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 $128.82 Median $295.12 Typical High $309.03 | Facility | None | $128.82 | $295.12 | $309.03 |
Aetna Setting Professional Modifier None (both parts) Typical Low $128.82 Median $147.91 Typical High $338.84 | Professional | None (both parts) | $128.82 | $147.91 | $338.84 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $72.44 Typical High $125.89 | Professional | 26 · Professional part | $52.48 | $72.44 | $125.89 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $57.54 Median $69.18 Typical High $204.17 | Professional | TC · Technical part | $57.54 | $69.18 | $204.17 |
Cigna Setting Facility Modifier None Typical Low $676.08 Median $676.08 Typical High $676.08 | Facility | None | $676.08 | $676.08 | $676.08 |
Cigna Setting Professional Modifier None (both parts) Typical Low $213.80 Median $323.59 Typical High $467.74 | Professional | None (both parts) | $213.80 | $323.59 | $467.74 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $177.83 Typical High $223.87 | Professional | 26 · Professional part | $67.61 | $177.83 | $223.87 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $128.82 Median $147.91 Typical High $234.42 | Professional | TC · Technical part | $128.82 | $147.91 | $234.42 |
Hally Health Setting Professional Modifier None Typical Low $131.83 Median $257.04 Typical High $912.01 | Professional | None | $131.83 | $257.04 | $912.01 |
Hally Health Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $104.71 Typical High $380.19 | Professional | 26 · Professional part | $75.86 | $104.71 | $380.19 |
Hally Health Setting Professional Modifier TC · Technical part Typical Low $57.54 Median $114.82 Typical High $758.58 | Professional | TC · Technical part | $57.54 | $114.82 | $758.58 |
Medica Setting Facility Modifier None Typical Low $295.12 Median $467.74 Typical High $7,585.78 | Facility | None | $295.12 | $467.74 | $7,585.78 |
Medica Setting Professional Modifier None (both parts) Typical Low $173.78 Median $371.54 Typical High $3,090.30 | Professional | None (both parts) | $173.78 | $371.54 | $3,090.30 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $147.91 Typical High $549.54 | Professional | 26 · Professional part | $70.79 | $147.91 | $549.54 |
Medica Setting Professional Modifier TC · Technical part Typical Low $77.62 Median $169.82 Typical High $2,818.38 | Professional | TC · Technical part | $77.62 | $169.82 | $2,818.38 |
Midlands Setting Professional Modifier None Typical Low $302.00 Median $323.59 Typical High $389.05 | Professional | None | $302.00 | $323.59 | $389.05 |
Midlands Setting Professional Modifier 26 · Professional part Typical Low $162.18 Median $177.83 Typical High $208.93 | Professional | 26 · Professional part | $162.18 | $177.83 | $208.93 |
Midlands Setting Professional Modifier TC · Technical part Typical Low $134.90 Median $147.91 Typical High $177.83 | Professional | TC · Technical part | $134.90 | $147.91 | $177.83 |
Midlands Setting Facility Modifier None Typical Low $676.08 Median $676.08 Typical High $676.08 | Facility | None | $676.08 | $676.08 | $676.08 |
Midlands Setting Professional Modifier None (both parts) Typical Low $281.84 Median $363.08 Typical High $1,949.84 | Professional | None (both parts) | $281.84 | $363.08 | $1,949.84 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $70.79 Median $147.91 Typical High $281.84 | Professional | None (both parts) | $70.79 | $147.91 | $281.84 |
United Setting Facility Modifier None Typical Low $4,677.35 Median $7,943.28 Typical High $10,000.00 | Facility | None | $4,677.35 | $7,943.28 | $10,000.00 |
United Setting Professional Modifier None (both parts) Typical Low $154.88 Median $204.17 Typical High $371.54 | Professional | None (both parts) | $154.88 | $204.17 | $371.54 |
United Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $97.72 Typical High $165.96 | Professional | 26 · Professional part | $69.18 | $97.72 | $165.96 |
United Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $95.50 Typical High $208.93 | Professional | TC · Technical part | $70.79 | $95.50 | $208.93 |
Wellmark Setting Professional Modifier None (both parts) Typical Low $263.03 Median $263.03 Typical High $295.12 | Professional | None (both parts) | $263.03 | $263.03 | $295.12 |
Wellmark Setting Professional Modifier 26 · Professional part Typical Low $141.25 Median $141.25 Typical High $162.18 | Professional | 26 · Professional part | $141.25 | $141.25 | $162.18 |
Wellmark Setting Professional Modifier TC · Technical part Typical Low $120.23 Median $120.23 Typical High $138.04 | Professional | TC · Technical part | $120.23 | $120.23 | $138.04 |
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 $64.57 Median $66.07 Typical High $104.71 | Professional | 52 · Reduced service | $64.57 | $66.07 | $104.71 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $25.70 Median $26.30 Typical High $41.69 | Professional | 53 · Discontinued | $25.70 | $26.30 | $41.69 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $104.71 Median $104.71 Typical High $117.49 | Professional | FX · Film X-ray | $104.71 | $104.71 | $117.49 |
Where Iowa sits
The same service costs 4.1 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
$295
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.