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 $131.83 Median $263.03 Typical High $316.23 | Facility | None | $131.83 | $263.03 | $316.23 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $91.20 Median $204.17 Typical High $371.54 | Facility | TC · Technical part | $91.20 | $204.17 | $371.54 |
Aetna Setting Professional Modifier None (both parts) Typical Low $128.82 Median $138.04 Typical High $257.04 | Professional | None (both parts) | $128.82 | $138.04 | $257.04 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $44.67 Typical High $79.43 | Professional | 26 · Professional part | $34.67 | $44.67 | $79.43 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $89.13 Median $95.50 Typical High $177.83 | Professional | TC · Technical part | $89.13 | $95.50 | $177.83 |
Cigna Setting Facility Modifier None Typical Low $512.86 Median $512.86 Typical High $512.86 | Facility | None | $512.86 | $512.86 | $512.86 |
Cigna Setting Professional Modifier None (both parts) Typical Low $144.54 Median $331.13 Typical High $457.09 | Professional | None (both parts) | $144.54 | $331.13 | $457.09 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $107.15 Typical High $131.83 | Professional | 26 · Professional part | $41.69 | $107.15 | $131.83 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $107.15 Median $223.87 Typical High $309.03 | Professional | TC · Technical part | $107.15 | $223.87 | $309.03 |
Hally Health Setting Professional Modifier None Typical Low $131.83 Median $194.98 Typical High $338.84 | Professional | None | $131.83 | $194.98 | $338.84 |
Hally Health Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $63.10 Typical High $112.20 | Professional | 26 · Professional part | $45.71 | $63.10 | $112.20 |
Hally Health Setting Professional Modifier TC · Technical part Typical Low $87.10 Median $131.83 Typical High $213.80 | Professional | TC · Technical part | $87.10 | $131.83 | $213.80 |
Medica Setting Facility Modifier None Typical Low $186.21 Median $371.54 Typical High $501.19 | Facility | None | $186.21 | $371.54 | $501.19 |
Medica Setting Professional Modifier None (both parts) Typical Low $151.36 Median $302.00 Typical High $1,023.29 | Professional | None (both parts) | $151.36 | $302.00 | $1,023.29 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $83.18 Typical High $309.03 | Professional | 26 · Professional part | $42.66 | $83.18 | $309.03 |
Medica Setting Professional Modifier TC · Technical part Typical Low $102.33 Median $181.97 Typical High $707.95 | Professional | TC · Technical part | $102.33 | $181.97 | $707.95 |
Midlands Setting Professional Modifier None Typical Low $309.03 Median $331.13 Typical High $398.11 | Professional | None | $309.03 | $331.13 | $398.11 |
Midlands Setting Professional Modifier 26 · Professional part Typical Low $100.00 Median $107.15 Typical High $123.03 | Professional | 26 · Professional part | $100.00 | $107.15 | $123.03 |
Midlands Setting Professional Modifier TC · Technical part Typical Low $208.93 Median $223.87 Typical High $275.42 | Professional | TC · Technical part | $208.93 | $223.87 | $275.42 |
Midlands Setting Facility Modifier None Typical Low $512.86 Median $512.86 Typical High $512.86 | Facility | None | $512.86 | $512.86 | $512.86 |
Midlands Setting Professional Modifier None (both parts) Typical Low $288.40 Median $354.81 Typical High $398.11 | Professional | None (both parts) | $288.40 | $354.81 | $398.11 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $50.12 Median $112.20 Typical High $269.15 | Professional | None (both parts) | $50.12 | $112.20 | $269.15 |
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 $144.54 Median $186.21 Typical High $302.00 | Professional | None (both parts) | $144.54 | $186.21 | $302.00 |
United Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $60.26 Typical High $100.00 | Professional | 26 · Professional part | $39.81 | $60.26 | $100.00 |
United Setting Professional Modifier TC · Technical part Typical Low $93.33 Median $123.03 Typical High $208.93 | Professional | TC · Technical part | $93.33 | $123.03 | $208.93 |
Wellmark Setting Professional Modifier None (both parts) Typical Low $263.03 Median $263.03 Typical High $295.12 | Professional | None (both parts) | $263.03 | $263.03 | $295.12 |
Wellmark Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $83.18 Typical High $95.50 | Professional | 26 · Professional part | $83.18 | $83.18 | $95.50 |
Wellmark Setting Professional Modifier TC · Technical part Typical Low $177.83 Median $177.83 Typical High $199.53 | Professional | TC · Technical part | $177.83 | $177.83 | $199.53 |
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 $66.07 Median $66.07 Typical High $95.50 | Professional | 52 · Reduced service | $66.07 | $66.07 | $95.50 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $26.30 Median $26.30 Typical High $38.90 | Professional | 53 · Discontinued | $26.30 | $26.30 | $38.90 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $107.15 Median $107.15 Typical High $117.49 | Professional | FX · Film X-ray | $107.15 | $107.15 | $117.49 |
Where Iowa sits
The same service costs 4.3 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
$263
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.