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 $57.54 Median $57.54 Typical High $194.98 | Facility | None | $57.54 | $57.54 | $194.98 |
Aetna Setting Professional Modifier None (both parts) Typical Low $57.54 Median $57.54 Typical High $97.72 | Professional | None (both parts) | $57.54 | $57.54 | $97.72 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $20.89 Median $20.89 Typical High $34.67 | Professional | 26 · Professional part | $20.89 | $20.89 | $34.67 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $36.31 Median $36.31 Typical High $63.10 | Professional | TC · Technical part | $36.31 | $36.31 | $63.10 |
Cigna Setting Facility Modifier None Typical Low $389.05 Median $389.05 Typical High $389.05 | Facility | None | $389.05 | $389.05 | $389.05 |
Cigna Setting Professional Modifier None (both parts) Typical Low $56.23 Median $269.15 Typical High $389.05 | Professional | None (both parts) | $56.23 | $269.15 | $389.05 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $50.12 Typical High $72.44 | Professional | 26 · Professional part | $34.67 | $50.12 | $72.44 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $35.48 Median $194.98 Typical High $331.13 | Professional | TC · Technical part | $35.48 | $194.98 | $331.13 |
Hally Health Setting Professional Modifier None Typical Low $138.04 Median $251.19 Typical High $478.63 | Professional | None | $138.04 | $251.19 | $478.63 |
Hally Health Setting Professional Modifier 26 · Professional part Typical Low $21.38 Median $51.29 Typical High $109.65 | Professional | 26 · Professional part | $21.38 | $51.29 | $109.65 |
Hally Health Setting Professional Modifier TC · Technical part Typical Low $102.33 Median $186.21 Typical High $363.08 | Professional | TC · Technical part | $102.33 | $186.21 | $363.08 |
Medica Setting Facility Modifier None Typical Low $48.98 Median $194.98 Typical High $398.11 | Facility | None | $48.98 | $194.98 | $398.11 |
Medica Setting Professional Modifier None (both parts) Typical Low $48.98 Median $234.42 Typical High $891.25 | Professional | None (both parts) | $48.98 | $234.42 | $891.25 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $66.07 Typical High $346.74 | Professional | 26 · Professional part | $34.67 | $66.07 | $346.74 |
Medica Setting Professional Modifier TC · Technical part Typical Low $128.82 Median $251.19 Typical High $812.83 | Professional | TC · Technical part | $128.82 | $251.19 | $812.83 |
Midlands Setting Professional Modifier None Typical Low $275.42 Median $275.42 Typical High $389.05 | Professional | None | $275.42 | $275.42 | $389.05 |
Midlands Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $50.12 Typical High $61.66 | Professional | 26 · Professional part | $47.86 | $50.12 | $61.66 |
Midlands Setting Professional Modifier TC · Technical part Typical Low $218.78 Median $218.78 Typical High $309.03 | Professional | TC · Technical part | $218.78 | $218.78 | $309.03 |
Midlands Setting Facility Modifier None Typical Low $389.05 Median $389.05 Typical High $389.05 | Facility | None | $389.05 | $389.05 | $389.05 |
Midlands Setting Professional Modifier None (both parts) Typical Low $199.53 Median $263.03 Typical High $275.42 | Professional | None (both parts) | $199.53 | $263.03 | $275.42 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $25.12 Median $53.70 Typical High $213.80 | Professional | None (both parts) | $25.12 | $53.70 | $213.80 |
United Setting Professional Modifier None (both parts) Typical Low $154.88 Median $190.55 Typical High $346.74 | Professional | None (both parts) | $154.88 | $190.55 | $346.74 |
United Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $39.81 Typical High $72.44 | Professional | 26 · Professional part | $33.11 | $39.81 | $72.44 |
United Setting Professional Modifier TC · Technical part Typical Low $123.03 Median $154.88 Typical High $275.42 | Professional | TC · Technical part | $123.03 | $154.88 | $275.42 |
Wellmark Setting Professional Modifier None (both parts) Typical Low $194.98 Median $194.98 Typical High $218.78 | Professional | None (both parts) | $194.98 | $194.98 | $218.78 |
Wellmark Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $42.66 Typical High $48.98 | Professional | 26 · Professional part | $42.66 | $42.66 | $48.98 |
Wellmark Setting Professional Modifier TC · Technical part Typical Low $151.36 Median $151.36 Typical High $169.82 | Professional | TC · Technical part | $151.36 | $151.36 | $169.82 |
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 $28.84 Median $28.84 Typical High $38.90 | Professional | 52 · Reduced service | $28.84 | $28.84 | $38.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $11.48 Median $11.48 Typical High $15.49 | Professional | 53 · Discontinued | $11.48 | $11.48 | $15.49 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $45.71 Median $45.71 Typical High $48.98 | Professional | FX · Film X-ray | $45.71 | $45.71 | $48.98 |
Where Iowa sits
The same service costs 6.6 times more in Nebraska 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· 7th of 51
$209
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.