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 $93.33 Median $93.33 Typical High $295.12 | Facility | None | $93.33 | $93.33 | $295.12 |
Aetna Setting Professional Modifier None (both parts) Typical Low $93.33 Median $95.50 Typical High $141.25 | Professional | None (both parts) | $93.33 | $95.50 | $141.25 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $38.90 Typical High $57.54 | Professional | 26 · Professional part | $38.90 | $38.90 | $57.54 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $54.95 Median $58.88 Typical High $89.13 | Professional | TC · Technical part | $54.95 | $58.88 | $89.13 |
Cigna Setting Facility Modifier None Typical Low $426.58 Median $426.58 Typical High $426.58 | Facility | None | $426.58 | $426.58 | $426.58 |
Cigna Setting Professional Modifier None (both parts) Typical Low $138.04 Median $234.42 Typical High $323.59 | Professional | None (both parts) | $138.04 | $234.42 | $323.59 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $93.33 Typical High $125.89 | Professional | 26 · Professional part | $51.29 | $93.33 | $125.89 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $87.10 Median $138.04 Typical High $199.53 | Professional | TC · Technical part | $87.10 | $138.04 | $199.53 |
Hally Health Setting Professional Modifier None Typical Low $93.33 Median $186.21 Typical High $501.19 | Professional | None | $93.33 | $186.21 | $501.19 |
Hally Health Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $74.13 Typical High $190.55 | Professional | 26 · Professional part | $39.81 | $74.13 | $190.55 |
Hally Health Setting Professional Modifier TC · Technical part Typical Low $53.70 Median $109.65 Typical High $257.04 | Professional | TC · Technical part | $53.70 | $109.65 | $257.04 |
Medica Setting Facility Modifier None Typical Low $213.80 Median $295.12 Typical High $1,778.28 | Facility | None | $213.80 | $295.12 | $1,778.28 |
Medica Setting Professional Modifier None (both parts) Typical Low $123.03 Median $234.42 Typical High $1,174.90 | Professional | None (both parts) | $123.03 | $234.42 | $1,174.90 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $85.11 Typical High $346.74 | Professional | 26 · Professional part | $46.77 | $85.11 | $346.74 |
Medica Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $114.82 Typical High $954.99 | Professional | TC · Technical part | $66.07 | $114.82 | $954.99 |
Midlands Setting Professional Modifier None Typical Low $218.78 Median $234.42 Typical High $316.23 | Professional | None | $218.78 | $234.42 | $316.23 |
Midlands Setting Professional Modifier 26 · Professional part Typical Low $89.13 Median $93.33 Typical High $120.23 | Professional | 26 · Professional part | $89.13 | $93.33 | $120.23 |
Midlands Setting Professional Modifier TC · Technical part Typical Low $128.82 Median $138.04 Typical High $194.98 | Professional | TC · Technical part | $128.82 | $138.04 | $194.98 |
Midlands Setting Facility Modifier None Typical Low $426.58 Median $426.58 Typical High $426.58 | Facility | None | $426.58 | $426.58 | $426.58 |
Midlands Setting Professional Modifier None (both parts) Typical Low $204.17 Median $251.19 Typical High $758.58 | Professional | None (both parts) | $204.17 | $251.19 | $758.58 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $44.67 Median $95.50 Typical High $190.55 | Professional | None (both parts) | $44.67 | $95.50 | $190.55 |
United Setting Facility Modifier None Typical Low $1,174.90 Median $1,949.84 Typical High $2,454.71 | Facility | None | $1,174.90 | $1,949.84 | $2,454.71 |
United Setting Professional Modifier None (both parts) Typical Low $104.71 Median $141.25 Typical High $213.80 | Professional | None (both parts) | $104.71 | $141.25 | $213.80 |
United Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $56.23 Typical High $91.20 | Professional | 26 · Professional part | $45.71 | $56.23 | $91.20 |
United Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $79.43 Typical High $138.04 | Professional | TC · Technical part | $60.26 | $79.43 | $138.04 |
Wellmark Setting Professional Modifier None (both parts) Typical Low $181.97 Median $181.97 Typical High $208.93 | Professional | None (both parts) | $181.97 | $181.97 | $208.93 |
Wellmark Setting Professional Modifier 26 · Professional part Typical Low $74.13 Median $74.13 Typical High $83.18 | Professional | 26 · Professional part | $74.13 | $74.13 | $83.18 |
Wellmark Setting Professional Modifier TC · Technical part Typical Low $109.65 Median $109.65 Typical High $123.03 | Professional | TC · Technical part | $109.65 | $109.65 | $123.03 |
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 $46.77 Median $47.86 Typical High $70.79 | Professional | 52 · Reduced service | $46.77 | $47.86 | $70.79 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $18.62 Median $19.50 Typical High $28.84 | Professional | 53 · Discontinued | $18.62 | $19.50 | $28.84 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $75.86 Median $75.86 Typical High $93.33 | Professional | FX · Film X-ray | $75.86 | $75.86 | $93.33 |
Where Iowa sits
The same service costs 4.6 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· 14th of 51
$182
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.