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 $93.33 Median $93.33 Typical High $190.55 | Facility | None | $93.33 | $93.33 | $190.55 |
Aetna Setting Professional Modifier None (both parts) Typical Low $93.33 Median $114.82 Typical High $177.83 | Professional | None (both parts) | $93.33 | $114.82 | $177.83 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $26.92 Typical High $44.67 | Professional | 26 · Professional part | $23.99 | $26.92 | $44.67 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $67.61 Median $93.33 Typical High $144.54 | Professional | TC · Technical part | $67.61 | $93.33 | $144.54 |
Cigna Setting Facility Modifier None Typical Low $446.68 Median $446.68 Typical High $446.68 | Facility | None | $446.68 | $446.68 | $446.68 |
Cigna Setting Professional Modifier None (both parts) Typical Low $147.91 Median $234.42 Typical High $338.84 | Professional | None (both parts) | $147.91 | $234.42 | $338.84 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $66.07 Typical High $87.10 | Professional | 26 · Professional part | $30.90 | $66.07 | $87.10 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $112.20 Median $169.82 Typical High $257.04 | Professional | TC · Technical part | $112.20 | $169.82 | $257.04 |
Hally Health Setting Professional Modifier None Typical Low $93.33 Median $173.78 Typical High $346.74 | Professional | None | $93.33 | $173.78 | $346.74 |
Hally Health Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $46.77 Typical High $72.44 | Professional | 26 · Professional part | $28.18 | $46.77 | $72.44 |
Hally Health Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $123.03 Typical High $251.19 | Professional | TC · Technical part | $66.07 | $123.03 | $251.19 |
Medica Setting Facility Modifier None Typical Low $190.55 Median $323.59 Typical High $870.96 | Facility | None | $190.55 | $323.59 | $870.96 |
Medica Setting Professional Modifier None (both parts) Typical Low $138.04 Median $229.09 Typical High $954.99 | Professional | None (both parts) | $138.04 | $229.09 | $954.99 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $52.48 Typical High $234.42 | Professional | 26 · Professional part | $28.84 | $52.48 | $234.42 |
Medica Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $181.97 Typical High $794.33 | Professional | TC · Technical part | $97.72 | $181.97 | $794.33 |
Midlands Setting Professional Modifier None Typical Low $218.78 Median $234.42 Typical High $331.13 | Professional | None | $218.78 | $234.42 | $331.13 |
Midlands Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $66.07 Typical High $79.43 | Professional | 26 · Professional part | $61.66 | $66.07 | $79.43 |
Midlands Setting Professional Modifier TC · Technical part Typical Low $158.49 Median $169.82 Typical High $257.04 | Professional | TC · Technical part | $158.49 | $169.82 | $257.04 |
Midlands Setting Facility Modifier None Typical Low $446.68 Median $446.68 Typical High $446.68 | Facility | None | $446.68 | $446.68 | $446.68 |
Midlands Setting Professional Modifier None (both parts) Typical Low $208.93 Median $263.03 Typical High $457.09 | Professional | None (both parts) | $208.93 | $263.03 | $457.09 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $34.67 Median $95.50 Typical High $213.80 | Professional | None (both parts) | $34.67 | $95.50 | $213.80 |
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 $120.23 Median $154.88 Typical High $251.19 | Professional | None (both parts) | $120.23 | $154.88 | $251.19 |
United Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $34.67 Typical High $57.54 | Professional | 26 · Professional part | $27.54 | $34.67 | $57.54 |
United Setting Professional Modifier TC · Technical part Typical Low $93.33 Median $120.23 Typical High $199.53 | Professional | TC · Technical part | $93.33 | $120.23 | $199.53 |
Wellmark Setting Professional Modifier None (both parts) Typical Low $204.17 Median $204.17 Typical High $234.42 | Professional | None (both parts) | $204.17 | $204.17 | $234.42 |
Wellmark Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $56.23 Typical High $63.10 | Professional | 26 · Professional part | $56.23 | $56.23 | $63.10 |
Wellmark Setting Professional Modifier TC · Technical part Typical Low $151.36 Median $151.36 Typical High $169.82 | Professional | TC · Technical part | $151.36 | $151.36 | $169.82 |
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 $46.77 Median $50.12 Typical High $81.28 | Professional | 52 · Reduced service | $46.77 | $50.12 | $81.28 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $18.62 Median $19.95 Typical High $32.36 | Professional | 53 · Discontinued | $18.62 | $19.95 | $32.36 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $75.86 Median $75.86 Typical High $100.00 | Professional | FX · Film X-ray | $75.86 | $75.86 | $100.00 |
Where Iowa sits
The same service costs 3.5 times more in Alaska than in Texas. 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
$191
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.