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 $275.42 Median $275.42 Typical High $812.83 | Facility | None | $275.42 | $275.42 | $812.83 |
Aetna Setting Professional Modifier None (both parts) Typical Low $275.42 Median $323.59 Typical High $602.56 | Professional | None (both parts) | $275.42 | $323.59 | $602.56 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $81.28 Typical High $173.78 | Professional | 26 · Professional part | $79.43 | $81.28 | $173.78 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $194.98 Median $229.09 Typical High $436.52 | Professional | TC · Technical part | $194.98 | $229.09 | $436.52 |
Cigna Setting Facility Modifier None Typical Low $1,698.24 Median $1,698.24 Typical High $1,698.24 | Facility | None | $1,698.24 | $1,698.24 | $1,698.24 |
Cigna Setting Professional Modifier None (both parts) Typical Low $457.09 Median $588.84 Typical High $851.14 | Professional | None (both parts) | $457.09 | $588.84 | $851.14 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $91.20 Median $165.96 Typical High $239.88 | Professional | 26 · Professional part | $91.20 | $165.96 | $239.88 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $380.19 Median $416.87 Typical High $616.60 | Professional | TC · Technical part | $380.19 | $416.87 | $616.60 |
Hally Health Setting Professional Modifier None Typical Low $234.42 Median $457.09 Typical High $1,584.89 | Professional | None | $234.42 | $457.09 | $1,584.89 |
Hally Health Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $138.04 Typical High $380.19 | Professional | 26 · Professional part | $70.79 | $138.04 | $380.19 |
Hally Health Setting Professional Modifier TC · Technical part Typical Low $162.18 Median $323.59 Typical High $1,071.52 | Professional | TC · Technical part | $162.18 | $323.59 | $1,071.52 |
Medica Setting Facility Modifier None Typical Low $524.81 Median $831.76 Typical High $1,380.38 | Facility | None | $524.81 | $831.76 | $1,380.38 |
Medica Setting Professional Modifier None (both parts) Typical Low $371.54 Median $794.33 Typical High $3,311.31 | Professional | None (both parts) | $371.54 | $794.33 | $3,311.31 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $87.10 Median $154.88 Typical High $616.60 | Professional | 26 · Professional part | $87.10 | $154.88 | $616.60 |
Medica Setting Professional Modifier TC · Technical part Typical Low $263.03 Median $524.81 Typical High $2,951.21 | Professional | TC · Technical part | $263.03 | $524.81 | $2,951.21 |
Midlands Setting Professional Modifier None Typical Low $537.03 Median $588.84 Typical High $851.14 | Professional | None | $537.03 | $588.84 | $851.14 |
Midlands Setting Professional Modifier 26 · Professional part Typical Low $158.49 Median $165.96 Typical High $239.88 | Professional | 26 · Professional part | $158.49 | $165.96 | $239.88 |
Midlands Setting Professional Modifier TC · Technical part Typical Low $389.05 Median $416.87 Typical High $616.60 | Professional | TC · Technical part | $389.05 | $416.87 | $616.60 |
Midlands Setting Facility Modifier None Typical Low $1,698.24 Median $1,698.24 Typical High $1,698.24 | Facility | None | $1,698.24 | $1,698.24 | $1,698.24 |
Midlands Setting Professional Modifier None (both parts) Typical Low $512.86 Median $660.69 Typical High $2,137.96 | Professional | None (both parts) | $512.86 | $660.69 | $2,137.96 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $77.62 Median $208.93 Typical High $478.63 | Professional | None (both parts) | $77.62 | $208.93 | $478.63 |
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 $316.23 Median $501.19 Typical High $794.33 | Professional | None (both parts) | $316.23 | $501.19 | $794.33 |
United Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $120.23 Typical High $223.87 | Professional | 26 · Professional part | $81.28 | $120.23 | $223.87 |
United Setting Professional Modifier TC · Technical part Typical Low $223.87 Median $354.81 Typical High $616.60 | Professional | TC · Technical part | $223.87 | $354.81 | $616.60 |
Wellmark Setting Professional Modifier None (both parts) Typical Low $602.56 Median $602.56 Typical High $691.83 | Professional | None (both parts) | $602.56 | $602.56 | $691.83 |
Wellmark Setting Professional Modifier 26 · Professional part Typical Low $173.78 Median $173.78 Typical High $194.98 | Professional | 26 · Professional part | $173.78 | $173.78 | $194.98 |
Wellmark Setting Professional Modifier TC · Technical part Typical Low $436.52 Median $436.52 Typical High $501.19 | Professional | TC · Technical part | $436.52 | $436.52 | $501.19 |
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 $138.04 Median $138.04 Typical High $288.40 | Professional | 52 · Reduced service | $138.04 | $138.04 | $288.40 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $54.95 Median $54.95 Typical High $114.82 | Professional | 53 · Discontinued | $54.95 | $54.95 | $114.82 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $223.87 Median $223.87 Typical High $338.84 | Professional | FX · Film X-ray | $223.87 | $223.87 | $338.84 |
Where Iowa sits
The same service costs 5.5 times more in Wyoming 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· 13th of 51
$562
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.