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 $29.51 Median $67.61 Typical High $70.79 | Facility | None | $29.51 | $67.61 | $70.79 |
Aetna Setting Professional Modifier None (both parts) Typical Low $26.92 Median $29.51 Typical High $52.48 | Professional | None (both parts) | $26.92 | $29.51 | $52.48 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $7.08 Median $7.76 Typical High $13.49 | Professional | 26 · Professional part | $7.08 | $7.76 | $13.49 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $19.50 Median $21.88 Typical High $44.67 | Professional | TC · Technical part | $19.50 | $21.88 | $44.67 |
Cigna Setting Facility Modifier None Typical Low $100.00 Median $100.00 Typical High $100.00 | Facility | None | $100.00 | $100.00 | $100.00 |
Cigna Setting Professional Modifier None (both parts) Typical Low $33.11 Median $74.13 Typical High $100.00 | Professional | None (both parts) | $33.11 | $74.13 | $100.00 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $10.00 Median $18.20 Typical High $23.99 | Professional | 26 · Professional part | $10.00 | $18.20 | $23.99 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $23.44 Median $54.95 Typical High $75.86 | Professional | TC · Technical part | $23.44 | $54.95 | $75.86 |
Hally Health Setting Professional Modifier None Typical Low $29.51 Median $45.71 Typical High $97.72 | Professional | None | $29.51 | $45.71 | $97.72 |
Hally Health Setting Professional Modifier 26 · Professional part Typical Low $7.76 Median $13.80 Typical High $25.70 | Professional | 26 · Professional part | $7.76 | $13.80 | $25.70 |
Hally Health Setting Professional Modifier TC · Technical part Typical Low $21.38 Median $30.90 Typical High $58.88 | Professional | TC · Technical part | $21.38 | $30.90 | $58.88 |
Medica Setting Facility Modifier None Typical Low $53.70 Median $85.11 Typical High $275.42 | Facility | None | $53.70 | $85.11 | $275.42 |
Medica Setting Professional Modifier None (both parts) Typical Low $32.36 Median $60.26 Typical High $208.93 | Professional | None (both parts) | $32.36 | $60.26 | $208.93 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $8.91 Median $16.22 Typical High $83.18 | Professional | 26 · Professional part | $8.91 | $16.22 | $83.18 |
Medica Setting Professional Modifier TC · Technical part Typical Low $20.89 Median $39.81 Typical High $158.49 | Professional | TC · Technical part | $20.89 | $39.81 | $158.49 |
Midlands Setting Professional Modifier None Typical Low $66.07 Median $74.13 Typical High $85.11 | Professional | None | $66.07 | $74.13 | $85.11 |
Midlands Setting Professional Modifier 26 · Professional part Typical Low $16.60 Median $18.20 Typical High $20.42 | Professional | 26 · Professional part | $16.60 | $18.20 | $20.42 |
Midlands Setting Professional Modifier TC · Technical part Typical Low $50.12 Median $54.95 Typical High $64.57 | Professional | TC · Technical part | $50.12 | $54.95 | $64.57 |
Midlands Setting Facility Modifier None Typical Low $100.00 Median $100.00 Typical High $100.00 | Facility | None | $100.00 | $100.00 | $100.00 |
Midlands Setting Professional Modifier None (both parts) Typical Low $60.26 Median $79.43 Typical High $102.33 | Professional | None (both parts) | $60.26 | $79.43 | $102.33 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $8.91 Median $28.18 Typical High $61.66 | Professional | None (both parts) | $8.91 | $28.18 | $61.66 |
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 $29.51 Median $37.15 Typical High $60.26 | Professional | None (both parts) | $29.51 | $37.15 | $60.26 |
United Setting Professional Modifier 26 · Professional part Typical Low $8.51 Median $10.72 Typical High $17.38 | Professional | 26 · Professional part | $8.51 | $10.72 | $17.38 |
United Setting Professional Modifier TC · Technical part Typical Low $19.95 Median $26.30 Typical High $42.66 | Professional | TC · Technical part | $19.95 | $26.30 | $42.66 |
Wellmark Setting Professional Modifier None (both parts) Typical Low $58.88 Median $58.88 Typical High $67.61 | Professional | None (both parts) | $58.88 | $58.88 | $67.61 |
Wellmark Setting Professional Modifier 26 · Professional part Typical Low $14.79 Median $14.79 Typical High $16.60 | Professional | 26 · Professional part | $14.79 | $14.79 | $16.60 |
Wellmark Setting Professional Modifier TC · Technical part Typical Low $44.67 Median $44.67 Typical High $51.29 | Professional | TC · Technical part | $44.67 | $44.67 | $51.29 |
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 $14.13 Median $14.79 Typical High $21.38 | Professional | 52 · Reduced service | $14.13 | $14.79 | $21.38 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.62 Median $5.89 Typical High $8.51 | Professional | 53 · Discontinued | $5.62 | $5.89 | $8.51 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $22.39 Median $23.44 Typical High $25.12 | Professional | FX · Film X-ray | $22.39 | $23.44 | $25.12 |
Where Iowa sits
The same service costs 3.7 times more in Alaska than in Florida. 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
$53.70
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.