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 $19.05 Median $37.15 Typical High $37.15 | Facility | None | $19.05 | $37.15 | $37.15 |
Aetna Setting Professional Modifier None (both parts) Typical Low $18.20 Median $21.38 Typical High $45.71 | Professional | None (both parts) | $18.20 | $21.38 | $45.71 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $6.46 Median $7.08 Typical High $15.14 | Professional | 26 · Professional part | $6.46 | $7.08 | $15.14 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $12.02 Median $14.13 Typical High $32.36 | Professional | TC · Technical part | $12.02 | $14.13 | $32.36 |
Cigna Setting Facility Modifier None Typical Low $77.62 Median $77.62 Typical High $77.62 | Facility | None | $77.62 | $77.62 | $77.62 |
Cigna Setting Professional Modifier None (both parts) Typical Low $28.84 Median $47.86 Typical High $63.10 | Professional | None (both parts) | $28.84 | $47.86 | $63.10 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $8.71 Median $16.22 Typical High $20.89 | Professional | 26 · Professional part | $8.71 | $16.22 | $20.89 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $19.95 Median $31.62 Typical High $42.66 | Professional | TC · Technical part | $19.95 | $31.62 | $42.66 |
Hally Health Setting Professional Modifier None Typical Low $19.05 Median $36.31 Typical High $77.62 | Professional | None | $19.05 | $36.31 | $77.62 |
Hally Health Setting Professional Modifier 26 · Professional part Typical Low $6.92 Median $12.30 Typical High $30.90 | Professional | 26 · Professional part | $6.92 | $12.30 | $30.90 |
Hally Health Setting Professional Modifier TC · Technical part Typical Low $12.30 Median $23.44 Typical High $46.77 | Professional | TC · Technical part | $12.30 | $23.44 | $46.77 |
Medica Setting Facility Modifier None Typical Low $41.69 Median $63.10 Typical High $223.87 | Facility | None | $41.69 | $63.10 | $223.87 |
Medica Setting Professional Modifier None (both parts) Typical Low $22.91 Median $43.65 Typical High $173.78 | Professional | None (both parts) | $22.91 | $43.65 | $173.78 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $7.76 Median $14.13 Typical High $72.44 | Professional | 26 · Professional part | $7.76 | $14.13 | $72.44 |
Medica Setting Professional Modifier TC · Technical part Typical Low $13.49 Median $23.44 Typical High $147.91 | Professional | TC · Technical part | $13.49 | $23.44 | $147.91 |
Midlands Setting Professional Modifier None Typical Low $43.65 Median $47.86 Typical High $54.95 | Professional | None | $43.65 | $47.86 | $54.95 |
Midlands Setting Professional Modifier 26 · Professional part Typical Low $15.14 Median $16.22 Typical High $19.05 | Professional | 26 · Professional part | $15.14 | $16.22 | $19.05 |
Midlands Setting Professional Modifier TC · Technical part Typical Low $28.18 Median $31.62 Typical High $37.15 | Professional | TC · Technical part | $28.18 | $31.62 | $37.15 |
Midlands Setting Facility Modifier None Typical Low $77.62 Median $77.62 Typical High $77.62 | Facility | None | $77.62 | $77.62 | $77.62 |
Midlands Setting Professional Modifier None (both parts) Typical Low $40.74 Median $51.29 Typical High $91.20 | Professional | None (both parts) | $40.74 | $51.29 | $91.20 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $7.76 Median $16.60 Typical High $37.15 | Professional | None (both parts) | $7.76 | $16.60 | $37.15 |
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 $19.95 Median $25.70 Typical High $42.66 | Professional | None (both parts) | $19.95 | $25.70 | $42.66 |
United Setting Professional Modifier 26 · Professional part Typical Low $7.59 Median $9.33 Typical High $15.49 | Professional | 26 · Professional part | $7.59 | $9.33 | $15.49 |
United Setting Professional Modifier TC · Technical part Typical Low $12.30 Median $16.22 Typical High $26.92 | Professional | TC · Technical part | $12.30 | $16.22 | $26.92 |
Wellmark Setting Professional Modifier None (both parts) Typical Low $38.02 Median $38.02 Typical High $43.65 | Professional | None (both parts) | $38.02 | $38.02 | $43.65 |
Wellmark Setting Professional Modifier 26 · Professional part Typical Low $12.88 Median $12.88 Typical High $14.79 | Professional | 26 · Professional part | $12.88 | $12.88 | $14.79 |
Wellmark Setting Professional Modifier TC · Technical part Typical Low $25.12 Median $25.12 Typical High $28.84 | Professional | TC · Technical part | $25.12 | $25.12 | $28.84 |
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 $9.33 Median $9.55 Typical High $13.80 | Professional | 52 · Reduced service | $9.33 | $9.55 | $13.80 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.72 Median $3.80 Typical High $5.50 | Professional | 53 · Discontinued | $3.72 | $3.80 | $5.50 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $14.79 Median $15.14 Typical High $16.60 | Professional | FX · Film X-ray | $14.79 | $15.14 | $16.60 |
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
$37.15
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.