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 $79.43 Median $181.97 Typical High $190.55 | Facility | None | $79.43 | $181.97 | $190.55 |
Aetna Setting Professional Modifier None (both parts) Typical Low $77.62 Median $83.18 Typical High $158.49 | Professional | None (both parts) | $77.62 | $83.18 | $158.49 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $15.85 Median $17.38 Typical High $34.67 | Professional | 26 · Professional part | $15.85 | $17.38 | $34.67 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $67.61 Typical High $134.90 | Professional | TC · Technical part | $61.66 | $67.61 | $134.90 |
Cigna Setting Facility Modifier None Typical Low $263.03 Median $263.03 Typical High $263.03 | Facility | None | $263.03 | $263.03 | $263.03 |
Cigna Setting Professional Modifier None (both parts) Typical Low $81.28 Median $199.53 Typical High $245.47 | Professional | None (both parts) | $81.28 | $199.53 | $245.47 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $39.81 Typical High $52.48 | Professional | 26 · Professional part | $21.88 | $39.81 | $52.48 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $158.49 Typical High $199.53 | Professional | TC · Technical part | $60.26 | $158.49 | $199.53 |
Hally Health Setting Professional Modifier None Typical Low $77.62 Median $117.49 Typical High $213.80 | Professional | None | $77.62 | $117.49 | $213.80 |
Hally Health Setting Professional Modifier 26 · Professional part Typical Low $16.98 Median $30.20 Typical High $50.12 | Professional | 26 · Professional part | $16.98 | $30.20 | $50.12 |
Hally Health Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $87.10 Typical High $151.36 | Professional | TC · Technical part | $61.66 | $87.10 | $151.36 |
Medica Setting Facility Modifier None Typical Low $123.03 Median $194.98 Typical High $602.56 | Facility | None | $123.03 | $194.98 | $602.56 |
Medica Setting Professional Modifier None (both parts) Typical Low $93.33 Median $165.96 Typical High $630.96 | Professional | None (both parts) | $93.33 | $165.96 | $630.96 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $19.50 Median $34.67 Typical High $131.83 | Professional | 26 · Professional part | $19.50 | $34.67 | $131.83 |
Medica Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $114.82 Typical High $524.81 | Professional | TC · Technical part | $64.57 | $114.82 | $524.81 |
Midlands Setting Professional Modifier None Typical Low $186.21 Median $199.53 Typical High $245.47 | Professional | None | $186.21 | $199.53 | $245.47 |
Midlands Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $39.81 Typical High $45.71 | Professional | 26 · Professional part | $37.15 | $39.81 | $45.71 |
Midlands Setting Professional Modifier TC · Technical part Typical Low $147.91 Median $158.49 Typical High $199.53 | Professional | TC · Technical part | $147.91 | $158.49 | $199.53 |
Midlands Setting Facility Modifier None Typical Low $263.03 Median $263.03 Typical High $263.03 | Facility | None | $263.03 | $263.03 | $263.03 |
Midlands Setting Professional Modifier None (both parts) Typical Low $154.88 Median $213.80 Typical High $251.19 | Professional | None (both parts) | $154.88 | $213.80 | $251.19 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $18.62 Median $81.28 Typical High $162.18 | Professional | None (both parts) | $18.62 | $81.28 | $162.18 |
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 $79.43 Median $100.00 Typical High $169.82 | Professional | None (both parts) | $79.43 | $100.00 | $169.82 |
United Setting Professional Modifier 26 · Professional part Typical Low $18.62 Median $23.44 Typical High $38.02 | Professional | 26 · Professional part | $18.62 | $23.44 | $38.02 |
United Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $77.62 Typical High $131.83 | Professional | TC · Technical part | $61.66 | $77.62 | $131.83 |
Wellmark Setting Professional Modifier None (both parts) Typical Low $158.49 Median $158.49 Typical High $181.97 | Professional | None (both parts) | $158.49 | $158.49 | $181.97 |
Wellmark Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $30.90 Typical High $35.48 | Professional | 26 · Professional part | $30.90 | $30.90 | $35.48 |
Wellmark Setting Professional Modifier TC · Technical part Typical Low $128.82 Median $128.82 Typical High $144.54 | Professional | TC · Technical part | $128.82 | $128.82 | $144.54 |
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 $39.81 Median $39.81 Typical High $58.88 | Professional | 52 · Reduced service | $39.81 | $39.81 | $58.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $15.85 Median $15.85 Typical High $23.99 | Professional | 53 · Discontinued | $15.85 | $15.85 | $23.99 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $63.10 Median $63.10 Typical High $72.44 | Professional | FX · Film X-ray | $63.10 | $63.10 | $72.44 |
Where Iowa sits
The same service costs 4.0 times more in Alaska than in Utah. 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· 8th of 51
$158
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.