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 $331.13 Median $630.96 Typical High $676.08 | Facility | None | $331.13 | $630.96 | $676.08 |
Aetna Setting Professional Modifier None (both parts) Typical Low $331.13 Median $426.58 Typical High $758.58 | Professional | None (both parts) | $331.13 | $426.58 | $758.58 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $95.50 Typical High $186.21 | Professional | 26 · Professional part | $79.43 | $95.50 | $186.21 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $245.47 Median $302.00 Typical High $562.34 | Professional | TC · Technical part | $245.47 | $302.00 | $562.34 |
Cigna Setting Facility Modifier None Typical Low $1,621.81 Median $1,621.81 Typical High $1,621.81 | Facility | None | $1,621.81 | $1,621.81 | $1,621.81 |
Cigna Setting Professional Modifier None (both parts) Typical Low $457.09 Median $691.83 Typical High $1,023.29 | Professional | None (both parts) | $457.09 | $691.83 | $1,023.29 |
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 $363.08 Median $524.81 Typical High $794.33 | Professional | TC · Technical part | $363.08 | $524.81 | $794.33 |
Hally Health Setting Professional Modifier None Typical Low $275.42 Median $549.54 Typical High $1,621.81 | Professional | None | $275.42 | $549.54 | $1,621.81 |
Hally Health Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $138.04 Typical High $354.81 | Professional | 26 · Professional part | $70.79 | $138.04 | $354.81 |
Hally Health Setting Professional Modifier TC · Technical part Typical Low $204.17 Median $416.87 Typical High $1,348.96 | Professional | TC · Technical part | $204.17 | $416.87 | $1,348.96 |
Medica Setting Facility Modifier None Typical Low $630.96 Median $1,000.00 Typical High $2,290.87 | Facility | None | $630.96 | $1,000.00 | $2,290.87 |
Medica Setting Professional Modifier None (both parts) Typical Low $446.68 Median $870.96 Typical High $3,311.31 | Professional | None (both parts) | $446.68 | $870.96 | $3,311.31 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $87.10 Median $154.88 Typical High $602.56 | Professional | 26 · Professional part | $87.10 | $154.88 | $602.56 |
Medica Setting Professional Modifier TC · Technical part Typical Low $316.23 Median $524.81 Typical High $2,951.21 | Professional | TC · Technical part | $316.23 | $524.81 | $2,951.21 |
Midlands Setting Professional Modifier None Typical Low $645.65 Median $691.83 Typical High $1,023.29 | Professional | None | $645.65 | $691.83 | $1,023.29 |
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 $489.78 Median $524.81 Typical High $794.33 | Professional | TC · Technical part | $489.78 | $524.81 | $794.33 |
Midlands Setting Facility Modifier None Typical Low $1,621.81 Median $1,621.81 Typical High $1,621.81 | Facility | None | $1,621.81 | $1,621.81 | $1,621.81 |
Midlands Setting Professional Modifier None (both parts) Typical Low $616.60 Median $794.33 Typical High $2,137.96 | Professional | None (both parts) | $616.60 | $794.33 | $2,137.96 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $79.43 Median $269.15 Typical High $575.44 | Professional | None (both parts) | $79.43 | $269.15 | $575.44 |
United Setting Facility Modifier None Typical Low $1,174.90 Median $1,949.84 Typical High $2,454.71 | Facility | None | $1,174.90 | $1,949.84 | $2,454.71 |
United Setting Professional Modifier None (both parts) Typical Low $371.54 Median $562.34 Typical High $954.99 | Professional | None (both parts) | $371.54 | $562.34 | $954.99 |
United Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $120.23 Typical High $223.87 | Professional | 26 · Professional part | $83.18 | $120.23 | $223.87 |
United Setting Professional Modifier TC · Technical part Typical Low $288.40 Median $457.09 Typical High $724.44 | Professional | TC · Technical part | $288.40 | $457.09 | $724.44 |
Wellmark Setting Professional Modifier None (both parts) Typical Low $741.31 Median $741.31 Typical High $831.76 | Professional | None (both parts) | $741.31 | $741.31 | $831.76 |
Wellmark Setting Professional Modifier 26 · Professional part Typical Low $173.78 Median $173.78 Typical High $199.53 | Professional | 26 · Professional part | $173.78 | $173.78 | $199.53 |
Wellmark Setting Professional Modifier TC · Technical part Typical Low $562.34 Median $562.34 Typical High $630.96 | Professional | TC · Technical part | $562.34 | $562.34 | $630.96 |
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 $162.18 Median $165.96 Typical High $316.23 | Professional | 52 · Reduced service | $162.18 | $165.96 | $316.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $66.07 Median $66.07 Typical High $125.89 | Professional | 53 · Discontinued | $66.07 | $66.07 | $125.89 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $263.03 Median $263.03 Typical High $346.74 | Professional | FX · Film X-ray | $263.03 | $263.03 | $346.74 |
Where Iowa sits
The same service costs 5.4 times more in Wyoming than in Texas. 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· 7th of 51
$661
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.