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 $95.50 Median $95.50 Typical High $275.42 | Facility | None | $95.50 | $95.50 | $275.42 |
Aetna Setting Professional Modifier None (both parts) Typical Low $93.33 Median $100.00 Typical High $165.96 | Professional | None (both parts) | $93.33 | $100.00 | $165.96 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $36.31 Typical High $60.26 | Professional | 26 · Professional part | $34.67 | $36.31 | $60.26 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $61.66 Typical High $112.20 | Professional | TC · Technical part | $58.88 | $61.66 | $112.20 |
Cigna Setting Facility Modifier None Typical Low $436.52 Median $436.52 Typical High $436.52 | Facility | None | $436.52 | $436.52 | $436.52 |
Cigna Setting Professional Modifier None (both parts) Typical Low $141.25 Median $234.42 Typical High $323.59 | Professional | None (both parts) | $141.25 | $234.42 | $323.59 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $87.10 Typical High $114.82 | Professional | 26 · Professional part | $46.77 | $87.10 | $114.82 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $151.36 Typical High $213.80 | Professional | TC · Technical part | $95.50 | $151.36 | $213.80 |
Hally Health Setting Professional Modifier None Typical Low $95.50 Median $190.55 Typical High $524.81 | Professional | None | $95.50 | $190.55 | $524.81 |
Hally Health Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $69.18 Typical High $199.53 | Professional | 26 · Professional part | $37.15 | $69.18 | $199.53 |
Hally Health Setting Professional Modifier TC · Technical part Typical Low $57.54 Median $117.49 Typical High $251.19 | Professional | TC · Technical part | $57.54 | $117.49 | $251.19 |
Medica Setting Facility Modifier None Typical Low $213.80 Median $275.42 Typical High $1,778.28 | Facility | None | $213.80 | $275.42 | $1,778.28 |
Medica Setting Professional Modifier None (both parts) Typical Low $112.20 Median $234.42 Typical High $1,122.02 | Professional | None (both parts) | $112.20 | $234.42 | $1,122.02 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $75.86 Typical High $363.08 | Professional | 26 · Professional part | $42.66 | $75.86 | $363.08 |
Medica Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $112.20 Typical High $912.01 | Professional | TC · Technical part | $63.10 | $112.20 | $912.01 |
Midlands Setting Professional Modifier None Typical Low $218.78 Median $234.42 Typical High $288.40 | Professional | None | $218.78 | $234.42 | $288.40 |
Midlands Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $87.10 Typical High $102.33 | Professional | 26 · Professional part | $81.28 | $87.10 | $102.33 |
Midlands Setting Professional Modifier TC · Technical part Typical Low $138.04 Median $151.36 Typical High $181.97 | Professional | TC · Technical part | $138.04 | $151.36 | $181.97 |
Midlands Setting Facility Modifier None Typical Low $436.52 Median $436.52 Typical High $436.52 | Facility | None | $436.52 | $436.52 | $436.52 |
Midlands Setting Professional Modifier None (both parts) Typical Low $208.93 Median $251.19 Typical High $707.95 | Professional | None (both parts) | $208.93 | $251.19 | $707.95 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $42.66 Median $91.20 Typical High $199.53 | Professional | None (both parts) | $42.66 | $91.20 | $199.53 |
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 $97.72 Median $128.82 Typical High $204.17 | Professional | None (both parts) | $97.72 | $128.82 | $204.17 |
United Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $50.12 Typical High $83.18 | Professional | 26 · Professional part | $39.81 | $50.12 | $83.18 |
United Setting Professional Modifier TC · Technical part Typical Low $56.23 Median $75.86 Typical High $134.90 | Professional | TC · Technical part | $56.23 | $75.86 | $134.90 |
Wellmark Setting Professional Modifier None (both parts) Typical Low $194.98 Median $194.98 Typical High $218.78 | Professional | None (both parts) | $194.98 | $194.98 | $218.78 |
Wellmark Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $70.79 Typical High $79.43 | Professional | 26 · Professional part | $70.79 | $70.79 | $79.43 |
Wellmark Setting Professional Modifier TC · Technical part Typical Low $123.03 Median $123.03 Typical High $141.25 | Professional | TC · Technical part | $123.03 | $123.03 | $141.25 |
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 $69.18 | Professional | 52 · Reduced service | $46.77 | $47.86 | $69.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $18.62 Median $19.05 Typical High $27.54 | Professional | 53 · Discontinued | $18.62 | $19.05 | $27.54 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $74.13 Median $75.86 Typical High $83.18 | Professional | FX · Film X-ray | $74.13 | $75.86 | $83.18 |
Where Iowa sits
The same service costs 4.3 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· 11th of 51
$186
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.