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 $229.09 Median $446.68 Typical High $501.19 | Facility | None | $229.09 | $446.68 | $501.19 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $165.96 Median $346.74 Typical High $691.83 | Facility | TC · Technical part | $165.96 | $346.74 | $691.83 |
Aetna Setting Professional Modifier None (both parts) Typical Low $229.09 Median $275.42 Typical High $512.86 | Professional | None (both parts) | $229.09 | $275.42 | $512.86 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $60.26 Typical High $128.82 | Professional | 26 · Professional part | $54.95 | $60.26 | $128.82 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $165.96 Median $213.80 Typical High $398.11 | Professional | TC · Technical part | $165.96 | $213.80 | $398.11 |
Cigna Setting Facility Modifier None Typical Low $1,023.29 Median $1,023.29 Typical High $1,023.29 | Facility | None | $1,023.29 | $1,023.29 | $1,023.29 |
Cigna Setting Professional Modifier None (both parts) Typical Low $331.13 Median $512.86 Typical High $707.95 | Professional | None (both parts) | $331.13 | $512.86 | $707.95 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $72.44 Median $131.83 Typical High $173.78 | Professional | 26 · Professional part | $72.44 | $131.83 | $173.78 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $251.19 Median $380.19 Typical High $524.81 | Professional | TC · Technical part | $251.19 | $380.19 | $524.81 |
Hally Health Setting Professional Modifier None Typical Low $204.17 Median $398.11 Typical High $870.96 | Professional | None | $204.17 | $398.11 | $870.96 |
Hally Health Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $104.71 Typical High $251.19 | Professional | 26 · Professional part | $56.23 | $104.71 | $251.19 |
Hally Health Setting Professional Modifier TC · Technical part Typical Low $147.91 Median $302.00 Typical High $602.56 | Professional | TC · Technical part | $147.91 | $302.00 | $602.56 |
Medica Setting Facility Modifier None Typical Low $371.54 Median $616.60 Typical High $691.83 | Facility | None | $371.54 | $616.60 | $691.83 |
Medica Setting Professional Modifier None (both parts) Typical Low $263.03 Median $501.19 Typical High $1,862.09 | Professional | None (both parts) | $263.03 | $501.19 | $1,862.09 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $117.49 Typical High $446.68 | Professional | 26 · Professional part | $66.07 | $117.49 | $446.68 |
Medica Setting Professional Modifier TC · Technical part Typical Low $186.21 Median $323.59 Typical High $2,089.30 | Professional | TC · Technical part | $186.21 | $323.59 | $2,089.30 |
Midlands Setting Professional Modifier None Typical Low $478.63 Median $512.86 Typical High $676.08 | Professional | None | $478.63 | $512.86 | $676.08 |
Midlands Setting Professional Modifier 26 · Professional part Typical Low $123.03 Median $131.83 Typical High $165.96 | Professional | 26 · Professional part | $123.03 | $131.83 | $165.96 |
Midlands Setting Professional Modifier TC · Technical part Typical Low $354.81 Median $380.19 Typical High $512.86 | Professional | TC · Technical part | $354.81 | $380.19 | $512.86 |
Midlands Setting Facility Modifier None Typical Low $1,023.29 Median $1,023.29 Typical High $1,023.29 | Facility | None | $1,023.29 | $1,023.29 | $1,023.29 |
Midlands Setting Professional Modifier None (both parts) Typical Low $446.68 Median $562.34 Typical High $1,174.90 | Professional | None (both parts) | $446.68 | $562.34 | $1,174.90 |
Oscar Health Setting Facility Modifier None Typical Low $177.83 Median $177.83 Typical High $177.83 | Facility | None | $177.83 | $177.83 | $177.83 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $63.10 Median $213.80 Typical High $416.87 | Professional | None (both parts) | $63.10 | $213.80 | $416.87 |
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 $251.19 Median $309.03 Typical High $501.19 | Professional | None (both parts) | $251.19 | $309.03 | $501.19 |
United Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $77.62 Typical High $141.25 | Professional | 26 · Professional part | $63.10 | $77.62 | $141.25 |
United Setting Professional Modifier TC · Technical part Typical Low $186.21 Median $223.87 Typical High $363.08 | Professional | TC · Technical part | $186.21 | $223.87 | $363.08 |
Wellmark Setting Professional Modifier None (both parts) Typical Low $446.68 Median $446.68 Typical High $512.86 | Professional | None (both parts) | $446.68 | $446.68 | $512.86 |
Wellmark Setting Professional Modifier 26 · Professional part Typical Low $114.82 Median $114.82 Typical High $128.82 | Professional | 26 · Professional part | $114.82 | $114.82 | $128.82 |
Wellmark Setting Professional Modifier TC · Technical part Typical Low $331.13 Median $331.13 Typical High $380.19 | Professional | TC · Technical part | $331.13 | $331.13 | $380.19 |
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 $112.20 Median $112.20 Typical High $186.21 | Professional | 52 · Reduced service | $112.20 | $112.20 | $186.21 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $45.71 Median $45.71 Typical High $74.13 | Professional | 53 · Discontinued | $45.71 | $45.71 | $74.13 |
Aetna Setting Professional Modifier CT · Older CT scanner Typical Low $190.55 Median $190.55 Typical High $234.42 | Professional | CT · Older CT scanner | $190.55 | $190.55 | $234.42 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $181.97 Median $181.97 Typical High $218.78 | Professional | FX · Film X-ray | $181.97 | $181.97 | $218.78 |
Where Iowa sits
The same service costs 4.5 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· 8th of 51
$447
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.