How much rates vary
Facilitymedian $81 · 10th to 90th $46 to $229Professionalmedian $47 · 10th to 90th $22 to $81
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 $28.18 Median $45.71 Typical High $66.07 | Facility | None | $28.18 | $45.71 | $66.07 |
Aetna Setting Professional Modifier None (both parts) Typical Low $26.30 Median $30.20 Typical High $61.66 | Professional | None (both parts) | $26.30 | $30.20 | $61.66 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $6.92 Median $7.59 Typical High $15.85 | Professional | 26 · Professional part | $6.92 | $7.59 | $15.85 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $19.05 Median $22.39 Typical High $47.86 | Professional | TC · Technical part | $19.05 | $22.39 | $47.86 |
Cigna Setting Facility Modifier None Typical Low $95.50 Median $95.50 Typical High $95.50 | Facility | None | $95.50 | $95.50 | $95.50 |
Cigna Setting Professional Modifier None (both parts) Typical Low $31.62 Median $70.79 Typical High $91.20 | Professional | None (both parts) | $31.62 | $70.79 | $91.20 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $9.55 Median $16.98 Typical High $21.88 | Professional | 26 · Professional part | $9.55 | $16.98 | $21.88 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $22.39 Median $53.70 Typical High $67.61 | Professional | TC · Technical part | $22.39 | $53.70 | $67.61 |
Hally Health Setting Professional Modifier None Typical Low $28.18 Median $42.66 Typical High $72.44 | Professional | None | $28.18 | $42.66 | $72.44 |
Hally Health Setting Professional Modifier 26 · Professional part Typical Low $7.24 Median $12.88 Typical High $30.20 | Professional | 26 · Professional part | $7.24 | $12.88 | $30.20 |
Hally Health Setting Professional Modifier TC · Technical part Typical Low $20.89 Median $29.51 Typical High $50.12 | Professional | TC · Technical part | $20.89 | $29.51 | $50.12 |
Medica Setting Facility Modifier None Typical Low $45.71 Median $69.18 Typical High $223.87 | Facility | None | $45.71 | $69.18 | $223.87 |
Medica Setting Professional Modifier None (both parts) Typical Low $32.36 Median $58.88 Typical High $208.93 | Professional | None (both parts) | $32.36 | $58.88 | $208.93 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $8.32 Median $15.49 Typical High $67.61 | Professional | 26 · Professional part | $8.32 | $15.49 | $67.61 |
Medica Setting Professional Modifier TC · Technical part Typical Low $20.89 Median $38.90 Typical High $158.49 | Professional | TC · Technical part | $20.89 | $38.90 | $158.49 |
Midlands Setting Professional Modifier None Typical Low $64.57 Median $70.79 Typical High $83.18 | Professional | None | $64.57 | $70.79 | $83.18 |
Midlands Setting Professional Modifier 26 · Professional part Typical Low $15.85 Median $16.98 Typical High $20.42 | Professional | 26 · Professional part | $15.85 | $16.98 | $20.42 |
Midlands Setting Professional Modifier TC · Technical part Typical Low $48.98 Median $53.70 Typical High $63.10 | Professional | TC · Technical part | $48.98 | $53.70 | $63.10 |
Midlands Setting Facility Modifier None Typical Low $95.50 Median $95.50 Typical High $95.50 | Facility | None | $95.50 | $95.50 | $95.50 |
Midlands Setting Professional Modifier None (both parts) Typical Low $58.88 Median $75.86 Typical High $95.50 | Professional | None (both parts) | $58.88 | $75.86 | $95.50 |
Oscar Health Setting Facility Modifier None Typical Low $138.04 Median $138.04 Typical High $138.04 | Facility | None | $138.04 | $138.04 | $138.04 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $8.51 Median $27.54 Typical High $58.88 | Professional | None (both parts) | $8.51 | $27.54 | $58.88 |
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 $28.84 Median $35.48 Typical High $60.26 | Professional | None (both parts) | $28.84 | $35.48 | $60.26 |
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 $20.89 Median $25.12 Typical High $42.66 | Professional | TC · Technical part | $20.89 | $25.12 | $42.66 |
Wellmark Setting Professional Modifier None (both parts) Typical Low $57.54 Median $57.54 Typical High $64.57 | Professional | None (both parts) | $57.54 | $57.54 | $64.57 |
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 $42.66 Median $42.66 Typical High $48.98 | Professional | TC · Technical part | $42.66 | $42.66 | $48.98 |
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 $13.80 Median $14.13 Typical High $20.42 | Professional | 52 · Reduced service | $13.80 | $14.13 | $20.42 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.50 Median $5.62 Typical High $8.13 | Professional | 53 · Discontinued | $5.50 | $5.62 | $8.13 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $22.39 Median $22.39 Typical High $25.12 | Professional | FX · Film X-ray | $22.39 | $22.39 | $25.12 |
Where Iowa sits
The same service costs 3.8 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
AK $95.50FL $25.12
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.