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 $22.91 Median $30.90 Typical High $57.54 | Facility | None | $22.91 | $30.90 | $57.54 |
Aetna Setting Professional Modifier None (both parts) Typical Low $25.12 Median $25.12 Typical High $36.31 | Professional | None (both parts) | $25.12 | $25.12 | $36.31 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $8.71 Median $9.12 Typical High $13.49 | Professional | 26 · Professional part | $8.71 | $9.12 | $13.49 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $15.85 Median $16.22 Typical High $23.44 | Professional | TC · Technical part | $15.85 | $16.22 | $23.44 |
Cigna Setting Facility Modifier None Typical Low $97.72 Median $97.72 Typical High $97.72 | Facility | None | $97.72 | $97.72 | $97.72 |
Cigna Setting Professional Modifier None (both parts) Typical Low $28.18 Median $75.86 Typical High $165.96 | Professional | None (both parts) | $28.18 | $75.86 | $165.96 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $12.02 Median $21.88 Typical High $28.84 | Professional | 26 · Professional part | $12.02 | $21.88 | $28.84 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $19.05 Median $48.98 Typical High $134.90 | Professional | TC · Technical part | $19.05 | $48.98 | $134.90 |
Hally Health Setting Professional Modifier None Typical Low $26.92 Median $69.18 Typical High $114.82 | Professional | None | $26.92 | $69.18 | $114.82 |
Hally Health Setting Professional Modifier 26 · Professional part Typical Low $9.33 Median $17.38 Typical High $27.54 | Professional | 26 · Professional part | $9.33 | $17.38 | $27.54 |
Hally Health Setting Professional Modifier TC · Technical part Typical Low $17.78 Median $53.70 Typical High $93.33 | Professional | TC · Technical part | $17.78 | $53.70 | $93.33 |
Medica Setting Facility Modifier None Typical Low $19.50 Median $66.07 Typical High $95.50 | Facility | None | $19.50 | $66.07 | $95.50 |
Medica Setting Professional Modifier None (both parts) Typical Low $21.38 Median $64.57 Typical High $302.00 | Professional | None (both parts) | $21.38 | $64.57 | $302.00 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $10.96 Median $19.50 Typical High $131.83 | Professional | 26 · Professional part | $10.96 | $19.50 | $131.83 |
Medica Setting Professional Modifier TC · Technical part Typical Low $40.74 Median $74.13 Typical High $275.42 | Professional | TC · Technical part | $40.74 | $74.13 | $275.42 |
Midlands Setting Professional Modifier None Typical Low $67.61 Median $75.86 Typical High $117.49 | Professional | None | $67.61 | $75.86 | $117.49 |
Midlands Setting Professional Modifier 26 · Professional part Typical Low $19.95 Median $21.88 Typical High $25.70 | Professional | 26 · Professional part | $19.95 | $21.88 | $25.70 |
Midlands Setting Facility Modifier None Typical Low $97.72 Median $97.72 Typical High $97.72 | Facility | None | $97.72 | $97.72 | $97.72 |
Midlands Setting Professional Modifier None (both parts) Typical Low $60.26 Median $72.44 Typical High $112.20 | Professional | None (both parts) | $60.26 | $72.44 | $112.20 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $9.77 Median $20.89 Typical High $72.44 | Professional | None (both parts) | $9.77 | $20.89 | $72.44 |
United Setting Professional Modifier None (both parts) Typical Low $50.12 Median $66.07 Typical High $104.71 | Professional | None (both parts) | $50.12 | $66.07 | $104.71 |
United Setting Professional Modifier 26 · Professional part Typical Low $10.23 Median $12.88 Typical High $21.38 | Professional | 26 · Professional part | $10.23 | $12.88 | $21.38 |
United Setting Professional Modifier TC · Technical part Typical Low $39.81 Median $51.29 Typical High $83.18 | Professional | TC · Technical part | $39.81 | $51.29 | $83.18 |
Wellmark Setting Professional Modifier None (both parts) Typical Low $50.12 Median $50.12 Typical High $57.54 | Professional | None (both parts) | $50.12 | $50.12 | $57.54 |
Wellmark Setting Professional Modifier 26 · Professional part Typical Low $16.22 Median $16.22 Typical High $18.62 | Professional | 26 · Professional part | $16.22 | $16.22 | $18.62 |
Wellmark Setting Professional Modifier TC · Technical part Typical Low $33.88 Median $33.88 Typical High $38.90 | Professional | TC · Technical part | $33.88 | $33.88 | $38.90 |
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 $12.59 Median $12.59 Typical High $18.20 | Professional | 52 · Reduced service | $12.59 | $12.59 | $18.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.01 Median $5.01 Typical High $7.24 | Professional | 53 · Discontinued | $5.01 | $5.01 | $7.24 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $19.95 Median $19.95 Typical High $22.39 | Professional | FX · Film X-ray | $19.95 | $19.95 | $22.39 |
Where Iowa sits
The same service costs 4.7 times more in Alaska than in Florida. 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· 13th of 51
$57.54
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.