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 $144.54 Median $501.19 Typical High $501.19 | Facility | None | $144.54 | $501.19 | $501.19 |
Aetna Setting Professional Modifier None (both parts) Typical Low $416.87 Median $501.19 Typical High $707.95 | Professional | None (both parts) | $416.87 | $501.19 | $707.95 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $22.91 Typical High $33.88 | Professional | 26 · Professional part | $21.88 | $22.91 | $33.88 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $407.38 Median $489.78 Typical High $776.25 | Professional | TC · Technical part | $407.38 | $489.78 | $776.25 |
Cigna Setting Facility Modifier None Typical Low $758.58 Median $758.58 Typical High $758.58 | Facility | None | $758.58 | $758.58 | $758.58 |
Cigna Setting Professional Modifier None (both parts) Typical Low $69.18 Median $190.55 Typical High $1,288.25 | Professional | None (both parts) | $69.18 | $190.55 | $1,288.25 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $54.95 Typical High $72.44 | Professional | 26 · Professional part | $30.20 | $54.95 | $72.44 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $43.65 Median $131.83 Typical High $1,230.27 | Professional | TC · Technical part | $43.65 | $131.83 | $1,230.27 |
Hally Health Setting Professional Modifier None Typical Low $72.44 Median $123.03 Typical High $204.17 | Professional | None | $72.44 | $123.03 | $204.17 |
Hally Health Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $41.69 Typical High $75.86 | Professional | 26 · Professional part | $23.44 | $41.69 | $75.86 |
Hally Health Setting Professional Modifier TC · Technical part Typical Low $48.98 Median $74.13 Typical High $123.03 | Professional | TC · Technical part | $48.98 | $74.13 | $123.03 |
Medica Setting Facility Modifier None Typical Low $53.70 Median $204.17 Typical High $1,659.59 | Facility | None | $53.70 | $204.17 | $1,659.59 |
Medica Setting Professional Modifier None (both parts) Typical Low $53.70 Median $457.09 Typical High $891.25 | Professional | None (both parts) | $53.70 | $457.09 | $891.25 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $48.98 Typical High $154.88 | Professional | 26 · Professional part | $26.92 | $48.98 | $154.88 |
Medica Setting Professional Modifier TC · Technical part Typical Low $131.83 Median $707.95 Typical High $851.14 | Professional | TC · Technical part | $131.83 | $707.95 | $851.14 |
Midlands Setting Professional Modifier None Typical Low $190.55 Median $1,288.25 Typical High $1,288.25 | Professional | None | $190.55 | $1,288.25 | $1,288.25 |
Midlands Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $54.95 Typical High $64.57 | Professional | 26 · Professional part | $50.12 | $54.95 | $64.57 |
Midlands Setting Facility Modifier None Typical Low $758.58 Median $758.58 Typical High $758.58 | Facility | None | $758.58 | $758.58 | $758.58 |
Midlands Setting Professional Modifier None (both parts) Typical Low $144.54 Median $269.15 Typical High $1,288.25 | Professional | None (both parts) | $144.54 | $269.15 | $1,288.25 |
United Setting Facility Modifier None Typical Low $812.83 Median $1,380.38 Typical High $1,737.80 | Facility | None | $812.83 | $1,380.38 | $1,737.80 |
United Setting Professional Modifier None (both parts) Typical Low $104.71 Median $537.03 Typical High $954.99 | Professional | None (both parts) | $104.71 | $537.03 | $954.99 |
United Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $32.36 Typical High $53.70 | Professional | 26 · Professional part | $25.70 | $32.36 | $53.70 |
United Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $501.19 Typical High $912.01 | Professional | TC · Technical part | $70.79 | $501.19 | $912.01 |
Wellmark Setting Professional Modifier None (both parts) Typical Low $1,000.00 Median $1,000.00 Typical High $1,148.15 | Professional | None (both parts) | $1,000.00 | $1,000.00 | $1,148.15 |
Wellmark Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $43.65 Typical High $48.98 | Professional | 26 · Professional part | $43.65 | $43.65 | $48.98 |
Wellmark Setting Professional Modifier TC · Technical part Typical Low $954.99 Median $954.99 Typical High $1,096.48 | Professional | TC · Technical part | $954.99 | $954.99 | $1,096.48 |
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 $208.93 Median $245.47 Typical High $389.05 | Professional | 52 · Reduced service | $208.93 | $245.47 | $389.05 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $83.18 Median $100.00 Typical High $154.88 | Professional | 53 · Discontinued | $83.18 | $100.00 | $154.88 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $331.13 Median $398.11 Typical High $398.11 | Professional | FX · Film X-ray | $331.13 | $398.11 | $398.11 |
Where Iowa sits
The same service costs 8.7 times more in Colorado than in Michigan. 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· 4th of 51
$537
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.