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 $354.81 Median $691.83 Typical High $724.44 | Facility | None | $354.81 | $691.83 | $724.44 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $245.47 Median $478.63 Typical High $1,148.15 | Facility | TC · Technical part | $245.47 | $478.63 | $1,148.15 |
Aetna Setting Professional Modifier None (both parts) Typical Low $354.81 Median $426.58 Typical High $812.83 | Professional | None (both parts) | $354.81 | $426.58 | $812.83 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $102.33 Median $120.23 Typical High $239.88 | Professional | 26 · Professional part | $102.33 | $120.23 | $239.88 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $245.47 Median $331.13 Typical High $575.44 | Professional | TC · Technical part | $245.47 | $331.13 | $575.44 |
Cigna Setting Facility Modifier None Typical Low $2,187.76 Median $2,187.76 Typical High $2,187.76 | Facility | None | $2,187.76 | $2,187.76 | $2,187.76 |
Cigna Setting Professional Modifier None (both parts) Typical Low $575.44 Median $758.58 Typical High $1,174.90 | Professional | None (both parts) | $575.44 | $758.58 | $1,174.90 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $128.82 Median $229.09 Typical High $323.59 | Professional | 26 · Professional part | $128.82 | $229.09 | $323.59 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $478.63 Median $524.81 Typical High $912.01 | Professional | TC · Technical part | $478.63 | $524.81 | $912.01 |
Hally Health Setting Professional Modifier None Typical Low $302.00 Median $588.84 Typical High $2,818.38 | Professional | None | $302.00 | $588.84 | $2,818.38 |
Hally Health Setting Professional Modifier 26 · Professional part Typical Low $97.72 Median $186.21 Typical High $346.74 | Professional | 26 · Professional part | $97.72 | $186.21 | $346.74 |
Hally Health Setting Professional Modifier TC · Technical part Typical Low $204.17 Median $407.38 Typical High $2,344.23 | Professional | TC · Technical part | $204.17 | $407.38 | $2,344.23 |
Medica Setting Facility Modifier None Typical Low $645.65 Median $1,122.02 Typical High $2,089.30 | Facility | None | $645.65 | $1,122.02 | $2,089.30 |
Medica Setting Professional Modifier None (both parts) Typical Low $478.63 Median $1,023.29 Typical High $6,025.60 | Professional | None (both parts) | $478.63 | $1,023.29 | $6,025.60 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $117.49 Median $208.93 Typical High $891.25 | Professional | 26 · Professional part | $117.49 | $208.93 | $891.25 |
Medica Setting Professional Modifier TC · Technical part Typical Low $338.84 Median $676.08 Typical High $5,495.41 | Professional | TC · Technical part | $338.84 | $676.08 | $5,495.41 |
Midlands Setting Professional Modifier None Typical Low $691.83 Median $758.58 Typical High $1,096.48 | Professional | None | $691.83 | $758.58 | $1,096.48 |
Midlands Setting Professional Modifier 26 · Professional part Typical Low $213.80 Median $229.09 Typical High $323.59 | Professional | 26 · Professional part | $213.80 | $229.09 | $323.59 |
Midlands Setting Professional Modifier TC · Technical part Typical Low $478.63 Median $524.81 Typical High $776.25 | Professional | TC · Technical part | $478.63 | $524.81 | $776.25 |
Midlands Setting Facility Modifier None Typical Low $2,187.76 Median $2,187.76 Typical High $2,187.76 | Facility | None | $2,187.76 | $2,187.76 | $2,187.76 |
Midlands Setting Professional Modifier None (both parts) Typical Low $660.69 Median $831.76 Typical High $3,801.89 | Professional | None (both parts) | $660.69 | $831.76 | $3,801.89 |
Oscar Health Setting Facility Modifier None Typical Low $478.63 Median $3,467.37 Typical High $9,332.54 | Facility | None | $478.63 | $3,467.37 | $9,332.54 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $107.15 Median $263.03 Typical High $616.60 | Professional | None (both parts) | $107.15 | $263.03 | $616.60 |
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 $398.11 Median $645.65 Typical High $1,148.15 | Professional | None (both parts) | $398.11 | $645.65 | $1,148.15 |
United Setting Professional Modifier 26 · Professional part Typical Low $112.20 Median $162.18 Typical High $302.00 | Professional | 26 · Professional part | $112.20 | $162.18 | $302.00 |
United Setting Professional Modifier TC · Technical part Typical Low $288.40 Median $457.09 Typical High $870.96 | Professional | TC · Technical part | $288.40 | $457.09 | $870.96 |
Wellmark Setting Professional Modifier None (both parts) Typical Low $776.25 Median $776.25 Typical High $891.25 | Professional | None (both parts) | $776.25 | $776.25 | $891.25 |
Wellmark Setting Professional Modifier 26 · Professional part Typical Low $234.42 Median $234.42 Typical High $269.15 | Professional | 26 · Professional part | $234.42 | $234.42 | $269.15 |
Wellmark Setting Professional Modifier TC · Technical part Typical Low $549.54 Median $549.54 Typical High $616.60 | Professional | TC · Technical part | $549.54 | $549.54 | $616.60 |
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 $177.83 Median $177.83 Typical High $346.74 | Professional | 52 · Reduced service | $177.83 | $177.83 | $346.74 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $70.79 Median $70.79 Typical High $141.25 | Professional | 53 · Discontinued | $70.79 | $70.79 | $141.25 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $288.40 Median $288.40 Typical High $371.54 | Professional | FX · Film X-ray | $288.40 | $288.40 | $371.54 |
Where Iowa sits
The same service costs 5.8 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· 9th of 51
$741
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.