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 $229.09 Median $229.09 Typical High $309.03 | Facility | None | $229.09 | $229.09 | $309.03 |
Aetna Setting Professional Modifier None (both parts) Typical Low $204.17 Median $229.09 Typical High $295.12 | Professional | None (both parts) | $204.17 | $229.09 | $295.12 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $91.20 Median $91.20 Typical High $112.20 | Professional | 26 · Professional part | $91.20 | $91.20 | $112.20 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $123.03 Median $138.04 Typical High $199.53 | Professional | TC · Technical part | $123.03 | $138.04 | $199.53 |
Cigna Setting Facility Modifier None Typical Low $112.20 Median $181.97 Typical High $660.69 | Facility | None | $112.20 | $181.97 | $660.69 |
Cigna Setting Professional Modifier None (both parts) Typical Low $229.09 Median $575.44 Typical High $741.31 | Professional | None (both parts) | $229.09 | $575.44 | $741.31 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $107.15 Median $218.78 Typical High $295.12 | Professional | 26 · Professional part | $107.15 | $218.78 | $295.12 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $131.83 Median $346.74 Typical High $426.58 | Professional | TC · Technical part | $131.83 | $346.74 | $426.58 |
Hally Health Setting Professional Modifier None Typical Low $229.09 Median $331.13 Typical High $467.74 | Professional | None | $229.09 | $331.13 | $467.74 |
Hally Health Setting Professional Modifier 26 · Professional part Typical Low $93.33 Median $151.36 Typical High $208.93 | Professional | 26 · Professional part | $93.33 | $151.36 | $208.93 |
Hally Health Setting Professional Modifier TC · Technical part Typical Low $134.90 Median $169.82 Typical High $269.15 | Professional | TC · Technical part | $134.90 | $169.82 | $269.15 |
Medica Setting Facility Modifier None Typical Low $186.21 Median $478.63 Typical High $645.65 | Facility | None | $186.21 | $478.63 | $645.65 |
Medica Setting Professional Modifier None (both parts) Typical Low $234.42 Median $467.74 Typical High $1,698.24 | Professional | None (both parts) | $234.42 | $467.74 | $1,698.24 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $102.33 Median $194.98 Typical High $630.96 | Professional | 26 · Professional part | $102.33 | $194.98 | $630.96 |
Medica Setting Professional Modifier TC · Technical part Typical Low $125.89 Median $251.19 Typical High $1,047.13 | Professional | TC · Technical part | $125.89 | $251.19 | $1,047.13 |
Midlands Setting Professional Modifier None Typical Low $524.81 Median $575.44 Typical High $660.69 | Professional | None | $524.81 | $575.44 | $660.69 |
Midlands Setting Professional Modifier 26 · Professional part Typical Low $204.17 Median $218.78 Typical High $257.04 | Professional | 26 · Professional part | $204.17 | $218.78 | $257.04 |
Midlands Setting Professional Modifier TC · Technical part Typical Low $309.03 Median $346.74 Typical High $407.38 | Professional | TC · Technical part | $309.03 | $346.74 | $407.38 |
Midlands Setting Facility Modifier None Typical Low $100.00 Median $169.82 Typical High $660.69 | Facility | None | $100.00 | $169.82 | $660.69 |
Midlands Setting Professional Modifier None (both parts) Typical Low $407.38 Median $660.69 Typical High $741.31 | Professional | None (both parts) | $407.38 | $660.69 | $741.31 |
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 $213.80 Median $269.15 Typical High $467.74 | Professional | None (both parts) | $213.80 | $269.15 | $467.74 |
United Setting Professional Modifier 26 · Professional part Typical Low $97.72 Median $117.49 Typical High $213.80 | Professional | 26 · Professional part | $97.72 | $117.49 | $213.80 |
United Setting Professional Modifier TC · Technical part Typical Low $114.82 Median $151.36 Typical High $269.15 | Professional | TC · Technical part | $114.82 | $151.36 | $269.15 |
Wellmark Setting Professional Modifier None (both parts) Typical Low $489.78 Median $489.78 Typical High $562.34 | Professional | None (both parts) | $489.78 | $489.78 | $562.34 |
Wellmark Setting Professional Modifier 26 · Professional part Typical Low $181.97 Median $181.97 Typical High $204.17 | Professional | 26 · Professional part | $181.97 | $181.97 | $204.17 |
Wellmark Setting Professional Modifier TC · Technical part Typical Low $309.03 Median $309.03 Typical High $354.81 | Professional | TC · Technical part | $309.03 | $309.03 | $354.81 |
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 $114.82 Median $114.82 Typical High $134.90 | Professional | 52 · Reduced service | $114.82 | $114.82 | $134.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $45.71 Median $45.71 Typical High $53.70 | Professional | 53 · Discontinued | $45.71 | $45.71 | $53.70 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $181.97 Median $181.97 Typical High $194.98 | Professional | FX · Film X-ray | $181.97 | $181.97 | $194.98 |
Where Iowa sits
The same service costs 5.4 times more in Alaska than in Texas. 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· 6th of 51
$490
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.