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 $70.79 Median $70.79 Typical High $165.96 | Facility | None | $70.79 | $70.79 | $165.96 |
Aetna Setting Professional Modifier None (both parts) Typical Low $70.79 Median $72.44 Typical High $104.71 | Professional | None (both parts) | $70.79 | $72.44 | $104.71 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $26.30 Typical High $43.65 | Professional | 26 · Professional part | $25.12 | $26.30 | $43.65 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $44.67 Median $46.77 Typical High $77.62 | Professional | TC · Technical part | $44.67 | $46.77 | $77.62 |
Cigna Setting Facility Modifier None Typical Low $363.08 Median $363.08 Typical High $363.08 | Facility | None | $363.08 | $363.08 | $363.08 |
Cigna Setting Professional Modifier None (both parts) Typical Low $81.28 Median $213.80 Typical High $281.84 | Professional | None (both parts) | $81.28 | $213.80 | $281.84 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $63.10 Typical High $85.11 | Professional | 26 · Professional part | $34.67 | $63.10 | $85.11 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $53.70 Median $144.54 Typical High $208.93 | Professional | TC · Technical part | $53.70 | $144.54 | $208.93 |
Hally Health Setting Professional Modifier None Typical Low $102.33 Median $181.97 Typical High $302.00 | Professional | None | $102.33 | $181.97 | $302.00 |
Hally Health Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $47.86 Typical High $81.28 | Professional | 26 · Professional part | $26.92 | $47.86 | $81.28 |
Hally Health Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $141.25 Typical High $218.78 | Professional | TC · Technical part | $72.44 | $141.25 | $218.78 |
Medica Setting Facility Modifier None Typical Low $57.54 Median $169.82 Typical High $371.54 | Facility | None | $57.54 | $169.82 | $371.54 |
Medica Setting Professional Modifier None (both parts) Typical Low $61.66 Median $181.97 Typical High $851.14 | Professional | None (both parts) | $61.66 | $181.97 | $851.14 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $56.23 Typical High $208.93 | Professional | 26 · Professional part | $31.62 | $56.23 | $208.93 |
Medica Setting Professional Modifier TC · Technical part Typical Low $44.67 Median $117.49 Typical High $707.95 | Professional | TC · Technical part | $44.67 | $117.49 | $707.95 |
Midlands Setting Professional Modifier None Typical Low $169.82 Median $281.84 Typical High $281.84 | Professional | None | $169.82 | $281.84 | $281.84 |
Midlands Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $63.10 Typical High $74.13 | Professional | 26 · Professional part | $60.26 | $63.10 | $74.13 |
Midlands Setting Facility Modifier None Typical Low $363.08 Median $363.08 Typical High $363.08 | Facility | None | $363.08 | $363.08 | $363.08 |
Midlands Setting Professional Modifier None (both parts) Typical Low $169.82 Median $275.42 Typical High $323.59 | Professional | None (both parts) | $169.82 | $275.42 | $323.59 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $28.84 Median $63.10 Typical High $218.78 | Professional | None (both parts) | $28.84 | $63.10 | $218.78 |
United Setting Professional Modifier None (both parts) Typical Low $75.86 Median $107.15 Typical High $218.78 | Professional | None (both parts) | $75.86 | $107.15 | $218.78 |
United Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $38.02 Typical High $63.10 | Professional | 26 · Professional part | $30.20 | $38.02 | $63.10 |
United Setting Professional Modifier TC · Technical part Typical Low $43.65 Median $61.66 Typical High $169.82 | Professional | TC · Technical part | $43.65 | $61.66 | $169.82 |
Wellmark Setting Professional Modifier None (both parts) Typical Low $190.55 Median $190.55 Typical High $218.78 | Professional | None (both parts) | $190.55 | $190.55 | $218.78 |
Wellmark Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $48.98 Typical High $56.23 | Professional | 26 · Professional part | $48.98 | $48.98 | $56.23 |
Wellmark Setting Professional Modifier TC · Technical part Typical Low $144.54 Median $144.54 Typical High $162.18 | Professional | TC · Technical part | $144.54 | $144.54 | $162.18 |
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 $35.48 Median $36.31 Typical High $52.48 | Professional | 52 · Reduced service | $35.48 | $36.31 | $52.48 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $14.13 Median $14.45 Typical High $20.89 | Professional | 53 · Discontinued | $14.13 | $14.45 | $20.89 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $57.54 Median $57.54 Typical High $64.57 | Professional | FX · Film X-ray | $57.54 | $57.54 | $64.57 |
Where Iowa sits
The same service costs 4.4 times more in Alaska than in Texas. 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· 10th of 51
$170
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.