How much rates vary
Facilitymedian $85 · 10th to 90th $49 to $295Professionalmedian $49 · 10th to 90th $23 to $85
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 $29.51 Median $57.54 Typical High $70.79 | Facility | None | $29.51 | $57.54 | $70.79 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $23.44 Median $50.12 Typical High $93.33 | Facility | TC · Technical part | $23.44 | $50.12 | $93.33 |
Aetna Setting Professional Modifier None (both parts) Typical Low $27.54 Median $31.62 Typical High $64.57 | Professional | None (both parts) | $27.54 | $31.62 | $64.57 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $7.08 Median $7.94 Typical High $15.14 | Professional | 26 · Professional part | $7.08 | $7.94 | $15.14 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $20.42 Median $23.99 Typical High $50.12 | Professional | TC · Technical part | $20.42 | $23.99 | $50.12 |
Cigna Setting Facility Modifier None Typical Low $107.15 Median $107.15 Typical High $107.15 | Facility | None | $107.15 | $107.15 | $107.15 |
Cigna Setting Professional Modifier None (both parts) Typical Low $32.36 Median $74.13 Typical High $95.50 | Professional | None (both parts) | $32.36 | $74.13 | $95.50 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $10.00 Median $17.38 Typical High $22.91 | Professional | 26 · Professional part | $10.00 | $17.38 | $22.91 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $22.39 Median $56.23 Typical High $70.79 | Professional | TC · Technical part | $22.39 | $56.23 | $70.79 |
Hally Health Setting Professional Modifier None Typical Low $29.51 Median $43.65 Typical High $93.33 | Professional | None | $29.51 | $43.65 | $93.33 |
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 $21.88 Median $30.90 Typical High $53.70 | Professional | TC · Technical part | $21.88 | $30.90 | $53.70 |
Medica Setting Facility Modifier None Typical Low $48.98 Median $72.44 Typical High $263.03 | Facility | None | $48.98 | $72.44 | $263.03 |
Medica Setting Professional Modifier None (both parts) Typical Low $33.11 Median $61.66 Typical High $218.78 | Professional | None (both parts) | $33.11 | $61.66 | $218.78 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $8.51 Median $15.49 Typical High $58.88 | Professional | 26 · Professional part | $8.51 | $15.49 | $58.88 |
Medica Setting Professional Modifier TC · Technical part Typical Low $21.88 Median $41.69 Typical High $165.96 | Professional | TC · Technical part | $21.88 | $41.69 | $165.96 |
Midlands Setting Professional Modifier None Typical Low $67.61 Median $74.13 Typical High $87.10 | Professional | None | $67.61 | $74.13 | $87.10 |
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 $51.29 Median $56.23 Typical High $66.07 | Professional | TC · Technical part | $51.29 | $56.23 | $66.07 |
Midlands Setting Facility Modifier None Typical Low $107.15 Median $107.15 Typical High $107.15 | Facility | None | $107.15 | $107.15 | $107.15 |
Midlands Setting Professional Modifier None (both parts) Typical Low $64.57 Median $79.43 Typical High $95.50 | Professional | None (both parts) | $64.57 | $79.43 | $95.50 |
Oscar Health Setting Facility Modifier None Typical Low $1,698.24 Median $1,698.24 Typical High $1,698.24 | Facility | None | $1,698.24 | $1,698.24 | $1,698.24 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $8.91 Median $29.51 Typical High $63.10 | Professional | None (both parts) | $8.91 | $29.51 | $63.10 |
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 $29.51 Median $38.90 Typical High $61.66 | Professional | None (both parts) | $29.51 | $38.90 | $61.66 |
United Setting Professional Modifier 26 · Professional part Typical Low $8.13 Median $10.23 Typical High $17.38 | Professional | 26 · Professional part | $8.13 | $10.23 | $17.38 |
United Setting Professional Modifier TC · Technical part Typical Low $20.89 Median $27.54 Typical High $44.67 | Professional | TC · Technical part | $20.89 | $27.54 | $44.67 |
Wellmark Setting Professional Modifier None (both parts) Typical Low $60.26 Median $60.26 Typical High $69.18 | Professional | None (both parts) | $60.26 | $60.26 | $69.18 |
Wellmark Setting Professional Modifier 26 · Professional part Typical Low $14.79 Median $14.79 Typical High $16.60 | Professional | 26 · Professional part | $14.79 | $14.79 | $16.60 |
Wellmark Setting Professional Modifier TC · Technical part Typical Low $45.71 Median $45.71 Typical High $52.48 | Professional | TC · Technical part | $45.71 | $45.71 | $52.48 |
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 $14.45 Median $14.79 Typical High $21.38 | Professional | 52 · Reduced service | $14.45 | $14.79 | $21.38 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.75 Median $5.89 Typical High $8.51 | Professional | 53 · Discontinued | $5.75 | $5.89 | $8.51 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $22.91 Median $23.44 Typical High $26.30 | Professional | FX · Film X-ray | $22.91 | $23.44 | $26.30 |
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· 11th of 51
$51.29
AK $100FL $26.92
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.