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 $37.15 Median $83.18 Typical High $89.13 | Facility | None | $37.15 | $83.18 | $89.13 |
Aetna Setting Professional Modifier None (both parts) Typical Low $35.48 Median $39.81 Typical High $81.28 | Professional | None (both parts) | $35.48 | $39.81 | $81.28 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $9.77 Median $10.96 Typical High $20.89 | Professional | 26 · Professional part | $9.77 | $10.96 | $20.89 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $25.12 Median $28.18 Typical High $60.26 | Professional | TC · Technical part | $25.12 | $28.18 | $60.26 |
Cigna Setting Facility Modifier None Typical Low $141.25 Median $141.25 Typical High $141.25 | Facility | None | $141.25 | $141.25 | $141.25 |
Cigna Setting Professional Modifier None (both parts) Typical Low $42.66 Median $91.20 Typical High $125.89 | Professional | None (both parts) | $42.66 | $91.20 | $125.89 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $12.02 Median $26.30 Typical High $34.67 | Professional | 26 · Professional part | $12.02 | $26.30 | $34.67 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $30.20 Median $66.07 Typical High $91.20 | Professional | TC · Technical part | $30.20 | $66.07 | $91.20 |
Hally Health Setting Professional Modifier None Typical Low $37.15 Median $58.88 Typical High $123.03 | Professional | None | $37.15 | $58.88 | $123.03 |
Hally Health Setting Professional Modifier 26 · Professional part Typical Low $11.22 Median $18.20 Typical High $45.71 | Professional | 26 · Professional part | $11.22 | $18.20 | $45.71 |
Hally Health Setting Professional Modifier TC · Technical part Typical Low $25.70 Median $39.81 Typical High $72.44 | Professional | TC · Technical part | $25.70 | $39.81 | $72.44 |
Medica Setting Facility Modifier None Typical Low $72.44 Median $117.49 Typical High $281.84 | Facility | None | $72.44 | $117.49 | $281.84 |
Medica Setting Professional Modifier None (both parts) Typical Low $41.69 Median $77.62 Typical High $269.15 | Professional | None (both parts) | $41.69 | $77.62 | $269.15 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $12.30 Median $22.39 Typical High $97.72 | Professional | 26 · Professional part | $12.30 | $22.39 | $97.72 |
Medica Setting Professional Modifier TC · Technical part Typical Low $26.92 Median $48.98 Typical High $208.93 | Professional | TC · Technical part | $26.92 | $48.98 | $208.93 |
Midlands Setting Professional Modifier None Typical Low $85.11 Median $91.20 Typical High $107.15 | Professional | None | $85.11 | $91.20 | $107.15 |
Midlands Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $26.30 Typical High $30.90 | Professional | 26 · Professional part | $25.12 | $26.30 | $30.90 |
Midlands Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $66.07 Typical High $77.62 | Professional | TC · Technical part | $60.26 | $66.07 | $77.62 |
Midlands Setting Facility Modifier None Typical Low $141.25 Median $141.25 Typical High $141.25 | Facility | None | $141.25 | $141.25 | $141.25 |
Midlands Setting Professional Modifier None (both parts) Typical Low $79.43 Median $97.72 Typical High $131.83 | Professional | None (both parts) | $79.43 | $97.72 | $131.83 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $13.18 Median $34.67 Typical High $79.43 | Professional | None (both parts) | $13.18 | $34.67 | $79.43 |
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 $38.02 Median $48.98 Typical High $79.43 | Professional | None (both parts) | $38.02 | $48.98 | $79.43 |
United Setting Professional Modifier 26 · Professional part Typical Low $11.75 Median $14.79 Typical High $24.55 | Professional | 26 · Professional part | $11.75 | $14.79 | $24.55 |
United Setting Professional Modifier TC · Technical part Typical Low $25.12 Median $33.88 Typical High $54.95 | Professional | TC · Technical part | $25.12 | $33.88 | $54.95 |
Wellmark Setting Professional Modifier None (both parts) Typical Low $75.86 Median $75.86 Typical High $87.10 | Professional | None (both parts) | $75.86 | $75.86 | $87.10 |
Wellmark Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $21.88 Typical High $24.55 | Professional | 26 · Professional part | $21.88 | $21.88 | $24.55 |
Wellmark Setting Professional Modifier TC · Technical part Typical Low $54.95 Median $54.95 Typical High $61.66 | Professional | TC · Technical part | $54.95 | $54.95 | $61.66 |
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 $17.78 Median $18.62 Typical High $26.92 | Professional | 52 · Reduced service | $17.78 | $18.62 | $26.92 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.08 Median $7.41 Typical High $10.72 | Professional | 53 · Discontinued | $7.08 | $7.41 | $10.72 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $28.84 Median $29.51 Typical High $32.36 | Professional | FX · Film X-ray | $28.84 | $29.51 | $32.36 |
Where Iowa sits
The same service costs 3.7 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· 10th of 51
$70.79
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.