How much rates vary
Facilitymedian $83 · 10th to 90th $49 to $234Professionalmedian $59 · 10th to 90th $29 to $98
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 $28.84 Median $56.23 Typical High $67.61 | Facility | None | $28.84 | $56.23 | $67.61 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $21.38 Median $41.69 Typical High $97.72 | Facility | TC · Technical part | $21.38 | $41.69 | $97.72 |
Aetna Setting Professional Modifier None (both parts) Typical Low $25.70 Median $30.90 Typical High $63.10 | Professional | None (both parts) | $25.70 | $30.90 | $63.10 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $7.08 Median $7.76 Typical High $15.14 | Professional | 26 · Professional part | $7.08 | $7.76 | $15.14 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $18.62 Median $22.91 Typical High $48.98 | Professional | TC · Technical part | $18.62 | $22.91 | $48.98 |
Cigna Setting Facility Modifier None Typical Low $95.50 Median $95.50 Typical High $95.50 | Facility | None | $95.50 | $95.50 | $95.50 |
Cigna Setting Professional Modifier None (both parts) Typical Low $32.36 Median $72.44 Typical High $97.72 | Professional | None (both parts) | $32.36 | $72.44 | $97.72 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $9.12 Median $17.38 Typical High $22.91 | Professional | 26 · Professional part | $9.12 | $17.38 | $22.91 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $23.44 Median $53.70 Typical High $74.13 | Professional | TC · Technical part | $23.44 | $53.70 | $74.13 |
Hally Health Setting Professional Modifier None Typical Low $28.18 Median $44.67 Typical High $100.00 | Professional | None | $28.18 | $44.67 | $100.00 |
Hally Health Setting Professional Modifier 26 · Professional part Typical Low $7.41 Median $13.49 Typical High $30.20 | Professional | 26 · Professional part | $7.41 | $13.49 | $30.20 |
Hally Health Setting Professional Modifier TC · Technical part Typical Low $20.89 Median $30.90 Typical High $56.23 | Professional | TC · Technical part | $20.89 | $30.90 | $56.23 |
Medica Setting Facility Modifier None Typical Low $48.98 Median $83.18 Typical High $229.09 | Facility | None | $48.98 | $83.18 | $229.09 |
Medica Setting Professional Modifier None (both parts) Typical Low $31.62 Median $57.54 Typical High $208.93 | Professional | None (both parts) | $31.62 | $57.54 | $208.93 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $8.51 Median $15.49 Typical High $79.43 | Professional | 26 · Professional part | $8.51 | $15.49 | $79.43 |
Medica Setting Professional Modifier TC · Technical part Typical Low $20.89 Median $38.90 Typical High $162.18 | Professional | TC · Technical part | $20.89 | $38.90 | $162.18 |
Midlands Setting Professional Modifier None Typical Low $64.57 Median $72.44 Typical High $83.18 | Professional | None | $64.57 | $72.44 | $83.18 |
Midlands Setting Professional Modifier 26 · Professional part Typical Low $16.60 Median $17.38 Typical High $20.42 | Professional | 26 · Professional part | $16.60 | $17.38 | $20.42 |
Midlands Setting Professional Modifier TC · Technical part Typical Low $48.98 Median $53.70 Typical High $63.10 | Professional | TC · Technical part | $48.98 | $53.70 | $63.10 |
Midlands Setting Facility Modifier None Typical Low $95.50 Median $95.50 Typical High $95.50 | Facility | None | $95.50 | $95.50 | $95.50 |
Midlands Setting Professional Modifier None (both parts) Typical Low $58.88 Median $75.86 Typical High $100.00 | Professional | None (both parts) | $58.88 | $75.86 | $100.00 |
United Setting Facility Modifier None Typical Low $128.82 Median $218.78 Typical High $275.42 | Facility | None | $128.82 | $218.78 | $275.42 |
United Setting Professional Modifier None (both parts) Typical Low $28.18 Median $35.48 Typical High $57.54 | Professional | None (both parts) | $28.18 | $35.48 | $57.54 |
United Setting Professional Modifier 26 · Professional part Typical Low $8.13 Median $10.23 Typical High $16.98 | Professional | 26 · Professional part | $8.13 | $10.23 | $16.98 |
United Setting Professional Modifier TC · Technical part Typical Low $19.95 Median $25.12 Typical High $42.66 | Professional | TC · Technical part | $19.95 | $25.12 | $42.66 |
Wellmark Setting Professional Modifier None (both parts) Typical Low $58.88 Median $58.88 Typical High $66.07 | Professional | None (both parts) | $58.88 | $58.88 | $66.07 |
Wellmark Setting Professional Modifier 26 · Professional part Typical Low $14.13 Median $14.13 Typical High $15.85 | Professional | 26 · Professional part | $14.13 | $14.13 | $15.85 |
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 $13.80 Median $14.13 Typical High $20.42 | Professional | 52 · Reduced service | $13.80 | $14.13 | $20.42 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.50 Median $5.75 Typical High $8.32 | Professional | 53 · Discontinued | $5.50 | $5.75 | $8.32 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $21.88 Median $22.91 Typical High $24.55 | Professional | FX · Film X-ray | $21.88 | $22.91 | $24.55 |
Where Iowa sits
The same service costs 6.0 times more in Vermont 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· 9th of 51
$58.88
VT $155FL $25.70
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.