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 $173.78 | Facility | None | $109.65 | $109.65 | $173.78 |
Aetna Setting Professional Modifier None (both parts) Typical Low $109.65 Median $114.82 Typical High $186.21 | Professional | None (both parts) | $109.65 | $114.82 | $186.21 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $24.55 Typical High $40.74 | Professional | 26 · Professional part | $23.99 | $24.55 | $40.74 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $87.10 Typical High $144.54 | Professional | TC · Technical part | $85.11 | $87.10 | $144.54 |
Cigna Setting Facility Modifier None Typical Low $354.81 Median $354.81 Typical High $354.81 | Facility | None | $354.81 | $354.81 | $354.81 |
Cigna Setting Professional Modifier None (both parts) Typical Low $125.89 Median $275.42 Typical High $363.08 | Professional | None (both parts) | $125.89 | $275.42 | $363.08 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $58.88 Typical High $79.43 | Professional | 26 · Professional part | $31.62 | $58.88 | $79.43 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $213.80 Typical High $281.84 | Professional | TC · Technical part | $95.50 | $213.80 | $281.84 |
Hally Health Setting Professional Modifier None Typical Low $107.15 Median $173.78 Typical High $251.19 | Professional | None | $107.15 | $173.78 | $251.19 |
Hally Health Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $45.71 Typical High $57.54 | Professional | 26 · Professional part | $25.12 | $45.71 | $57.54 |
Hally Health Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $125.89 Typical High $194.98 | Professional | TC · Technical part | $83.18 | $125.89 | $194.98 |
Medica Setting Facility Modifier None Typical Low $173.78 Median $275.42 Typical High $870.96 | Facility | None | $173.78 | $275.42 | $870.96 |
Medica Setting Professional Modifier None (both parts) Typical Low $131.83 Median $239.88 Typical High $870.96 | Professional | None (both parts) | $131.83 | $239.88 | $870.96 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $53.70 Typical High $194.98 | Professional | 26 · Professional part | $28.18 | $53.70 | $194.98 |
Medica Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $162.18 Typical High $691.83 | Professional | TC · Technical part | $91.20 | $162.18 | $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 $56.23 Median $58.88 Typical High $70.79 | Professional | 26 · Professional part | $56.23 | $58.88 | $70.79 |
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 $354.81 Median $354.81 Typical High $354.81 | Facility | None | $354.81 | $354.81 | $354.81 |
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 $112.20 Median $141.25 Typical High $239.88 | Professional | None (both parts) | $112.20 | $141.25 | $239.88 |
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 $83.18 Median $109.65 Typical High $186.21 | Professional | TC · Technical part | $83.18 | $109.65 | $186.21 |
Wellmark Setting Professional Modifier None (both parts) Typical Low $234.42 Median $234.42 Typical High $263.03 | Professional | None (both parts) | $234.42 | $234.42 | $263.03 |
Wellmark Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $48.98 Typical High $56.23 | Professional | 26 · Professional part | $48.98 | $48.98 | $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 $83.18 | Professional | 52 · Reduced service | $54.95 | $54.95 | $83.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $21.88 Median $21.88 Typical High $33.11 | Professional | 53 · Discontinued | $21.88 | $21.88 | $33.11 |
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 3.9 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.