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 $213.80 Median $363.08 Typical High $436.52 | Facility | None | $213.80 | $363.08 | $436.52 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $69.18 Median $117.49 Typical High $134.90 | Facility | 26 · Professional part | $69.18 | $117.49 | $134.90 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $144.54 Median $288.40 Typical High $660.69 | Facility | TC · Technical part | $144.54 | $288.40 | $660.69 |
Aetna Setting Professional Modifier None (both parts) Typical Low $213.80 Median $302.00 Typical High $616.60 | Professional | None (both parts) | $213.80 | $302.00 | $616.60 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $100.00 Typical High $165.96 | Professional | 26 · Professional part | $66.07 | $100.00 | $165.96 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $144.54 Median $204.17 Typical High $446.68 | Professional | TC · Technical part | $144.54 | $204.17 | $446.68 |
Cigna Setting Facility Modifier None Typical Low $1,513.56 Median $1,513.56 Typical High $1,513.56 | Facility | None | $1,513.56 | $1,513.56 | $1,513.56 |
Cigna Setting Professional Modifier None (both parts) Typical Low $380.19 Median $457.09 Typical High $660.69 | Professional | None (both parts) | $380.19 | $457.09 | $660.69 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $138.04 Typical High $199.53 | Professional | 26 · Professional part | $75.86 | $138.04 | $199.53 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $269.15 Median $316.23 Typical High $489.78 | Professional | TC · Technical part | $269.15 | $316.23 | $489.78 |
Hally Health Setting Professional Modifier None Typical Low $181.97 Median $363.08 Typical High $1,318.26 | Professional | None | $181.97 | $363.08 | $1,318.26 |
Hally Health Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $109.65 Typical High $218.78 | Professional | 26 · Professional part | $60.26 | $109.65 | $218.78 |
Hally Health Setting Professional Modifier TC · Technical part Typical Low $120.23 Median $245.47 Typical High $1,148.15 | Professional | TC · Technical part | $120.23 | $245.47 | $1,148.15 |
Medica Setting Facility Modifier None Typical Low $389.05 Median $660.69 Typical High $1,548.82 | Facility | None | $389.05 | $660.69 | $1,548.82 |
Medica Setting Professional Modifier None (both parts) Typical Low $281.84 Median $588.84 Typical High $2,818.38 | Professional | None (both parts) | $281.84 | $588.84 | $2,818.38 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $72.44 Median $131.83 Typical High $524.81 | Professional | 26 · Professional part | $72.44 | $131.83 | $524.81 |
Medica Setting Professional Modifier TC · Technical part Typical Low $177.83 Median $416.87 Typical High $2,454.71 | Professional | TC · Technical part | $177.83 | $416.87 | $2,454.71 |
Midlands Setting Professional Modifier None Typical Low $416.87 Median $457.09 Typical High $660.69 | Professional | None | $416.87 | $457.09 | $660.69 |
Midlands Setting Professional Modifier 26 · Professional part Typical Low $131.83 Median $138.04 Typical High $199.53 | Professional | 26 · Professional part | $131.83 | $138.04 | $199.53 |
Midlands Setting Professional Modifier TC · Technical part Typical Low $288.40 Median $316.23 Typical High $457.09 | Professional | TC · Technical part | $288.40 | $316.23 | $457.09 |
Midlands Setting Facility Modifier None Typical Low $1,513.56 Median $1,513.56 Typical High $1,513.56 | Facility | None | $1,513.56 | $1,513.56 | $1,513.56 |
Midlands Setting Professional Modifier None (both parts) Typical Low $398.11 Median $512.86 Typical High $1,778.28 | Professional | None (both parts) | $398.11 | $512.86 | $1,778.28 |
Oscar Health Setting Facility Modifier None Typical Low $239.88 Median $1,202.26 Typical High $3,311.31 | Facility | None | $239.88 | $1,202.26 | $3,311.31 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $66.07 Median $158.49 Typical High $371.54 | Professional | None (both parts) | $66.07 | $158.49 | $371.54 |
United Setting Facility Modifier None Typical Low $354.81 Median $602.56 Typical High $758.58 | Facility | None | $354.81 | $602.56 | $758.58 |
United Setting Professional Modifier None (both parts) Typical Low $234.42 Median $371.54 Typical High $602.56 | Professional | None (both parts) | $234.42 | $371.54 | $602.56 |
United Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $100.00 Typical High $186.21 | Professional | 26 · Professional part | $67.61 | $100.00 | $186.21 |
United Setting Professional Modifier TC · Technical part Typical Low $162.18 Median $257.04 Typical High $478.63 | Professional | TC · Technical part | $162.18 | $257.04 | $478.63 |
Wellmark Setting Professional Modifier None (both parts) Typical Low $478.63 Median $478.63 Typical High $537.03 | Professional | None (both parts) | $478.63 | $478.63 | $537.03 |
Wellmark Setting Professional Modifier 26 · Professional part Typical Low $147.91 Median $147.91 Typical High $165.96 | Professional | 26 · Professional part | $147.91 | $147.91 | $165.96 |
Wellmark Setting Professional Modifier TC · Technical part Typical Low $331.13 Median $331.13 Typical High $371.54 | Professional | TC · Technical part | $331.13 | $331.13 | $371.54 |
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 $107.15 Median $107.15 Typical High $234.42 | Professional | 52 · Reduced service | $107.15 | $107.15 | $234.42 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $42.66 Median $42.66 Typical High $93.33 | Professional | 53 · Discontinued | $42.66 | $42.66 | $93.33 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $173.78 Median $173.78 Typical High $338.84 | Professional | FX · Film X-ray | $173.78 | $173.78 | $338.84 |
Where Iowa sits
The same service costs 13.5 times more in Vermont 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· 17th of 51
$437
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.