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 $316.23 Median $660.69 Typical High $691.83 | Facility | None | $316.23 | $660.69 | $691.83 |
Aetna Setting Professional Modifier None (both parts) Typical Low $275.42 Median $316.23 Typical High $645.65 | Professional | None (both parts) | $275.42 | $316.23 | $645.65 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $100.00 Median $112.20 Typical High $208.93 | Professional | 26 · Professional part | $100.00 | $112.20 | $208.93 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $186.21 Median $218.78 Typical High $436.52 | Professional | TC · Technical part | $186.21 | $218.78 | $436.52 |
Cigna Setting Facility Modifier None Typical Low $1,479.11 Median $1,479.11 Typical High $1,479.11 | Facility | None | $1,479.11 | $1,479.11 | $1,479.11 |
Cigna Setting Professional Modifier None (both parts) Typical Low $467.74 Median $724.44 Typical High $977.24 | Professional | None (both parts) | $467.74 | $724.44 | $977.24 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $131.83 Median $245.47 Typical High $331.13 | Professional | 26 · Professional part | $131.83 | $245.47 | $331.13 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $323.59 Median $467.74 Typical High $660.69 | Professional | TC · Technical part | $323.59 | $467.74 | $660.69 |
Hally Health Setting Professional Modifier None Typical Low $288.40 Median $426.58 Typical High $1,348.96 | Professional | None | $288.40 | $426.58 | $1,348.96 |
Hally Health Setting Professional Modifier 26 · Professional part Typical Low $104.71 Median $151.36 Typical High $338.84 | Professional | 26 · Professional part | $104.71 | $151.36 | $338.84 |
Hally Health Setting Professional Modifier TC · Technical part Typical Low $181.97 Median $281.84 Typical High $891.25 | Professional | TC · Technical part | $181.97 | $281.84 | $891.25 |
Medica Setting Facility Modifier None Typical Low $512.86 Median $724.44 Typical High $1,288.25 | Facility | None | $512.86 | $724.44 | $1,288.25 |
Medica Setting Professional Modifier None (both parts) Typical Low $389.05 Median $707.95 Typical High $2,089.30 | Professional | None (both parts) | $389.05 | $707.95 | $2,089.30 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $120.23 Median $218.78 Typical High $707.95 | Professional | 26 · Professional part | $120.23 | $218.78 | $707.95 |
Medica Setting Professional Modifier TC · Technical part Typical Low $245.47 Median $446.68 Typical High $1,778.28 | Professional | TC · Technical part | $245.47 | $446.68 | $1,778.28 |
Midlands Setting Professional Modifier None Typical Low $588.84 Median $724.44 Typical High $933.25 | Professional | None | $588.84 | $724.44 | $933.25 |
Midlands Setting Professional Modifier 26 · Professional part Typical Low $234.42 Median $245.47 Typical High $309.03 | Professional | 26 · Professional part | $234.42 | $245.47 | $309.03 |
Midlands Setting Professional Modifier TC · Technical part Typical Low $354.81 Median $467.74 Typical High $616.60 | Professional | TC · Technical part | $354.81 | $467.74 | $616.60 |
Midlands Setting Facility Modifier None Typical Low $1,479.11 Median $1,479.11 Typical High $1,479.11 | Facility | None | $1,479.11 | $1,479.11 | $1,479.11 |
Midlands Setting Professional Modifier None (both parts) Typical Low $549.54 Median $776.25 Typical High $1,318.26 | Professional | None (both parts) | $549.54 | $776.25 | $1,318.26 |
Oscar Health Setting Facility Modifier None Typical Low $1,905.46 Median $5,888.44 Typical High $5,888.44 | Facility | None | $1,905.46 | $5,888.44 | $5,888.44 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $117.49 Median $245.47 Typical High $588.84 | Professional | None (both parts) | $117.49 | $245.47 | $588.84 |
United Setting Facility Modifier None Typical Low $524.81 Median $870.96 Typical High $1,096.48 | Facility | None | $524.81 | $870.96 | $1,096.48 |
United Setting Professional Modifier None (both parts) Typical Low $363.08 Median $446.68 Typical High $831.76 | Professional | None (both parts) | $363.08 | $446.68 | $831.76 |
United Setting Professional Modifier 26 · Professional part Typical Low $114.82 Median $144.54 Typical High $263.03 | Professional | 26 · Professional part | $114.82 | $144.54 | $263.03 |
United Setting Professional Modifier TC · Technical part Typical Low $245.47 Median $309.03 Typical High $575.44 | Professional | TC · Technical part | $245.47 | $309.03 | $575.44 |
Wellmark Setting Professional Modifier None (both parts) Typical Low $630.96 Median $630.96 Typical High $724.44 | Professional | None (both parts) | $630.96 | $630.96 | $724.44 |
Wellmark Setting Professional Modifier 26 · Professional part Typical Low $213.80 Median $213.80 Typical High $245.47 | Professional | 26 · Professional part | $213.80 | $213.80 | $245.47 |
Wellmark Setting Professional Modifier TC · Technical part Typical Low $416.87 Median $416.87 Typical High $478.63 | Professional | TC · Technical part | $416.87 | $416.87 | $478.63 |
2 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 CT · Older CT scanner Typical Low $234.42 Median $269.15 Typical High $275.42 | Professional | CT · Older CT scanner | $234.42 | $269.15 | $275.42 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $218.78 Median $257.04 Typical High $263.03 | Professional | FX · Film X-ray | $218.78 | $257.04 | $263.03 |
Where Iowa sits
The same service costs 5.1 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· 9th of 51
$631
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.