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 $85.11 Median $169.82 Typical High $169.82 | Facility | None | $85.11 | $169.82 | $169.82 |
Aetna Setting Professional Modifier None (both parts) Typical Low $85.11 Median $85.11 Typical High $213.80 | Professional | None (both parts) | $85.11 | $85.11 | $213.80 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $24.55 Median $24.55 Typical High $64.57 | Professional | 26 · Professional part | $24.55 | $24.55 | $64.57 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $60.26 Typical High $158.49 | Professional | TC · Technical part | $60.26 | $60.26 | $158.49 |
Cigna Setting Facility Modifier None Typical Low $501.19 Median $501.19 Typical High $501.19 | Facility | None | $501.19 | $501.19 | $501.19 |
Cigna Setting Professional Modifier None (both parts) Typical Low $85.11 Median $354.81 Typical High $467.74 | Professional | None (both parts) | $85.11 | $354.81 | $467.74 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $58.88 Typical High $83.18 | Professional | 26 · Professional part | $40.74 | $58.88 | $83.18 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $288.40 Typical High $338.84 | Professional | TC · Technical part | $61.66 | $288.40 | $338.84 |
Hally Health Setting Professional Modifier None Typical Low $147.91 Median $269.15 Typical High $575.44 | Professional | None | $147.91 | $269.15 | $575.44 |
Hally Health Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $66.07 Typical High $158.49 | Professional | 26 · Professional part | $25.12 | $66.07 | $158.49 |
Hally Health Setting Professional Modifier TC · Technical part Typical Low $123.03 Median $190.55 Typical High $398.11 | Professional | TC · Technical part | $123.03 | $190.55 | $398.11 |
Medica Setting Facility Modifier None Typical Low $57.54 Median $316.23 Typical High $512.86 | Facility | None | $57.54 | $316.23 | $512.86 |
Medica Setting Professional Modifier None (both parts) Typical Low $57.54 Median $251.19 Typical High $933.25 | Professional | None (both parts) | $57.54 | $251.19 | $933.25 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $85.11 Typical High $371.54 | Professional | 26 · Professional part | $44.67 | $85.11 | $371.54 |
Medica Setting Professional Modifier TC · Technical part Typical Low $131.83 Median $251.19 Typical High $831.76 | Professional | TC · Technical part | $131.83 | $251.19 | $831.76 |
Midlands Setting Professional Modifier None Typical Low $354.81 Median $354.81 Typical High $416.87 | Professional | None | $354.81 | $354.81 | $416.87 |
Midlands Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $58.88 Typical High $70.79 | Professional | 26 · Professional part | $54.95 | $58.88 | $70.79 |
Midlands Setting Professional Modifier TC · Technical part Typical Low $288.40 Median $288.40 Typical High $316.23 | Professional | TC · Technical part | $288.40 | $288.40 | $316.23 |
Midlands Setting Facility Modifier None Typical Low $501.19 Median $501.19 Typical High $501.19 | Facility | None | $501.19 | $501.19 | $501.19 |
Midlands Setting Professional Modifier None (both parts) Typical Low $323.59 Median $354.81 Typical High $354.81 | Professional | None (both parts) | $323.59 | $354.81 | $354.81 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $28.84 Median $61.66 Typical High $199.53 | Professional | None (both parts) | $28.84 | $61.66 | $199.53 |
United Setting Professional Modifier None (both parts) Typical Low $165.96 Median $204.17 Typical High $371.54 | Professional | None (both parts) | $165.96 | $204.17 | $371.54 |
United Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $51.29 Typical High $93.33 | Professional | 26 · Professional part | $42.66 | $51.29 | $93.33 |
United Setting Professional Modifier TC · Technical part Typical Low $125.89 Median $151.36 Typical High $275.42 | Professional | TC · Technical part | $125.89 | $151.36 | $275.42 |
Wellmark Setting Professional Modifier None (both parts) Typical Low $245.47 Median $245.47 Typical High $281.84 | Professional | None (both parts) | $245.47 | $245.47 | $281.84 |
Wellmark Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $48.98 Typical High $54.95 | Professional | 26 · Professional part | $48.98 | $48.98 | $54.95 |
Wellmark Setting Professional Modifier TC · Technical part Typical Low $194.98 Median $194.98 Typical High $223.87 | Professional | TC · Technical part | $194.98 | $194.98 | $223.87 |
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 $42.66 Median $42.66 Typical High $60.26 | Professional | 52 · Reduced service | $42.66 | $42.66 | $60.26 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $16.98 Median $16.98 Typical High $23.99 | Professional | 53 · Discontinued | $16.98 | $16.98 | $23.99 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $67.61 Median $67.61 Typical High $74.13 | Professional | FX · Film X-ray | $67.61 | $67.61 | $74.13 |
Where Iowa sits
The same service costs 4.2 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
$245
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.