How much rates vary
Facilitymedian $117 · 10th to 90th $55 to $1,000Professionalmedian $49 · 10th to 90th $22 to $89
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 $29.51 Median $54.95 Typical High $70.79 | Facility | None | $29.51 | $54.95 | $70.79 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $7.24 Median $13.80 Typical High $16.60 | Facility | 26 · Professional part | $7.24 | $13.80 | $16.60 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $22.39 Median $44.67 Typical High $85.11 | Facility | TC · Technical part | $22.39 | $44.67 | $85.11 |
Aetna Setting Professional Modifier None (both parts) Typical Low $28.84 Median $31.62 Typical High $64.57 | Professional | None (both parts) | $28.84 | $31.62 | $64.57 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $7.08 Median $7.76 Typical High $15.49 | Professional | 26 · Professional part | $7.08 | $7.76 | $15.49 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $21.38 Median $23.99 Typical High $51.29 | Professional | TC · Technical part | $21.38 | $23.99 | $51.29 |
Cigna Setting Facility Modifier None Typical Low $104.71 Median $104.71 Typical High $104.71 | Facility | None | $104.71 | $104.71 | $104.71 |
Cigna Setting Professional Modifier None (both parts) Typical Low $33.88 Median $74.13 Typical High $102.33 | Professional | None (both parts) | $33.88 | $74.13 | $102.33 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $10.00 Median $17.38 Typical High $22.91 | Professional | 26 · Professional part | $10.00 | $17.38 | $22.91 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $23.99 Median $57.54 Typical High $77.62 | Professional | TC · Technical part | $23.99 | $57.54 | $77.62 |
Hally Health Setting Professional Modifier None Typical Low $29.51 Median $46.77 Typical High $79.43 | Professional | None | $29.51 | $46.77 | $79.43 |
Hally Health Setting Professional Modifier 26 · Professional part Typical Low $7.59 Median $13.49 Typical High $33.11 | Professional | 26 · Professional part | $7.59 | $13.49 | $33.11 |
Hally Health Setting Professional Modifier TC · Technical part Typical Low $22.39 Median $31.62 Typical High $53.70 | Professional | TC · Technical part | $22.39 | $31.62 | $53.70 |
Medica Setting Facility Modifier None Typical Low $54.95 Median $120.23 Typical High $251.19 | Facility | None | $54.95 | $120.23 | $251.19 |
Medica Setting Professional Modifier None (both parts) Typical Low $33.11 Median $60.26 Typical High $223.87 | Professional | None (both parts) | $33.11 | $60.26 | $223.87 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $8.71 Median $15.85 Typical High $70.79 | Professional | 26 · Professional part | $8.71 | $15.85 | $70.79 |
Medica Setting Professional Modifier TC · Technical part Typical Low $21.88 Median $41.69 Typical High $169.82 | Professional | TC · Technical part | $21.88 | $41.69 | $169.82 |
Midlands Setting Professional Modifier None Typical Low $67.61 Median $74.13 Typical High $89.13 | Professional | None | $67.61 | $74.13 | $89.13 |
Midlands Setting Professional Modifier 26 · Professional part Typical Low $16.60 Median $17.38 Typical High $20.42 | Professional | 26 · Professional part | $16.60 | $17.38 | $20.42 |
Midlands Setting Professional Modifier TC · Technical part Typical Low $51.29 Median $57.54 Typical High $67.61 | Professional | TC · Technical part | $51.29 | $57.54 | $67.61 |
Midlands Setting Facility Modifier None Typical Low $104.71 Median $104.71 Typical High $104.71 | Facility | None | $104.71 | $104.71 | $104.71 |
Midlands Setting Professional Modifier None (both parts) Typical Low $64.57 Median $79.43 Typical High $104.71 | Professional | None (both parts) | $64.57 | $79.43 | $104.71 |
Oscar Health Setting Facility Modifier None Typical Low $91.20 Median $512.86 Typical High $1,445.44 | Facility | None | $91.20 | $512.86 | $1,445.44 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $8.51 Median $29.51 Typical High $61.66 | Professional | None (both parts) | $8.51 | $29.51 | $61.66 |
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 $30.20 Median $38.02 Typical High $60.26 | Professional | None (both parts) | $30.20 | $38.02 | $60.26 |
United Setting Professional Modifier 26 · Professional part Typical Low $8.32 Median $10.47 Typical High $16.98 | Professional | 26 · Professional part | $8.32 | $10.47 | $16.98 |
United Setting Professional Modifier TC · Technical part Typical Low $21.38 Median $27.54 Typical High $44.67 | Professional | TC · Technical part | $21.38 | $27.54 | $44.67 |
Wellmark Setting Professional Modifier None (both parts) Typical Low $60.26 Median $60.26 Typical High $67.61 | Professional | None (both parts) | $60.26 | $60.26 | $67.61 |
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 $45.71 Median $45.71 Typical High $52.48 | Professional | TC · Technical part | $45.71 | $45.71 | $52.48 |
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 $14.45 Median $14.79 Typical High $21.38 | Professional | 52 · Reduced service | $14.45 | $14.79 | $21.38 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.89 Median $5.89 Typical High $8.51 | Professional | 53 · Discontinued | $5.89 | $5.89 | $8.51 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $23.44 Median $23.99 Typical High $26.30 | Professional | FX · Film X-ray | $23.44 | $23.99 | $26.30 |
Where Iowa sits
The same service costs 15.1 times more in Vermont 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
$56.23
VT $407FL $26.92
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.