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 $316.23 Median $316.23 Typical High $831.76 | Facility | None | $316.23 | $316.23 | $831.76 |
Aetna Setting Professional Modifier None (both parts) Typical Low $316.23 Median $371.54 Typical High $707.95 | Professional | None (both parts) | $316.23 | $371.54 | $707.95 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $87.10 Typical High $186.21 | Professional | 26 · Professional part | $85.11 | $87.10 | $186.21 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $229.09 Median $263.03 Typical High $524.81 | Professional | TC · Technical part | $229.09 | $263.03 | $524.81 |
Cigna Setting Facility Modifier None Typical Low $1,862.09 Median $1,862.09 Typical High $1,862.09 | Facility | None | $1,862.09 | $1,862.09 | $1,862.09 |
Cigna Setting Professional Modifier None (both parts) Typical Low $489.78 Median $676.08 Typical High $1,000.00 | Professional | None (both parts) | $489.78 | $676.08 | $1,000.00 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $97.72 Median $177.83 Typical High $257.04 | Professional | 26 · Professional part | $97.72 | $177.83 | $257.04 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $426.58 Median $489.78 Typical High $741.31 | Professional | TC · Technical part | $426.58 | $489.78 | $741.31 |
Hally Health Setting Professional Modifier None Typical Low $269.15 Median $524.81 Typical High $1,621.81 | Professional | None | $269.15 | $524.81 | $1,621.81 |
Hally Health Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $147.91 Typical High $371.54 | Professional | 26 · Professional part | $75.86 | $147.91 | $371.54 |
Hally Health Setting Professional Modifier TC · Technical part Typical Low $190.55 Median $389.05 Typical High $1,122.02 | Professional | TC · Technical part | $190.55 | $389.05 | $1,122.02 |
Medica Setting Facility Modifier None Typical Low $575.44 Median $870.96 Typical High $1,584.89 | Facility | None | $575.44 | $870.96 | $1,584.89 |
Medica Setting Professional Modifier None (both parts) Typical Low $426.58 Median $891.25 Typical High $3,388.44 | Professional | None (both parts) | $426.58 | $891.25 | $3,388.44 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $93.33 Median $162.18 Typical High $660.69 | Professional | 26 · Professional part | $93.33 | $162.18 | $660.69 |
Medica Setting Professional Modifier TC · Technical part Typical Low $316.23 Median $588.84 Typical High $2,951.21 | Professional | TC · Technical part | $316.23 | $588.84 | $2,951.21 |
Midlands Setting Professional Modifier None Typical Low $616.60 Median $676.08 Typical High $1,000.00 | Professional | None | $616.60 | $676.08 | $1,000.00 |
Midlands Setting Professional Modifier 26 · Professional part Typical Low $165.96 Median $177.83 Typical High $257.04 | Professional | 26 · Professional part | $165.96 | $177.83 | $257.04 |
Midlands Setting Professional Modifier TC · Technical part Typical Low $457.09 Median $489.78 Typical High $741.31 | Professional | TC · Technical part | $457.09 | $489.78 | $741.31 |
Midlands Setting Facility Modifier None Typical Low $1,862.09 Median $1,862.09 Typical High $1,862.09 | Facility | None | $1,862.09 | $1,862.09 | $1,862.09 |
Midlands Setting Professional Modifier None (both parts) Typical Low $588.84 Median $758.58 Typical High $2,137.96 | Professional | None (both parts) | $588.84 | $758.58 | $2,137.96 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $83.18 Median $245.47 Typical High $549.54 | Professional | None (both parts) | $83.18 | $245.47 | $549.54 |
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 $363.08 Median $575.44 Typical High $912.01 | Professional | None (both parts) | $363.08 | $575.44 | $912.01 |
United Setting Professional Modifier 26 · Professional part Typical Low $87.10 Median $125.89 Typical High $239.88 | Professional | 26 · Professional part | $87.10 | $125.89 | $239.88 |
United Setting Professional Modifier TC · Technical part Typical Low $269.15 Median $426.58 Typical High $676.08 | Professional | TC · Technical part | $269.15 | $426.58 | $676.08 |
Wellmark Setting Professional Modifier None (both parts) Typical Low $707.95 Median $707.95 Typical High $794.33 | Professional | None (both parts) | $707.95 | $707.95 | $794.33 |
Wellmark Setting Professional Modifier 26 · Professional part Typical Low $186.21 Median $186.21 Typical High $208.93 | Professional | 26 · Professional part | $186.21 | $186.21 | $208.93 |
Wellmark Setting Professional Modifier TC · Technical part Typical Low $512.86 Median $512.86 Typical High $588.84 | Professional | TC · Technical part | $512.86 | $512.86 | $588.84 |
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 $158.49 Median $158.49 Typical High $323.59 | Professional | 52 · Reduced service | $158.49 | $158.49 | $323.59 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $63.10 Median $63.10 Typical High $128.82 | Professional | 53 · Discontinued | $63.10 | $63.10 | $128.82 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $257.04 Median $257.04 Typical High $338.84 | Professional | FX · Film X-ray | $257.04 | $257.04 | $338.84 |
Where Iowa sits
The same service costs 5.6 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· 6th 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.