How much rates vary
Facilitymedian $759 · 10th to 90th $110 to $1,445Professionalmedian $191 · 10th to 90th $47 to $1,148
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 $109.65 Median $489.78 Typical High $489.78 | Facility | None | $109.65 | $489.78 | $489.78 |
Aetna Setting Professional Modifier None (both parts) Typical Low $407.38 Median $489.78 Typical High $707.95 | Professional | None (both parts) | $407.38 | $489.78 | $707.95 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $19.05 Median $19.50 Typical High $29.51 | Professional | 26 · Professional part | $19.05 | $19.50 | $29.51 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $407.38 Median $489.78 Typical High $707.95 | Professional | TC · Technical part | $407.38 | $489.78 | $707.95 |
Cigna Setting Facility Modifier None Typical Low $758.58 Median $758.58 Typical High $758.58 | Facility | None | $758.58 | $758.58 | $758.58 |
Cigna Setting Professional Modifier None (both parts) Typical Low $72.44 Median $120.23 Typical High $1,174.90 | Professional | None (both parts) | $72.44 | $120.23 | $1,174.90 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $47.86 Typical High $63.10 | Professional | 26 · Professional part | $26.92 | $47.86 | $63.10 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $45.71 Median $72.44 Typical High $1,122.02 | Professional | TC · Technical part | $45.71 | $72.44 | $1,122.02 |
Hally Health Setting Professional Modifier None Typical Low $70.79 Median $120.23 Typical High $181.97 | Professional | None | $70.79 | $120.23 | $181.97 |
Hally Health Setting Professional Modifier 26 · Professional part Typical Low $20.42 Median $37.15 Typical High $58.88 | Professional | 26 · Professional part | $20.42 | $37.15 | $58.88 |
Hally Health Setting Professional Modifier TC · Technical part Typical Low $50.12 Median $77.62 Typical High $117.49 | Professional | TC · Technical part | $50.12 | $77.62 | $117.49 |
Medica Setting Facility Modifier None Typical Low $109.65 Median $190.55 Typical High $1,348.96 | Facility | None | $109.65 | $190.55 | $1,348.96 |
Medica Setting Professional Modifier None (both parts) Typical Low $112.20 Median $478.63 Typical High $1,318.26 | Professional | None (both parts) | $112.20 | $478.63 | $1,318.26 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $42.66 Typical High $138.04 | Professional | 26 · Professional part | $23.99 | $42.66 | $138.04 |
Medica Setting Professional Modifier TC · Technical part Typical Low $138.04 Median $707.95 Typical High $1,258.93 | Professional | TC · Technical part | $138.04 | $707.95 | $1,258.93 |
Midlands Setting Professional Modifier None Typical Low $120.23 Median $120.23 Typical High $1,318.26 | Professional | None | $120.23 | $120.23 | $1,318.26 |
Midlands Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $47.86 Typical High $57.54 | Professional | 26 · Professional part | $44.67 | $47.86 | $57.54 |
Midlands Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $72.44 Typical High $1,258.93 | Professional | TC · Technical part | $72.44 | $72.44 | $1,258.93 |
Midlands Setting Facility Modifier None Typical Low $758.58 Median $758.58 Typical High $758.58 | Facility | None | $758.58 | $758.58 | $758.58 |
Midlands Setting Professional Modifier None (both parts) Typical Low $114.82 Median $269.15 Typical High $1,318.26 | Professional | None (both parts) | $114.82 | $269.15 | $1,318.26 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $22.39 Median $48.98 Typical High $141.25 | Professional | None (both parts) | $22.39 | $48.98 | $141.25 |
United Setting Facility Modifier None Typical Low $812.83 Median $1,380.38 Typical High $1,737.80 | Facility | None | $812.83 | $1,380.38 | $1,737.80 |
United Setting Professional Modifier None (both parts) Typical Low $102.33 Median $549.54 Typical High $933.25 | Professional | None (both parts) | $102.33 | $549.54 | $933.25 |
United Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $28.84 Typical High $47.86 | Professional | 26 · Professional part | $22.91 | $28.84 | $47.86 |
United Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $524.81 Typical High $891.25 | Professional | TC · Technical part | $74.13 | $524.81 | $891.25 |
Wellmark Setting Professional Modifier None (both parts) Typical Low $1,000.00 Median $1,000.00 Typical High $1,148.15 | Professional | None (both parts) | $1,000.00 | $1,000.00 | $1,148.15 |
Wellmark Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $38.02 Typical High $43.65 | Professional | 26 · Professional part | $38.02 | $38.02 | $43.65 |
Wellmark Setting Professional Modifier TC · Technical part Typical Low $977.24 Median $977.24 Typical High $1,096.48 | Professional | TC · Technical part | $977.24 | $977.24 | $1,096.48 |
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 $204.17 Median $245.47 Typical High $371.54 | Professional | 52 · Reduced service | $204.17 | $245.47 | $371.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $81.28 Median $100.00 Typical High $147.91 | Professional | 53 · Discontinued | $81.28 | $100.00 | $147.91 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $331.13 Median $398.11 Typical High $398.11 | Professional | FX · Film X-ray | $331.13 | $398.11 | $398.11 |
Where Iowa sits
The same service costs 11.2 times more in Colorado than in Michigan. 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· 26th of 51
$204
CO $661MI $58.88
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.