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 $97.72 Median $97.72 Typical High $239.88 | Facility | None | $97.72 | $97.72 | $239.88 |
Aetna Setting Professional Modifier None (both parts) Typical Low $97.72 Median $97.72 Typical High $114.82 | Professional | None (both parts) | $97.72 | $97.72 | $114.82 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $35.48 Typical High $40.74 | Professional | 26 · Professional part | $35.48 | $35.48 | $40.74 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $61.66 Typical High $81.28 | Professional | TC · Technical part | $61.66 | $61.66 | $81.28 |
Cigna Setting Facility Modifier None Typical Low $616.60 Median $616.60 Typical High $616.60 | Facility | None | $616.60 | $616.60 | $616.60 |
Cigna Setting Professional Modifier None (both parts) Typical Low $97.72 Median $346.74 Typical High $478.63 | Professional | None (both parts) | $97.72 | $346.74 | $478.63 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $87.10 Typical High $114.82 | Professional | 26 · Professional part | $47.86 | $87.10 | $114.82 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $275.42 Typical High $371.54 | Professional | TC · Technical part | $63.10 | $275.42 | $371.54 |
Hally Health Setting Professional Modifier None Typical Low $165.96 Median $275.42 Typical High $467.74 | Professional | None | $165.96 | $275.42 | $467.74 |
Hally Health Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $53.70 Typical High $79.43 | Professional | 26 · Professional part | $37.15 | $53.70 | $79.43 |
Hally Health Setting Professional Modifier TC · Technical part Typical Low $131.83 Median $208.93 Typical High $416.87 | Professional | TC · Technical part | $131.83 | $208.93 | $416.87 |
Medica Setting Facility Modifier None Typical Low $83.18 Median $239.88 Typical High $630.96 | Facility | None | $83.18 | $239.88 | $630.96 |
Medica Setting Professional Modifier None (both parts) Typical Low $83.18 Median $316.23 Typical High $1,584.89 | Professional | None (both parts) | $83.18 | $316.23 | $1,584.89 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $83.18 Typical High $794.33 | Professional | 26 · Professional part | $42.66 | $83.18 | $794.33 |
Medica Setting Professional Modifier TC · Technical part Typical Low $114.82 Median $234.42 Typical High $1,348.96 | Professional | TC · Technical part | $114.82 | $234.42 | $1,348.96 |
Midlands Setting Professional Modifier None Typical Low $346.74 Median $478.63 Typical High $478.63 | Professional | None | $346.74 | $478.63 | $478.63 |
Midlands Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $87.10 Typical High $104.71 | Professional | 26 · Professional part | $85.11 | $87.10 | $104.71 |
Midlands Setting Professional Modifier TC · Technical part Typical Low $251.19 Median $371.54 Typical High $371.54 | Professional | TC · Technical part | $251.19 | $371.54 | $371.54 |
Midlands Setting Facility Modifier None Typical Low $616.60 Median $616.60 Typical High $616.60 | Facility | None | $616.60 | $616.60 | $616.60 |
Midlands Setting Professional Modifier None (both parts) Typical Low $239.88 Median $457.09 Typical High $478.63 | Professional | None (both parts) | $239.88 | $457.09 | $478.63 |
United Setting Professional Modifier None (both parts) Typical Low $147.91 Median $218.78 Typical High $380.19 | Professional | None (both parts) | $147.91 | $218.78 | $380.19 |
United Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $48.98 Typical High $89.13 | Professional | 26 · Professional part | $41.69 | $48.98 | $89.13 |
United Setting Professional Modifier TC · Technical part Typical Low $104.71 Median $165.96 Typical High $281.84 | Professional | TC · Technical part | $104.71 | $165.96 | $281.84 |
Wellmark Setting Professional Modifier None (both parts) Typical Low $323.59 Median $323.59 Typical High $363.08 | Professional | None (both parts) | $323.59 | $323.59 | $363.08 |
Wellmark Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $67.61 Typical High $75.86 | Professional | 26 · Professional part | $67.61 | $67.61 | $75.86 |
Wellmark Setting Professional Modifier TC · Technical part Typical Low $257.04 Median $257.04 Typical High $288.40 | Professional | TC · Technical part | $257.04 | $257.04 | $288.40 |
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 $48.98 Median $48.98 Typical High $61.66 | Professional | 52 · Reduced service | $48.98 | $48.98 | $61.66 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.50 Median $19.50 Typical High $24.55 | Professional | 53 · Discontinued | $19.50 | $19.50 | $24.55 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $77.62 Median $77.62 Typical High $87.10 | Professional | FX · Film X-ray | $77.62 | $77.62 | $87.10 |
Where Iowa sits
The same service costs 5.2 times more in North Dakota 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
$324
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.