parts) Typical Low $630.96 Median $794.33 Typical High $3,890.45 | Professional | None (both parts) | $630.96 | $794.33 | $3,890.45 |
Oscar Health Setting Facility Modifier None Typical Low $363.08 Median $363.08 Typical High $363.08 | Facility | None | $363.08 | $363.08 | $363.08 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $112.20 Median $239.88 Typical High $575.44 | Professional | None (both parts) | $112.20 | $239.88 | $575.44 |
United Setting Facility Modifier None Typical Low $524.81 Median $870.96 Typical High $1,096.48 | Facility | None | $524.81 | $870.96 | $1,096.48 |
United Setting Professional Modifier None (both parts) Typical Low $380.19 Median $602.56 Typical High $1,071.52 | Professional | None (both parts) | $380.19 | $602.56 | $1,071.52 |
United Setting Professional Modifier 26 · Professional part Typical Low $117.49 Median $169.82 Typical High $316.23 | Professional | 26 · Professional part | $117.49 | $169.82 | $316.23 |
United Setting Professional Modifier TC · Technical part Typical Low $257.04 Median $407.38 Typical High $776.25 | Professional | TC · Technical part | $257.04 | $407.38 | $776.25 |
Wellmark Setting Professional Modifier None (both parts) Typical Low $741.31 Median $741.31 Typical High $851.14 | Professional | None (both parts) | $741.31 | $741.31 | $851.14 |
Wellmark Setting Professional Modifier 26 · Professional part Typical Low $245.47 Median $245.47 Typical High $281.84 | Professional | 26 · Professional part | $245.47 | $245.47 | $281.84 |
Wellmark Setting Professional Modifier TC · Technical part Typical Low $489.78 Median $489.78 Typical High $562.34 | Professional | TC · Technical part | $489.78 | $489.78 | $562.34 |
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 $165.96 Median $169.82 Typical High $331.13 | Professional | 52 · Reduced service | $165.96 | $169.82 | $331.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $66.07 Median $67.61 Typical High $131.83 | Professional | 53 · Discontinued | $66.07 | $67.61 | $131.83 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $269.15 Median $269.15 Typical High $354.81 | Professional | FX · Film X-ray | $269.15 | $269.15 | $354.81 |
Where Iowa sits
The same service costs 6.5 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· 8th of 51
$692
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.