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 $83.18 Median $83.18 Typical High $89.13 | Facility | None | $83.18 | $83.18 | $89.13 |
Aetna Setting Professional Modifier None (both parts) Typical Low $83.18 Median $83.18 Typical High $120.23 | Professional | None (both parts) | $83.18 | $83.18 | $120.23 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $15.49 Median $16.22 Typical High $23.99 | Professional | 26 · Professional part | $15.49 | $16.22 | $23.99 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $67.61 Median $67.61 Typical High $100.00 | Professional | TC · Technical part | $67.61 | $67.61 | $100.00 |
Cigna Setting Facility Modifier None Typical Low $275.42 Median $275.42 Typical High $275.42 | Facility | None | $275.42 | $275.42 | $275.42 |
Cigna Setting Professional Modifier None (both parts) Typical Low $83.18 Median $208.93 Typical High $251.19 | Professional | None (both parts) | $83.18 | $208.93 | $251.19 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $38.90 Typical High $51.29 | Professional | 26 · Professional part | $21.88 | $38.90 | $51.29 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $169.82 Typical High $204.17 | Professional | TC · Technical part | $61.66 | $169.82 | $204.17 |
Hally Health Setting Professional Modifier None Typical Low $83.18 Median $123.03 Typical High $239.88 | Professional | None | $83.18 | $123.03 | $239.88 |
Hally Health Setting Professional Modifier 26 · Professional part Typical Low $16.60 Median $30.20 Typical High $53.70 | Professional | 26 · Professional part | $16.60 | $30.20 | $53.70 |
Hally Health Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $93.33 Typical High $186.21 | Professional | TC · Technical part | $66.07 | $93.33 | $186.21 |
Medica Setting Facility Modifier None Typical Low $89.13 Median $190.55 Typical High $616.60 | Facility | None | $89.13 | $190.55 | $616.60 |
Medica Setting Professional Modifier None (both parts) Typical Low $93.33 Median $169.82 Typical High $645.65 | Professional | None (both parts) | $93.33 | $169.82 | $645.65 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $19.50 Median $34.67 Typical High $114.82 | Professional | 26 · Professional part | $19.50 | $34.67 | $114.82 |
Medica Setting Professional Modifier TC · Technical part Typical Low $67.61 Median $120.23 Typical High $524.81 | Professional | TC · Technical part | $67.61 | $120.23 | $524.81 |
Midlands Setting Professional Modifier None Typical Low $194.98 Median $208.93 Typical High $251.19 | Professional | None | $194.98 | $208.93 | $251.19 |
Midlands Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $38.90 Typical High $44.67 | Professional | 26 · Professional part | $36.31 | $38.90 | $44.67 |
Midlands Setting Professional Modifier TC · Technical part Typical Low $158.49 Median $169.82 Typical High $204.17 | Professional | TC · Technical part | $158.49 | $169.82 | $204.17 |
Midlands Setting Facility Modifier None Typical Low $275.42 Median $275.42 Typical High $275.42 | Facility | None | $275.42 | $275.42 | $275.42 |
Midlands Setting Professional Modifier None (both parts) Typical Low $169.82 Median $223.87 Typical High $251.19 | Professional | None (both parts) | $169.82 | $223.87 | $251.19 |
United Setting Facility Modifier None Typical Low $354.81 Median $602.56 Typical High $758.58 | Facility | None | $354.81 | $602.56 | $758.58 |
United Setting Professional Modifier None (both parts) Typical Low $83.18 Median $102.33 Typical High $173.78 | Professional | None (both parts) | $83.18 | $102.33 | $173.78 |
United Setting Professional Modifier 26 · Professional part Typical Low $18.20 Median $22.39 Typical High $38.02 | Professional | 26 · Professional part | $18.20 | $22.39 | $38.02 |
United Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $81.28 Typical High $138.04 | Professional | TC · Technical part | $64.57 | $81.28 | $138.04 |
Wellmark Setting Professional Modifier None (both parts) Typical Low $177.83 Median $177.83 Typical High $199.53 | Professional | None (both parts) | $177.83 | $177.83 | $199.53 |
Wellmark Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $31.62 Typical High $36.31 | Professional | 26 · Professional part | $31.62 | $31.62 | $36.31 |
Wellmark Setting Professional Modifier TC · Technical part Typical Low $144.54 Median $144.54 Typical High $165.96 | Professional | TC · Technical part | $144.54 | $144.54 | $165.96 |
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 $41.69 Median $41.69 Typical High $60.26 | Professional | 52 · Reduced service | $41.69 | $41.69 | $60.26 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $16.60 Median $16.60 Typical High $23.99 | Professional | 53 · Discontinued | $16.60 | $16.60 | $23.99 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $66.07 Median $66.07 Typical High $74.13 | Professional | FX · Film X-ray | $66.07 | $66.07 | $74.13 |
Where Iowa sits
The same service costs 3.8 times more in Alaska than in Kentucky. 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
$178
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.