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 $85.11 Median $165.96 Typical High $204.17 | Facility | None | $85.11 | $165.96 | $204.17 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $60.26 Median $114.82 Typical High $245.47 | Facility | TC · Technical part | $60.26 | $114.82 | $245.47 |
Aetna Setting Professional Modifier None (both parts) Typical Low $85.11 Median $91.20 Typical High $173.78 | Professional | None (both parts) | $85.11 | $91.20 | $173.78 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $25.70 Typical High $46.77 | Professional | 26 · Professional part | $22.91 | $25.70 | $46.77 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $64.57 Typical High $128.82 | Professional | TC · Technical part | $58.88 | $64.57 | $128.82 |
Cigna Setting Facility Modifier None Typical Low $295.12 Median $295.12 Typical High $295.12 | Facility | None | $295.12 | $295.12 | $295.12 |
Cigna Setting Professional Modifier None (both parts) Typical Low $91.20 Median $208.93 Typical High $257.04 | Professional | None (both parts) | $91.20 | $208.93 | $257.04 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $61.66 Typical High $83.18 | Professional | 26 · Professional part | $26.30 | $61.66 | $83.18 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $147.91 Typical High $181.97 | Professional | TC · Technical part | $64.57 | $147.91 | $181.97 |
Hally Health Setting Professional Modifier None Typical Low $83.18 Median $123.03 Typical High $218.78 | Professional | None | $83.18 | $123.03 | $218.78 |
Hally Health Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $39.81 Typical High $77.62 | Professional | 26 · Professional part | $26.30 | $39.81 | $77.62 |
Hally Health Setting Professional Modifier TC · Technical part Typical Low $57.54 Median $81.28 Typical High $141.25 | Professional | TC · Technical part | $57.54 | $81.28 | $141.25 |
Medica Setting Facility Modifier None Typical Low $117.49 Median $204.17 Typical High $436.52 | Facility | None | $117.49 | $204.17 | $436.52 |
Medica Setting Professional Modifier None (both parts) Typical Low $100.00 Median $177.83 Typical High $645.65 | Professional | None (both parts) | $100.00 | $177.83 | $645.65 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $54.95 Typical High $181.97 | Professional | 26 · Professional part | $28.18 | $54.95 | $181.97 |
Medica Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $117.49 Typical High $467.74 | Professional | TC · Technical part | $63.10 | $117.49 | $467.74 |
Midlands Setting Professional Modifier None Typical Low $194.98 Median $208.93 Typical High $257.04 | Professional | None | $194.98 | $208.93 | $257.04 |
Midlands Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $61.66 Typical High $74.13 | Professional | 26 · Professional part | $57.54 | $61.66 | $74.13 |
Midlands Setting Professional Modifier TC · Technical part Typical Low $138.04 Median $147.91 Typical High $181.97 | Professional | TC · Technical part | $138.04 | $147.91 | $181.97 |
Midlands Setting Facility Modifier None Typical Low $295.12 Median $295.12 Typical High $295.12 | Facility | None | $295.12 | $295.12 | $295.12 |
Midlands Setting Professional Modifier None (both parts) Typical Low $186.21 Median $223.87 Typical High $257.04 | Professional | None (both parts) | $186.21 | $223.87 | $257.04 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $29.51 Median $74.13 Typical High $169.82 | Professional | None (both parts) | $29.51 | $74.13 | $169.82 |
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 $87.10 Median $112.20 Typical High $186.21 | Professional | None (both parts) | $87.10 | $112.20 | $186.21 |
United Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $35.48 Typical High $58.88 | Professional | 26 · Professional part | $26.92 | $35.48 | $58.88 |
United Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $77.62 Typical High $128.82 | Professional | TC · Technical part | $60.26 | $77.62 | $128.82 |
Wellmark Setting Professional Modifier None (both parts) Typical Low $165.96 Median $165.96 Typical High $186.21 | Professional | None (both parts) | $165.96 | $165.96 | $186.21 |
Wellmark Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $48.98 Typical High $54.95 | Professional | 26 · Professional part | $48.98 | $48.98 | $54.95 |
Wellmark Setting Professional Modifier TC · Technical part Typical Low $117.49 Median $117.49 Typical High $131.83 | Professional | TC · Technical part | $117.49 | $117.49 | $131.83 |
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 $42.66 Median $42.66 Typical High $61.66 | Professional | 52 · Reduced service | $42.66 | $42.66 | $61.66 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $16.98 Median $16.98 Typical High $24.55 | Professional | 53 · Discontinued | $16.98 | $16.98 | $24.55 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $67.61 Median $67.61 Typical High $75.86 | Professional | FX · Film X-ray | $67.61 | $67.61 | $75.86 |
Where Iowa sits
The same service costs 3.8 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· 10th of 51
$158
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.