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 $346.74 Median $346.74 Typical High $812.83 | Facility | None | $346.74 | $346.74 | $812.83 |
Aetna Setting Professional Modifier None (both parts) Typical Low $346.74 Median $346.74 Typical High $676.08 | Professional | None (both parts) | $346.74 | $346.74 | $676.08 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $77.62 Median $81.28 Typical High $162.18 | Professional | 26 · Professional part | $77.62 | $81.28 | $162.18 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $263.03 Median $263.03 Typical High $562.34 | Professional | TC · Technical part | $263.03 | $263.03 | $562.34 |
Cigna 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 |
Cigna Setting Professional Modifier None (both parts) Typical Low $478.63 Median $741.31 Typical High $1,096.48 | Professional | None (both parts) | $478.63 | $741.31 | $1,096.48 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $91.20 Median $165.96 Typical High $239.88 | Professional | 26 · Professional part | $91.20 | $165.96 | $239.88 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $389.05 Median $562.34 Typical High $851.14 | Professional | TC · Technical part | $389.05 | $562.34 | $851.14 |
Hally Health Setting Professional Modifier None Typical Low $288.40 Median $575.44 Typical High $1,584.89 | Professional | None | $288.40 | $575.44 | $1,584.89 |
Hally Health Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $138.04 Typical High $302.00 | Professional | 26 · Professional part | $70.79 | $138.04 | $302.00 |
Hally Health Setting Professional Modifier TC · Technical part Typical Low $218.78 Median $446.68 Typical High $1,258.93 | Professional | TC · Technical part | $218.78 | $446.68 | $1,258.93 |
Medica Setting Facility Modifier None Typical Low $630.96 Median $870.96 Typical High $1,380.38 | Facility | None | $630.96 | $870.96 | $1,380.38 |
Medica Setting Professional Modifier None (both parts) Typical Low $478.63 Median $870.96 Typical High $3,388.44 | Professional | None (both parts) | $478.63 | $870.96 | $3,388.44 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $87.10 Median $154.88 Typical High $524.81 | Professional | 26 · Professional part | $87.10 | $154.88 | $524.81 |
Medica Setting Professional Modifier TC · Technical part Typical Low $346.74 Median $562.34 Typical High $2,951.21 | Professional | TC · Technical part | $346.74 | $562.34 | $2,951.21 |
Midlands Setting Professional Modifier None Typical Low $676.08 Median $741.31 Typical High $1,096.48 | Professional | None | $676.08 | $741.31 | $1,096.48 |
Midlands Setting Professional Modifier 26 · Professional part Typical Low $158.49 Median $165.96 Typical High $239.88 | Professional | 26 · Professional part | $158.49 | $165.96 | $239.88 |
Midlands Setting Professional Modifier TC · Technical part Typical Low $524.81 Median $562.34 Typical High $851.14 | Professional | TC · Technical part | $524.81 | $562.34 | $851.14 |
Midlands 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 |
Midlands Setting Professional Modifier None (both parts) Typical Low $645.65 Median $831.76 Typical High $2,137.96 | Professional | None (both parts) | $645.65 | $831.76 | $2,137.96 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $79.43 Median $281.84 Typical High $602.56 | Professional | None (both parts) | $79.43 | $281.84 | $602.56 |
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 $398.11 Median $575.44 Typical High $1,023.29 | Professional | None (both parts) | $398.11 | $575.44 | $1,023.29 |
United Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $120.23 Typical High $223.87 | Professional | 26 · Professional part | $81.28 | $120.23 | $223.87 |
United Setting Professional Modifier TC · Technical part Typical Low $309.03 Median $478.63 Typical High $794.33 | Professional | TC · Technical part | $309.03 | $478.63 | $794.33 |
Wellmark Setting Professional Modifier None (both parts) Typical Low $776.25 Median $776.25 Typical High $870.96 | Professional | None (both parts) | $776.25 | $776.25 | $870.96 |
Wellmark Setting Professional Modifier 26 · Professional part Typical Low $173.78 Median $173.78 Typical High $199.53 | Professional | 26 · Professional part | $173.78 | $173.78 | $199.53 |
Wellmark Setting Professional Modifier TC · Technical part Typical Low $588.84 Median $588.84 Typical High $676.08 | Professional | TC · Technical part | $588.84 | $588.84 | $676.08 |
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 $173.78 Median $173.78 Typical High $338.84 | Professional | 52 · Reduced service | $173.78 | $173.78 | $338.84 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $69.18 Median $69.18 Typical High $134.90 | Professional | 53 · Discontinued | $69.18 | $69.18 | $134.90 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $275.42 Median $275.42 Typical High $363.08 | Professional | FX · Film X-ray | $275.42 | $275.42 | $363.08 |
Where Iowa sits
The same service costs 5.4 times more in Wyoming than in Utah. 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· 8th of 51
$708
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.