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 $190.55 Median $190.55 Typical High $645.65 | Facility | None | $190.55 | $190.55 | $645.65 |
Aetna Setting Professional Modifier None (both parts) Typical Low $190.55 Median $213.80 Typical High $467.74 | Professional | None (both parts) | $190.55 | $213.80 | $467.74 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $57.54 Typical High $120.23 | Professional | 26 · Professional part | $54.95 | $57.54 | $120.23 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $134.90 Median $154.88 Typical High $346.74 | Professional | TC · Technical part | $134.90 | $154.88 | $346.74 |
Cigna Setting Facility Modifier None Typical Low $1,174.90 Median $1,174.90 Typical High $1,174.90 | Facility | None | $1,174.90 | $1,174.90 | $1,174.90 |
Cigna Setting Professional Modifier None (both parts) Typical Low $309.03 Median $436.52 Typical High $630.96 | Professional | None (both parts) | $309.03 | $436.52 | $630.96 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $123.03 Typical High $165.96 | Professional | 26 · Professional part | $69.18 | $123.03 | $165.96 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $263.03 Median $309.03 Typical High $446.68 | Professional | TC · Technical part | $263.03 | $309.03 | $446.68 |
Hally Health Setting Professional Modifier None Typical Low $173.78 Median $346.74 Typical High $1,047.13 | Professional | None | $173.78 | $346.74 | $1,047.13 |
Hally Health Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $97.72 Typical High $275.42 | Professional | 26 · Professional part | $53.70 | $97.72 | $275.42 |
Hally Health Setting Professional Modifier TC · Technical part Typical Low $120.23 Median $239.88 Typical High $776.25 | Professional | TC · Technical part | $120.23 | $239.88 | $776.25 |
Medica Setting Facility Modifier None Typical Low $331.13 Median $588.84 Typical High $776.25 | Facility | None | $331.13 | $588.84 | $776.25 |
Medica Setting Professional Modifier None (both parts) Typical Low $263.03 Median $512.86 Typical High $2,089.30 | Professional | None (both parts) | $263.03 | $512.86 | $2,089.30 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $112.20 Typical High $380.19 | Professional | 26 · Professional part | $63.10 | $112.20 | $380.19 |
Medica Setting Professional Modifier TC · Technical part Typical Low $173.78 Median $338.84 Typical High $1,737.80 | Professional | TC · Technical part | $173.78 | $338.84 | $1,737.80 |
Midlands Setting Professional Modifier None Typical Low $398.11 Median $436.52 Typical High $562.34 | Professional | None | $398.11 | $436.52 | $562.34 |
Midlands Setting Professional Modifier 26 · Professional part Typical Low $117.49 Median $123.03 Typical High $158.49 | Professional | 26 · Professional part | $117.49 | $123.03 | $158.49 |
Midlands Setting Professional Modifier TC · Technical part Typical Low $281.84 Median $309.03 Typical High $407.38 | Professional | TC · Technical part | $281.84 | $309.03 | $407.38 |
Midlands Setting Facility Modifier None Typical Low $1,174.90 Median $1,174.90 Typical High $1,174.90 | Facility | None | $1,174.90 | $1,174.90 | $1,174.90 |
Midlands Setting Professional Modifier None (both parts) Typical Low $380.19 Median $489.78 Typical High $1,258.93 | Professional | None (both parts) | $380.19 | $489.78 | $1,258.93 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $58.88 Median $154.88 Typical High $354.81 | Professional | None (both parts) | $58.88 | $154.88 | $354.81 |
United Setting Facility Modifier None Typical Low $263.03 Median $436.52 Typical High $549.54 | Facility | None | $263.03 | $436.52 | $549.54 |
United Setting Professional Modifier None (both parts) Typical Low $234.42 Median $295.12 Typical High $549.54 | Professional | None (both parts) | $234.42 | $295.12 | $549.54 |
United Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $74.13 Typical High $134.90 | Professional | 26 · Professional part | $58.88 | $74.13 | $134.90 |
United Setting Professional Modifier TC · Technical part Typical Low $173.78 Median $223.87 Typical High $407.38 | Professional | TC · Technical part | $173.78 | $223.87 | $407.38 |
Wellmark Setting Professional Modifier None (both parts) Typical Low $380.19 Median $380.19 Typical High $426.58 | Professional | None (both parts) | $380.19 | $380.19 | $426.58 |
Wellmark Setting Professional Modifier 26 · Professional part Typical Low $109.65 Median $109.65 Typical High $123.03 | Professional | 26 · Professional part | $109.65 | $109.65 | $123.03 |
Wellmark Setting Professional Modifier TC · Technical part Typical Low $269.15 Median $269.15 Typical High $309.03 | Professional | TC · Technical part | $269.15 | $269.15 | $309.03 |
4 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 $95.50 Median $95.50 Typical High $173.78 | Professional | 52 · Reduced service | $95.50 | $95.50 | $173.78 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $38.02 Median $38.02 Typical High $70.79 | Professional | 53 · Discontinued | $38.02 | $38.02 | $70.79 |
Aetna Setting Professional Modifier CT · Older CT scanner Typical Low $162.18 Median $162.18 Typical High $234.42 | Professional | CT · Older CT scanner | $162.18 | $162.18 | $234.42 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $154.88 Median $154.88 Typical High $218.78 | Professional | FX · Film X-ray | $154.88 | $154.88 | $218.78 |
Where Iowa sits
The same service costs 5.1 times more in Alaska than in Utah. 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· 14th of 51
$389
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.