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 $36.31 Median $83.18 Typical High $87.10 | Facility | None | $36.31 | $83.18 | $87.10 |
Aetna Setting Professional Modifier None (both parts) Typical Low $35.48 Median $39.81 Typical High $87.10 | Professional | None (both parts) | $35.48 | $39.81 | $87.10 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $13.18 Median $14.45 Typical High $28.84 | Professional | 26 · Professional part | $13.18 | $14.45 | $28.84 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $21.88 Median $25.12 Typical High $57.54 | Professional | TC · Technical part | $21.88 | $25.12 | $57.54 |
Cigna Setting Facility Modifier None Typical Low $165.96 Median $165.96 Typical High $165.96 | Facility | None | $165.96 | $165.96 | $165.96 |
Cigna Setting Professional Modifier None (both parts) Typical Low $56.23 Median $91.20 Typical High $123.03 | Professional | None (both parts) | $56.23 | $91.20 | $123.03 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $18.62 Median $33.11 Typical High $43.65 | Professional | 26 · Professional part | $18.62 | $33.11 | $43.65 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $37.15 Median $57.54 Typical High $83.18 | Professional | TC · Technical part | $37.15 | $57.54 | $83.18 |
Hally Health Setting Professional Modifier None Typical Low $36.31 Median $72.44 Typical High $173.78 | Professional | None | $36.31 | $72.44 | $173.78 |
Hally Health Setting Professional Modifier 26 · Professional part Typical Low $14.13 Median $25.12 Typical High $70.79 | Professional | 26 · Professional part | $14.13 | $25.12 | $70.79 |
Hally Health Setting Professional Modifier TC · Technical part Typical Low $22.39 Median $44.67 Typical High $109.65 | Professional | TC · Technical part | $22.39 | $44.67 | $109.65 |
Medica Setting Facility Modifier None Typical Low $81.28 Median $120.23 Typical High $870.96 | Facility | None | $81.28 | $120.23 | $870.96 |
Medica Setting Professional Modifier None (both parts) Typical Low $43.65 Median $87.10 Typical High $389.05 | Professional | None (both parts) | $43.65 | $87.10 | $389.05 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $16.22 Median $29.51 Typical High $102.33 | Professional | 26 · Professional part | $16.22 | $29.51 | $102.33 |
Medica Setting Professional Modifier TC · Technical part Typical Low $24.55 Median $44.67 Typical High $302.00 | Professional | TC · Technical part | $24.55 | $44.67 | $302.00 |
Midlands Setting Professional Modifier None Typical Low $83.18 Median $91.20 Typical High $104.71 | Professional | None | $83.18 | $91.20 | $104.71 |
Midlands Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $33.11 Typical High $38.02 | Professional | 26 · Professional part | $30.90 | $33.11 | $38.02 |
Midlands Setting Professional Modifier TC · Technical part Typical Low $51.29 Median $57.54 Typical High $67.61 | Professional | TC · Technical part | $51.29 | $57.54 | $67.61 |
Midlands Setting Facility Modifier None Typical Low $165.96 Median $165.96 Typical High $165.96 | Facility | None | $165.96 | $165.96 | $165.96 |
Midlands Setting Professional Modifier None (both parts) Typical Low $77.62 Median $97.72 Typical High $204.17 | Professional | None (both parts) | $77.62 | $97.72 | $204.17 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $16.60 Median $37.15 Typical High $77.62 | Professional | None (both parts) | $16.60 | $37.15 | $77.62 |
United Setting Facility Modifier None Typical Low $524.81 Median $870.96 Typical High $1,096.48 | Facility | None | $524.81 | $870.96 | $1,096.48 |
United Setting Professional Modifier None (both parts) Typical Low $38.02 Median $50.12 Typical High $79.43 | Professional | None (both parts) | $38.02 | $50.12 | $79.43 |
United Setting Professional Modifier 26 · Professional part Typical Low $15.49 Median $19.50 Typical High $31.62 | Professional | 26 · Professional part | $15.49 | $19.50 | $31.62 |
United Setting Professional Modifier TC · Technical part Typical Low $21.88 Median $29.51 Typical High $54.95 | Professional | TC · Technical part | $21.88 | $29.51 | $54.95 |
Wellmark Setting Professional Modifier None (both parts) Typical Low $74.13 Median $74.13 Typical High $83.18 | Professional | None (both parts) | $74.13 | $74.13 | $83.18 |
Wellmark Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $26.30 Typical High $30.20 | Professional | 26 · Professional part | $26.30 | $26.30 | $30.20 |
Wellmark Setting Professional Modifier TC · Technical part Typical Low $46.77 Median $46.77 Typical High $53.70 | Professional | TC · Technical part | $46.77 | $46.77 | $53.70 |
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 $17.78 Median $18.20 Typical High $30.90 | Professional | 52 · Reduced service | $17.78 | $18.20 | $30.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.08 Median $7.24 Typical High $12.30 | Professional | 53 · Discontinued | $7.08 | $7.24 | $12.30 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $27.54 Median $28.84 Typical High $31.62 | Professional | FX · Film X-ray | $27.54 | $28.84 | $31.62 |
Where Iowa sits
The same service costs 3.8 times more in Alaska than in New York. 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
$77.62
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.