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 $120.23 Median $234.42 Typical High $288.40 | Facility | None | $120.23 | $234.42 | $288.40 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $85.11 Median $162.18 Typical High $346.74 | Facility | TC · Technical part | $85.11 | $162.18 | $346.74 |
Aetna Setting Professional Modifier None (both parts) Typical Low $120.23 Median $128.82 Typical High $263.03 | Professional | None (both parts) | $120.23 | $128.82 | $263.03 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $38.02 Typical High $75.86 | Professional | 26 · Professional part | $33.88 | $38.02 | $75.86 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $89.13 Typical High $190.55 | Professional | TC · Technical part | $81.28 | $89.13 | $190.55 |
Cigna Setting Facility Modifier None Typical Low $426.58 Median $426.58 Typical High $426.58 | Facility | None | $426.58 | $426.58 | $426.58 |
Cigna Setting Professional Modifier None (both parts) Typical Low $131.83 Median $302.00 Typical High $371.54 | Professional | None (both parts) | $131.83 | $302.00 | $371.54 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $91.20 Typical High $123.03 | Professional | 26 · Professional part | $38.90 | $91.20 | $123.03 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $89.13 Median $208.93 Typical High $257.04 | Professional | TC · Technical part | $89.13 | $208.93 | $257.04 |
Hally Health Setting Professional Modifier None Typical Low $120.23 Median $173.78 Typical High $331.13 | Professional | None | $120.23 | $173.78 | $331.13 |
Hally Health Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $60.26 Typical High $109.65 | Professional | 26 · Professional part | $39.81 | $60.26 | $109.65 |
Hally Health Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $120.23 Typical High $213.80 | Professional | TC · Technical part | $79.43 | $120.23 | $213.80 |
Medica Setting Facility Modifier None Typical Low $177.83 Median $269.15 Typical High $457.09 | Facility | None | $177.83 | $269.15 | $457.09 |
Medica Setting Professional Modifier None (both parts) Typical Low $141.25 Median $257.04 Typical High $933.25 | Professional | None (both parts) | $141.25 | $257.04 | $933.25 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $72.44 Typical High $269.15 | Professional | 26 · Professional part | $42.66 | $72.44 | $269.15 |
Medica Setting Professional Modifier TC · Technical part Typical Low $87.10 Median $165.96 Typical High $660.69 | Professional | TC · Technical part | $87.10 | $165.96 | $660.69 |
Midlands Setting Professional Modifier None Typical Low $281.84 Median $302.00 Typical High $363.08 | Professional | None | $281.84 | $302.00 | $363.08 |
Midlands Setting Professional Modifier 26 · Professional part Typical Low $87.10 Median $91.20 Typical High $107.15 | Professional | 26 · Professional part | $87.10 | $91.20 | $107.15 |
Midlands Setting Professional Modifier TC · Technical part Typical Low $190.55 Median $208.93 Typical High $257.04 | Professional | TC · Technical part | $190.55 | $208.93 | $257.04 |
Midlands Setting Facility Modifier None Typical Low $426.58 Median $426.58 Typical High $426.58 | Facility | None | $426.58 | $426.58 | $426.58 |
Midlands Setting Professional Modifier None (both parts) Typical Low $257.04 Median $323.59 Typical High $363.08 | Professional | None (both parts) | $257.04 | $323.59 | $363.08 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $44.67 Median $102.33 Typical High $245.47 | Professional | None (both parts) | $44.67 | $102.33 | $245.47 |
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 $123.03 Median $158.49 Typical High $263.03 | Professional | None (both parts) | $123.03 | $158.49 | $263.03 |
United Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $52.48 Typical High $87.10 | Professional | 26 · Professional part | $38.90 | $52.48 | $87.10 |
United Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $109.65 Typical High $181.97 | Professional | TC · Technical part | $85.11 | $109.65 | $181.97 |
Wellmark Setting Professional Modifier None (both parts) Typical Low $234.42 Median $234.42 Typical High $269.15 | Professional | None (both parts) | $234.42 | $234.42 | $269.15 |
Wellmark Setting Professional Modifier 26 · Professional part Typical Low $74.13 Median $74.13 Typical High $83.18 | Professional | 26 · Professional part | $74.13 | $74.13 | $83.18 |
Wellmark Setting Professional Modifier TC · Technical part Typical Low $162.18 Median $162.18 Typical High $186.21 | Professional | TC · Technical part | $162.18 | $162.18 | $186.21 |
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 $60.26 Median $60.26 Typical High $87.10 | Professional | 52 · Reduced service | $60.26 | $60.26 | $87.10 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $23.99 Median $23.99 Typical High $34.67 | Professional | 53 · Discontinued | $23.99 | $23.99 | $34.67 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $95.50 Median $95.50 Typical High $107.15 | Professional | FX · Film X-ray | $95.50 | $95.50 | $107.15 |
Where Iowa sits
The same service costs 3.9 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· 9th of 51
$234
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.