How much rates vary
Facilitymedian $309 · 10th to 90th $78 to $427Professionalmedian $229 · 10th to 90th $115 to $513
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 $114.82 Median $114.82 Typical High $239.88 | Facility | None | $114.82 | $114.82 | $239.88 |
Aetna Setting Professional Modifier None (both parts) Typical Low $114.82 Median $114.82 Typical High $134.90 | Professional | None (both parts) | $114.82 | $114.82 | $134.90 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $33.11 Typical High $36.31 | Professional | 26 · Professional part | $33.11 | $33.11 | $36.31 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $83.18 Typical High $107.15 | Professional | TC · Technical part | $83.18 | $83.18 | $107.15 |
Cigna Setting Facility Modifier None Typical Low $426.58 Median $426.58 Typical High $426.58 | Facility | None | $426.58 | $426.58 | $426.58 |
Cigna Setting Professional Modifier None (both parts) Typical Low $112.20 Median $331.13 Typical High $467.74 | Professional | None (both parts) | $112.20 | $331.13 | $467.74 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $79.43 Typical High $104.71 | Professional | 26 · Professional part | $40.74 | $79.43 | $104.71 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $239.88 Typical High $346.74 | Professional | TC · Technical part | $81.28 | $239.88 | $346.74 |
Hally Health Setting Professional Modifier None Typical Low $134.90 Median $223.87 Typical High $446.68 | Professional | None | $134.90 | $223.87 | $446.68 |
Hally Health Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $60.26 Typical High $125.89 | Professional | 26 · Professional part | $33.88 | $60.26 | $125.89 |
Hally Health Setting Professional Modifier TC · Technical part Typical Low $102.33 Median $158.49 Typical High $309.03 | Professional | TC · Technical part | $102.33 | $158.49 | $309.03 |
Medica Setting Facility Modifier None Typical Low $77.62 Median $269.15 Typical High $436.52 | Facility | None | $77.62 | $269.15 | $436.52 |
Medica Setting Professional Modifier None (both parts) Typical Low $77.62 Median $208.93 Typical High $851.14 | Professional | None (both parts) | $77.62 | $208.93 | $851.14 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $70.79 Typical High $275.42 | Professional | 26 · Professional part | $37.15 | $70.79 | $275.42 |
Medica Setting Professional Modifier TC · Technical part Typical Low $109.65 Median $213.80 Typical High $630.96 | Professional | TC · Technical part | $109.65 | $213.80 | $630.96 |
Midlands Setting Professional Modifier None Typical Low $331.13 Median $331.13 Typical High $346.74 | Professional | None | $331.13 | $331.13 | $346.74 |
Midlands Setting Professional Modifier 26 · Professional part Typical Low $74.13 Median $79.43 Typical High $91.20 | Professional | 26 · Professional part | $74.13 | $79.43 | $91.20 |
Midlands Setting Professional Modifier TC · Technical part Typical Low $239.88 Median $239.88 Typical High $263.03 | Professional | TC · Technical part | $239.88 | $239.88 | $263.03 |
Midlands Setting Facility Modifier None Typical Low $426.58 Median $426.58 Typical High $426.58 | Facility | None | $426.58 | $426.58 | $426.58 |
Midlands Setting Professional Modifier None (both parts) Typical Low $275.42 Median $331.13 Typical High $363.08 | Professional | None (both parts) | $275.42 | $331.13 | $363.08 |
United Setting Professional Modifier None (both parts) Typical Low $134.90 Median $169.82 Typical High $309.03 | Professional | None (both parts) | $134.90 | $169.82 | $309.03 |
United Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $42.66 Typical High $77.62 | Professional | 26 · Professional part | $36.31 | $42.66 | $77.62 |
United Setting Professional Modifier TC · Technical part Typical Low $102.33 Median $125.89 Typical High $229.09 | Professional | TC · Technical part | $102.33 | $125.89 | $229.09 |
Wellmark Setting Professional Modifier None (both parts) Typical Low $229.09 Median $229.09 Typical High $257.04 | Professional | None (both parts) | $229.09 | $229.09 | $257.04 |
Wellmark Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $61.66 Typical High $70.79 | Professional | 26 · Professional part | $61.66 | $61.66 | $70.79 |
Wellmark Setting Professional Modifier TC · Technical part Typical Low $165.96 Median $165.96 Typical High $186.21 | Professional | TC · Technical part | $165.96 | $165.96 | $186.21 |
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 $57.54 Median $57.54 Typical High $72.44 | Professional | 52 · Reduced service | $57.54 | $57.54 | $72.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $22.91 Median $22.91 Typical High $28.84 | Professional | 53 · Discontinued | $22.91 | $22.91 | $28.84 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $91.20 Median $91.20 Typical High $100.00 | Professional | FX · Film X-ray | $91.20 | $91.20 | $100.00 |
Where Iowa sits
The same service costs 4.5 times more in Alaska than in Washington, DC. 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
$229
AK $389DC $87.10
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.