How much rates vary
Facilitymedian $95 · 10th to 90th $43 to $234Professionalmedian $59 · 10th to 90th $28 to $95
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 $33.11 Median $64.57 Typical High $79.43 | Facility | None | $33.11 | $64.57 | $79.43 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $27.54 Median $53.70 Typical High $114.82 | Facility | TC · Technical part | $27.54 | $53.70 | $114.82 |
Aetna Setting Professional Modifier None (both parts) Typical Low $29.51 Median $34.67 Typical High $72.44 | Professional | None (both parts) | $29.51 | $34.67 | $72.44 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $5.89 Median $6.46 Typical High $12.88 | Professional | 26 · Professional part | $5.89 | $6.46 | $12.88 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $23.99 Median $28.84 Typical High $58.88 | Professional | TC · Technical part | $23.99 | $28.84 | $58.88 |
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 $83.18 Typical High $97.72 | Professional | None (both parts) | $32.36 | $83.18 | $97.72 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $7.59 Median $14.45 Typical High $19.05 | Professional | 26 · Professional part | $7.59 | $14.45 | $19.05 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $25.12 Median $69.18 Typical High $79.43 | Professional | TC · Technical part | $25.12 | $69.18 | $79.43 |
Hally Health Setting Professional Modifier None Typical Low $33.11 Median $47.86 Typical High $107.15 | Professional | None | $33.11 | $47.86 | $107.15 |
Hally Health Setting Professional Modifier 26 · Professional part Typical Low $6.17 Median $10.96 Typical High $25.70 | Professional | 26 · Professional part | $6.17 | $10.96 | $25.70 |
Hally Health Setting Professional Modifier TC · Technical part Typical Low $25.12 Median $36.31 Typical High $70.79 | Professional | TC · Technical part | $25.12 | $36.31 | $70.79 |
Medica Setting Facility Modifier None Typical Low $42.66 Median $95.50 Typical High $234.42 | Facility | None | $42.66 | $95.50 | $234.42 |
Medica Setting Professional Modifier None (both parts) Typical Low $33.88 Median $66.07 Typical High $239.88 | Professional | None (both parts) | $33.88 | $66.07 | $239.88 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $7.08 Median $12.88 Typical High $51.29 | Professional | 26 · Professional part | $7.08 | $12.88 | $51.29 |
Medica Setting Professional Modifier TC · Technical part Typical Low $26.30 Median $48.98 Typical High $199.53 | Professional | TC · Technical part | $26.30 | $48.98 | $199.53 |
Midlands Setting Professional Modifier None Typical Low $75.86 Median $83.18 Typical High $97.72 | Professional | None | $75.86 | $83.18 | $97.72 |
Midlands Setting Professional Modifier 26 · Professional part Typical Low $13.80 Median $14.45 Typical High $17.38 | Professional | 26 · Professional part | $13.80 | $14.45 | $17.38 |
Midlands Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $69.18 Typical High $79.43 | Professional | TC · Technical part | $61.66 | $69.18 | $79.43 |
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 $69.18 Median $81.28 Typical High $97.72 | Professional | None (both parts) | $69.18 | $81.28 | $97.72 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $7.08 Median $36.31 Typical High $72.44 | Professional | None (both parts) | $7.08 | $36.31 | $72.44 |
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 $30.90 Median $40.74 Typical High $66.07 | Professional | None (both parts) | $30.90 | $40.74 | $66.07 |
United Setting Professional Modifier 26 · Professional part Typical Low $6.76 Median $8.51 Typical High $13.80 | Professional | 26 · Professional part | $6.76 | $8.51 | $13.80 |
United Setting Professional Modifier TC · Technical part Typical Low $24.55 Median $31.62 Typical High $52.48 | Professional | TC · Technical part | $24.55 | $31.62 | $52.48 |
Wellmark Setting Professional Modifier None (both parts) Typical Low $69.18 Median $69.18 Typical High $79.43 | Professional | None (both parts) | $69.18 | $69.18 | $79.43 |
Wellmark Setting Professional Modifier 26 · Professional part Typical Low $11.75 Median $11.75 Typical High $13.18 | Professional | 26 · Professional part | $11.75 | $11.75 | $13.18 |
Wellmark Setting Professional Modifier TC · Technical part Typical Low $57.54 Median $57.54 Typical High $66.07 | Professional | TC · Technical part | $57.54 | $57.54 | $66.07 |
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 $15.85 Median $16.60 Typical High $23.99 | Professional | 52 · Reduced service | $15.85 | $16.60 | $23.99 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.31 Median $6.61 Typical High $9.55 | Professional | 53 · Discontinued | $6.31 | $6.61 | $9.55 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $25.70 Median $26.92 Typical High $28.84 | Professional | FX · Film X-ray | $25.70 | $26.92 | $28.84 |
Where Iowa sits
The same service costs 11.5 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· 11th of 51
$61.66
VT $339FL $29.51
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.