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 $114.82 Median $263.03 Typical High $275.42 | Facility | None | $114.82 | $263.03 | $275.42 |
Aetna Setting Professional Modifier None (both parts) Typical Low $109.65 Median $114.82 Typical High $169.82 | Professional | None (both parts) | $109.65 | $114.82 | $169.82 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $24.55 Typical High $40.74 | Professional | 26 · Professional part | $23.44 | $24.55 | $40.74 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $87.10 Median $89.13 Typical High $134.90 | Professional | TC · Technical part | $87.10 | $89.13 | $134.90 |
Cigna Setting Facility Modifier None Typical Low $371.54 Median $371.54 Typical High $371.54 | Facility | None | $371.54 | $371.54 | $371.54 |
Cigna Setting Professional Modifier None (both parts) Typical Low $112.20 Median $288.40 Typical High $354.81 | Professional | None (both parts) | $112.20 | $288.40 | $354.81 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $58.88 Typical High $77.62 | Professional | 26 · Professional part | $31.62 | $58.88 | $77.62 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $87.10 Median $229.09 Typical High $281.84 | Professional | TC · Technical part | $87.10 | $229.09 | $281.84 |
Hally Health Setting Professional Modifier None Typical Low $114.82 Median $158.49 Typical High $275.42 | Professional | None | $114.82 | $158.49 | $275.42 |
Hally Health Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $44.67 Typical High $69.18 | Professional | 26 · Professional part | $25.12 | $44.67 | $69.18 |
Hally Health Setting Professional Modifier TC · Technical part Typical Low $89.13 Median $125.89 Typical High $213.80 | Professional | TC · Technical part | $89.13 | $125.89 | $213.80 |
Medica Setting Facility Modifier None Typical Low $162.18 Median $263.03 Typical High $870.96 | Facility | None | $162.18 | $263.03 | $870.96 |
Medica Setting Professional Modifier None (both parts) Typical Low $128.82 Median $229.09 Typical High $891.25 | Professional | None (both parts) | $128.82 | $229.09 | $891.25 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $52.48 Typical High $173.78 | Professional | 26 · Professional part | $28.84 | $52.48 | $173.78 |
Medica Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $158.49 Typical High $724.44 | Professional | TC · Technical part | $91.20 | $158.49 | $724.44 |
Midlands Setting Professional Modifier None Typical Low $269.15 Median $288.40 Typical High $354.81 | Professional | None | $269.15 | $288.40 | $354.81 |
Midlands Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $58.88 Typical High $70.79 | Professional | 26 · Professional part | $54.95 | $58.88 | $70.79 |
Midlands Setting Professional Modifier TC · Technical part Typical Low $213.80 Median $229.09 Typical High $281.84 | Professional | TC · Technical part | $213.80 | $229.09 | $281.84 |
Midlands Setting Facility Modifier None Typical Low $371.54 Median $371.54 Typical High $371.54 | Facility | None | $371.54 | $371.54 | $371.54 |
Midlands Setting Professional Modifier None (both parts) Typical Low $229.09 Median $309.03 Typical High $354.81 | Professional | None (both parts) | $229.09 | $309.03 | $354.81 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $28.84 Median $117.49 Typical High $239.88 | Professional | None (both parts) | $28.84 | $117.49 | $239.88 |
United Setting Facility Modifier None Typical Low $524.81 Median $870.96 Typical High $1,096.48 | Facility | None | $524.81 | $870.96 | $1,096.48 |
United Setting Professional Modifier None (both parts) Typical Low $112.20 Median $141.25 Typical High $234.42 | Professional | None (both parts) | $112.20 | $141.25 | $234.42 |
United Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $34.67 Typical High $56.23 | Professional | 26 · Professional part | $27.54 | $34.67 | $56.23 |
United Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $107.15 Typical High $181.97 | Professional | TC · Technical part | $85.11 | $107.15 | $181.97 |
Wellmark Setting Professional Modifier None (both parts) Typical Low $234.42 Median $234.42 Typical High $269.15 | Professional | None (both parts) | $234.42 | $234.42 | $269.15 |
Wellmark Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $47.86 Typical High $53.70 | Professional | 26 · Professional part | $47.86 | $47.86 | $53.70 |
Wellmark Setting Professional Modifier TC · Technical part Typical Low $186.21 Median $186.21 Typical High $213.80 | Professional | TC · Technical part | $186.21 | $186.21 | $213.80 |
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 $57.54 Median $57.54 Typical High $83.18 | Professional | 52 · Reduced service | $57.54 | $57.54 | $83.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $22.91 Median $22.91 Typical High $33.11 | Professional | 53 · Discontinued | $22.91 | $22.91 | $33.11 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $91.20 Median $91.20 Typical High $104.71 | Professional | FX · Film X-ray | $91.20 | $91.20 | $104.71 |
Where Iowa sits
The same service costs 4.2 times more in Alaska than in New York. 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
$195
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.