How much rates vary
Facilitymedian $380 · 10th to 90th $123 to $741Professionalmedian $263 · 10th to 90th $63 to $562
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 $123.03 Median $223.87 Typical High $223.87 | Facility | None | $123.03 | $223.87 | $223.87 |
Aetna Setting Professional Modifier None (both parts) Typical Low $199.53 Median $223.87 Typical High $316.23 | Professional | None (both parts) | $199.53 | $223.87 | $316.23 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $26.92 Typical High $39.81 | Professional | 26 · Professional part | $25.70 | $26.92 | $39.81 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $194.98 Median $213.80 Typical High $309.03 | Professional | TC · Technical part | $194.98 | $213.80 | $309.03 |
Cigna Setting Facility Modifier None Typical Low $588.84 Median $588.84 Typical High $588.84 | Facility | None | $588.84 | $588.84 | $588.84 |
Cigna Setting Professional Modifier None (both parts) Typical Low $81.28 Median $223.87 Typical High $602.56 | Professional | None (both parts) | $81.28 | $223.87 | $602.56 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $64.57 Typical High $87.10 | Professional | 26 · Professional part | $36.31 | $64.57 | $87.10 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $54.95 Median $154.88 Typical High $524.81 | Professional | TC · Technical part | $54.95 | $154.88 | $524.81 |
Hally Health Setting Professional Modifier None Typical Low $83.18 Median $141.25 Typical High $309.03 | Professional | None | $83.18 | $141.25 | $309.03 |
Hally Health Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $48.98 Typical High $83.18 | Professional | 26 · Professional part | $27.54 | $48.98 | $83.18 |
Hally Health Setting Professional Modifier TC · Technical part Typical Low $56.23 Median $91.20 Typical High $239.88 | Professional | TC · Technical part | $56.23 | $91.20 | $239.88 |
Medica Setting Facility Modifier None Typical Low $63.10 Median $245.47 Typical High $741.31 | Facility | None | $63.10 | $245.47 | $741.31 |
Medica Setting Professional Modifier None (both parts) Typical Low $63.10 Median $263.03 Typical High $562.34 | Professional | None (both parts) | $63.10 | $263.03 | $562.34 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $57.54 Typical High $194.98 | Professional | 26 · Professional part | $31.62 | $57.54 | $194.98 |
Medica Setting Professional Modifier TC · Technical part Typical Low $154.88 Median $346.74 Typical High $524.81 | Professional | TC · Technical part | $154.88 | $346.74 | $524.81 |
Midlands Setting Professional Modifier None Typical Low $223.87 Median $602.56 Typical High $602.56 | Professional | None | $223.87 | $602.56 | $602.56 |
Midlands Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $64.57 Typical High $75.86 | Professional | 26 · Professional part | $60.26 | $64.57 | $75.86 |
Midlands Setting Facility Modifier None Typical Low $588.84 Median $588.84 Typical High $588.84 | Facility | None | $588.84 | $588.84 | $588.84 |
Midlands Setting Professional Modifier None (both parts) Typical Low $165.96 Median $316.23 Typical High $602.56 | Professional | None (both parts) | $165.96 | $316.23 | $602.56 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $29.51 Median $64.57 Typical High $177.83 | Professional | None (both parts) | $29.51 | $64.57 | $177.83 |
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 $123.03 Median $288.40 Typical High $489.78 | Professional | None (both parts) | $123.03 | $288.40 | $489.78 |
United Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $38.02 Typical High $61.66 | Professional | 26 · Professional part | $30.20 | $38.02 | $61.66 |
United Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $245.47 Typical High $426.58 | Professional | TC · Technical part | $83.18 | $245.47 | $426.58 |
Wellmark Setting Professional Modifier None (both parts) Typical Low $457.09 Median $457.09 Typical High $512.86 | Professional | None (both parts) | $457.09 | $457.09 | $512.86 |
Wellmark Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $50.12 Typical High $57.54 | Professional | 26 · Professional part | $50.12 | $50.12 | $57.54 |
Wellmark Setting Professional Modifier TC · Technical part Typical Low $398.11 Median $398.11 Typical High $457.09 | Professional | TC · Technical part | $398.11 | $398.11 | $457.09 |
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 $100.00 Median $112.20 Typical High $158.49 | Professional | 52 · Reduced service | $100.00 | $112.20 | $158.49 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $39.81 Median $44.67 Typical High $63.10 | Professional | 53 · Discontinued | $39.81 | $44.67 | $63.10 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $162.18 Median $177.83 Typical High $190.55 | Professional | FX · Film X-ray | $162.18 | $177.83 | $190.55 |
Where Iowa sits
The same service costs 5.9 times more in Nebraska than in Hawaii. 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· 9th of 51
$263
NE $389HI $66.07
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.