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 $109.65 Median $109.65 Typical High $158.49 | Facility | None | $109.65 | $109.65 | $158.49 |
Aetna Setting Professional Modifier None (both parts) Typical Low $100.00 Median $109.65 Typical High $186.21 | Professional | None (both parts) | $100.00 | $109.65 | $186.21 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $25.12 Typical High $41.69 | Professional | 26 · Professional part | $23.99 | $25.12 | $41.69 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $83.18 Typical High $141.25 | Professional | TC · Technical part | $75.86 | $83.18 | $141.25 |
Cigna Setting Facility Modifier None Typical Low $346.74 Median $346.74 Typical High $346.74 | Facility | None | $346.74 | $346.74 | $346.74 |
Cigna Setting Professional Modifier None (both parts) Typical Low $125.89 Median $275.42 Typical High $354.81 | Professional | None (both parts) | $125.89 | $275.42 | $354.81 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $60.26 Typical High $81.28 | Professional | 26 · Professional part | $30.90 | $60.26 | $81.28 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $213.80 Typical High $269.15 | Professional | TC · Technical part | $95.50 | $213.80 | $269.15 |
Hally Health Setting Professional Modifier None Typical Low $107.15 Median $173.78 Typical High $295.12 | Professional | None | $107.15 | $173.78 | $295.12 |
Hally Health Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $45.71 Typical High $74.13 | Professional | 26 · Professional part | $25.70 | $45.71 | $74.13 |
Hally Health Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $125.89 Typical High $218.78 | Professional | TC · Technical part | $83.18 | $125.89 | $218.78 |
Medica Setting Facility Modifier None Typical Low $158.49 Median $263.03 Typical High $870.96 | Facility | None | $158.49 | $263.03 | $870.96 |
Medica Setting Professional Modifier None (both parts) Typical Low $125.89 Median $229.09 Typical High $870.96 | Professional | None (both parts) | $125.89 | $229.09 | $870.96 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $53.70 Typical High $199.53 | Professional | 26 · Professional part | $28.84 | $53.70 | $199.53 |
Medica Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $151.36 Typical High $691.83 | Professional | TC · Technical part | $85.11 | $151.36 | $691.83 |
Midlands Setting Professional Modifier None Typical Low $257.04 Median $275.42 Typical High $338.84 | Professional | None | $257.04 | $275.42 | $338.84 |
Midlands Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $60.26 Typical High $72.44 | Professional | 26 · Professional part | $57.54 | $60.26 | $72.44 |
Midlands Setting Professional Modifier TC · Technical part Typical Low $199.53 Median $213.80 Typical High $269.15 | Professional | TC · Technical part | $199.53 | $213.80 | $269.15 |
Midlands Setting Facility Modifier None Typical Low $346.74 Median $346.74 Typical High $346.74 | Facility | None | $346.74 | $346.74 | $346.74 |
Midlands Setting Professional Modifier None (both parts) Typical Low $213.80 Median $295.12 Typical High $389.05 | Professional | None (both parts) | $213.80 | $295.12 | $389.05 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $30.20 Median $117.49 Typical High $239.88 | Professional | None (both parts) | $30.20 | $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 $109.65 Median $138.04 Typical High $229.09 | Professional | None (both parts) | $109.65 | $138.04 | $229.09 |
United Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $35.48 Typical High $57.54 | Professional | 26 · Professional part | $28.18 | $35.48 | $57.54 |
United Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $102.33 Typical High $173.78 | Professional | TC · Technical part | $81.28 | $102.33 | $173.78 |
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 $50.12 Median $50.12 Typical High $56.23 | Professional | 26 · Professional part | $50.12 | $50.12 | $56.23 |
Wellmark Setting Professional Modifier TC · Technical part Typical Low $186.21 Median $186.21 Typical High $208.93 | Professional | TC · Technical part | $186.21 | $186.21 | $208.93 |
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 $54.95 Median $54.95 Typical High $81.28 | Professional | 52 · Reduced service | $54.95 | $54.95 | $81.28 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $21.88 Median $21.88 Typical High $32.36 | Professional | 53 · Discontinued | $21.88 | $21.88 | $32.36 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $87.10 Median $87.10 Typical High $100.00 | Professional | FX · Film X-ray | $87.10 | $87.10 | $100.00 |
Where Iowa sits
The same service costs 3.8 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· 10th 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.