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 $27.54 Median $53.70 Typical High $66.07 | Facility | None | $27.54 | $53.70 | $66.07 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $19.95 Median $39.81 Typical High $85.11 | Facility | TC · Technical part | $19.95 | $39.81 | $85.11 |
Aetna Setting Professional Modifier None (both parts) Typical Low $25.12 Median $28.84 Typical High $54.95 | Professional | None (both parts) | $25.12 | $28.84 | $54.95 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $7.08 Median $7.76 Typical High $14.79 | Professional | 26 · Professional part | $7.08 | $7.76 | $14.79 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $18.20 Median $21.38 Typical High $43.65 | Professional | TC · Technical part | $18.20 | $21.38 | $43.65 |
Cigna Setting Facility Modifier None Typical Low $91.20 Median $91.20 Typical High $91.20 | Facility | None | $91.20 | $91.20 | $91.20 |
Cigna Setting Professional Modifier None (both parts) Typical Low $31.62 Median $69.18 Typical High $93.33 | Professional | None (both parts) | $31.62 | $69.18 | $93.33 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $9.55 Median $17.38 Typical High $22.91 | Professional | 26 · Professional part | $9.55 | $17.38 | $22.91 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $21.88 Median $51.29 Typical High $67.61 | Professional | TC · Technical part | $21.88 | $51.29 | $67.61 |
Hally Health Setting Professional Modifier None Typical Low $27.54 Median $42.66 Typical High $81.28 | Professional | None | $27.54 | $42.66 | $81.28 |
Hally Health Setting Professional Modifier 26 · Professional part Typical Low $7.41 Median $13.49 Typical High $26.92 | Professional | 26 · Professional part | $7.41 | $13.49 | $26.92 |
Hally Health Setting Professional Modifier TC · Technical part Typical Low $19.95 Median $28.84 Typical High $50.12 | Professional | TC · Technical part | $19.95 | $28.84 | $50.12 |
Medica Setting Facility Modifier None Typical Low $44.67 Median $69.18 Typical High $281.84 | Facility | None | $44.67 | $69.18 | $281.84 |
Medica Setting Professional Modifier None (both parts) Typical Low $30.90 Median $56.23 Typical High $199.53 | Professional | None (both parts) | $30.90 | $56.23 | $199.53 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $8.32 Median $15.49 Typical High $61.66 | Professional | 26 · Professional part | $8.32 | $15.49 | $61.66 |
Medica Setting Professional Modifier TC · Technical part Typical Low $19.95 Median $37.15 Typical High $154.88 | Professional | TC · Technical part | $19.95 | $37.15 | $154.88 |
Midlands Setting Professional Modifier None Typical Low $63.10 Median $69.18 Typical High $79.43 | Professional | None | $63.10 | $69.18 | $79.43 |
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 $46.77 Median $51.29 Typical High $60.26 | Professional | TC · Technical part | $46.77 | $51.29 | $60.26 |
Midlands Setting Facility Modifier None Typical Low $91.20 Median $91.20 Typical High $91.20 | Facility | None | $91.20 | $91.20 | $91.20 |
Midlands Setting Professional Modifier None (both parts) Typical Low $56.23 Median $74.13 Typical High $95.50 | Professional | None (both parts) | $56.23 | $74.13 | $95.50 |
Oscar Health Setting Facility Modifier None Typical Low $109.65 Median $109.65 Typical High $109.65 | Facility | None | $109.65 | $109.65 | $109.65 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $8.51 Median $26.30 Typical High $57.54 | Professional | None (both parts) | $8.51 | $26.30 | $57.54 |
United Setting Facility Modifier None Typical Low $154.88 Median $263.03 Typical High $331.13 | Facility | None | $154.88 | $263.03 | $331.13 |
United Setting Professional Modifier None (both parts) Typical Low $27.54 Median $34.67 Typical High $56.23 | Professional | None (both parts) | $27.54 | $34.67 | $56.23 |
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 $18.62 Median $23.99 Typical High $40.74 | Professional | TC · Technical part | $18.62 | $23.99 | $40.74 |
Wellmark Setting Professional Modifier None (both parts) Typical Low $54.95 Median $54.95 Typical High $63.10 | Professional | None (both parts) | $54.95 | $54.95 | $63.10 |
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 $40.74 Median $40.74 Typical High $46.77 | Professional | TC · Technical part | $40.74 | $40.74 | $46.77 |
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 $13.18 Median $13.80 Typical High $19.95 | Professional | 52 · Reduced service | $13.18 | $13.80 | $19.95 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.37 Median $5.50 Typical High $7.94 | Professional | 53 · Discontinued | $5.37 | $5.50 | $7.94 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $21.38 Median $21.88 Typical High $23.99 | Professional | FX · Film X-ray | $21.38 | $21.88 | $23.99 |
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
$48.98
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.