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 $181.97 Median $281.84 Typical High $398.11 | Facility | None | $181.97 | $281.84 | $398.11 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $81.28 Median $112.20 Typical High $169.82 | Facility | 26 · Professional part | $81.28 | $112.20 | $169.82 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $100.00 Median $194.98 Typical High $363.08 | Facility | TC · Technical part | $100.00 | $194.98 | $363.08 |
Aetna Setting Professional Modifier None (both parts) Typical Low $181.97 Median $213.80 Typical High $407.38 | Professional | None (both parts) | $181.97 | $213.80 | $407.38 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $83.18 Typical High $173.78 | Professional | 26 · Professional part | $75.86 | $83.18 | $173.78 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $128.82 Typical High $239.88 | Professional | TC · Technical part | $100.00 | $128.82 | $239.88 |
Cigna Setting Facility Modifier None Typical Low $724.44 Median $724.44 Typical High $724.44 | Facility | None | $724.44 | $724.44 | $724.44 |
Cigna Setting Professional Modifier None (both parts) Typical Low $257.04 Median $407.38 Typical High $562.34 | Professional | None (both parts) | $257.04 | $407.38 | $562.34 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $102.33 Median $177.83 Typical High $239.88 | Professional | 26 · Professional part | $102.33 | $177.83 | $239.88 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $147.91 Median $229.09 Typical High $316.23 | Professional | TC · Technical part | $147.91 | $229.09 | $316.23 |
Hally Health Setting Professional Modifier None Typical Low $165.96 Median $245.47 Typical High $776.25 | Professional | None | $165.96 | $245.47 | $776.25 |
Hally Health Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $109.65 Typical High $323.59 | Professional | 26 · Professional part | $75.86 | $109.65 | $323.59 |
Hally Health Setting Professional Modifier TC · Technical part Typical Low $89.13 Median $134.90 Typical High $478.63 | Professional | TC · Technical part | $89.13 | $134.90 | $478.63 |
Medica Setting Facility Modifier None Typical Low $281.84 Median $562.34 Typical High $2,137.96 | Facility | None | $281.84 | $562.34 | $2,137.96 |
Medica Setting Professional Modifier None (both parts) Typical Low $218.78 Median $398.11 Typical High $1,230.27 | Professional | None (both parts) | $218.78 | $398.11 | $1,230.27 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $91.20 Median $162.18 Typical High $524.81 | Professional | 26 · Professional part | $91.20 | $162.18 | $524.81 |
Medica Setting Professional Modifier TC · Technical part Typical Low $114.82 Median $194.98 Typical High $1,318.26 | Professional | TC · Technical part | $114.82 | $194.98 | $1,318.26 |
Midlands Setting Professional Modifier None Typical Low $380.19 Median $407.38 Typical High $524.81 | Professional | None | $380.19 | $407.38 | $524.81 |
Midlands Setting Professional Modifier 26 · Professional part Typical Low $169.82 Median $177.83 Typical High $229.09 | Professional | 26 · Professional part | $169.82 | $177.83 | $229.09 |
Midlands Setting Professional Modifier TC · Technical part Typical Low $208.93 Median $229.09 Typical High $302.00 | Professional | TC · Technical part | $208.93 | $229.09 | $302.00 |
Midlands Setting Facility Modifier None Typical Low $724.44 Median $724.44 Typical High $724.44 | Facility | None | $724.44 | $724.44 | $724.44 |
Midlands Setting Professional Modifier None (both parts) Typical Low $354.81 Median $457.09 Typical High $794.33 | Professional | None (both parts) | $354.81 | $457.09 | $794.33 |
Oscar Health Setting Facility Modifier None Typical Low $1,096.48 Median $1,148.15 Typical High $5,128.61 | Facility | None | $1,096.48 | $1,148.15 | $5,128.61 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $85.11 Median $169.82 Typical High $338.84 | Professional | None (both parts) | $85.11 | $169.82 | $338.84 |
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 $199.53 Median $245.47 Typical High $426.58 | Professional | None (both parts) | $199.53 | $245.47 | $426.58 |
United Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $107.15 Typical High $194.98 | Professional | 26 · Professional part | $85.11 | $107.15 | $194.98 |
United Setting Professional Modifier TC · Technical part Typical Low $112.20 Median $138.04 Typical High $234.42 | Professional | TC · Technical part | $112.20 | $138.04 | $234.42 |
Wellmark Setting Professional Modifier None (both parts) Typical Low $354.81 Median $354.81 Typical High $407.38 | Professional | None (both parts) | $354.81 | $354.81 | $407.38 |
Wellmark Setting Professional Modifier 26 · Professional part Typical Low $154.88 Median $154.88 Typical High $177.83 | Professional | 26 · Professional part | $154.88 | $154.88 | $177.83 |
Wellmark Setting Professional Modifier TC · Technical part Typical Low $199.53 Median $199.53 Typical High $229.09 | Professional | TC · Technical part | $199.53 | $199.53 | $229.09 |
2 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 CT · Older CT scanner Typical Low $154.88 Median $154.88 Typical High $234.42 | Professional | CT · Older CT scanner | $154.88 | $154.88 | $234.42 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $144.54 Median $144.54 Typical High $218.78 | Professional | FX · Film X-ray | $144.54 | $144.54 | $218.78 |
Where Iowa sits
The same service costs 18.2 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· 12th of 51
$339
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.