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 $97.72 Median $97.72 Typical High $416.87 | Facility | None | $97.72 | $97.72 | $416.87 |
Aetna Setting Professional Modifier None (both parts) Typical Low $93.33 Median $97.72 Typical High $165.96 | Professional | None (both parts) | $93.33 | $97.72 | $165.96 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $35.48 Typical High $60.26 | Professional | 26 · Professional part | $34.67 | $35.48 | $60.26 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $61.66 Typical High $107.15 | Professional | TC · Technical part | $58.88 | $61.66 | $107.15 |
Cigna Setting Facility Modifier None Typical Low $380.19 Median $380.19 Typical High $380.19 | Facility | None | $380.19 | $380.19 | $380.19 |
Cigna Setting Professional Modifier None (both parts) Typical Low $138.04 Median $239.88 Typical High $346.74 | Professional | None (both parts) | $138.04 | $239.88 | $346.74 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $87.10 Typical High $114.82 | Professional | 26 · Professional part | $47.86 | $87.10 | $114.82 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $154.88 Typical High $223.87 | Professional | TC · Technical part | $100.00 | $154.88 | $223.87 |
Hally Health Setting Professional Modifier None Typical Low $97.72 Median $190.55 Typical High $645.65 | Professional | None | $97.72 | $190.55 | $645.65 |
Hally Health Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $67.61 Typical High $239.88 | Professional | 26 · Professional part | $37.15 | $67.61 | $239.88 |
Hally Health Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $120.23 Typical High $467.74 | Professional | TC · Technical part | $60.26 | $120.23 | $467.74 |
Medica Setting Facility Modifier None Typical Low $218.78 Median $288.40 Typical High $4,365.16 | Facility | None | $218.78 | $288.40 | $4,365.16 |
Medica Setting Professional Modifier None (both parts) Typical Low $114.82 Median $239.88 Typical High $1,949.84 | Professional | None (both parts) | $114.82 | $239.88 | $1,949.84 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $79.43 Typical High $549.54 | Professional | 26 · Professional part | $42.66 | $79.43 | $549.54 |
Medica Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $114.82 Typical High $1,737.80 | Professional | TC · Technical part | $64.57 | $114.82 | $1,737.80 |
Midlands Setting Professional Modifier None Typical Low $223.87 Median $239.88 Typical High $288.40 | Professional | None | $223.87 | $239.88 | $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 $141.25 Median $154.88 Typical High $186.21 | Professional | TC · Technical part | $141.25 | $154.88 | $186.21 |
Midlands Setting Facility Modifier None Typical Low $380.19 Median $380.19 Typical High $380.19 | Facility | None | $380.19 | $380.19 | $380.19 |
Midlands Setting Professional Modifier None (both parts) Typical Low $204.17 Median $257.04 Typical High $1,230.27 | Professional | None (both parts) | $204.17 | $257.04 | $1,230.27 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $42.66 Median $91.20 Typical High $223.87 | Professional | None (both parts) | $42.66 | $91.20 | $223.87 |
United Setting Facility Modifier None Typical Low $2,951.21 Median $4,897.79 Typical High $6,165.95 | Facility | None | $2,951.21 | $4,897.79 | $6,165.95 |
United Setting Professional Modifier None (both parts) Typical Low $100.00 Median $134.90 Typical High $239.88 | Professional | None (both parts) | $100.00 | $134.90 | $239.88 |
United Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $52.48 Typical High $87.10 | Professional | 26 · Professional part | $41.69 | $52.48 | $87.10 |
United Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $79.43 Typical High $141.25 | Professional | TC · Technical part | $58.88 | $79.43 | $141.25 |
Wellmark Setting Professional Modifier None (both parts) Typical Low $213.80 Median $213.80 Typical High $245.47 | Professional | None (both parts) | $213.80 | $213.80 | $245.47 |
Wellmark Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $70.79 Typical High $81.28 | Professional | 26 · Professional part | $70.79 | $70.79 | $81.28 |
Wellmark Setting Professional Modifier TC · Technical part Typical Low $144.54 Median $144.54 Typical High $162.18 | Professional | TC · Technical part | $144.54 | $144.54 | $162.18 |
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 $47.86 Median $48.98 Typical High $70.79 | Professional | 52 · Reduced service | $47.86 | $48.98 | $70.79 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.05 Median $19.50 Typical High $28.18 | Professional | 53 · Discontinued | $19.05 | $19.50 | $28.18 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $77.62 Median $77.62 Typical High $85.11 | Professional | FX · Film X-ray | $77.62 | $77.62 | $85.11 |
Where Iowa sits
The same service costs 4.0 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· 14th of 51
$200
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.