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 $144.54 Median $144.54 Typical High $758.58 | Facility | None | $144.54 | $144.54 | $758.58 |
Aetna Setting Professional Modifier None (both parts) Typical Low $144.54 Median $158.49 Typical High $371.54 | Professional | None (both parts) | $144.54 | $158.49 | $371.54 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $81.28 Typical High $141.25 | Professional | 26 · Professional part | $61.66 | $81.28 | $141.25 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $72.44 Typical High $223.87 | Professional | TC · Technical part | $61.66 | $72.44 | $223.87 |
Cigna Setting Facility Modifier None Typical Low $794.33 Median $794.33 Typical High $794.33 | Facility | None | $794.33 | $794.33 | $794.33 |
Cigna Setting Professional Modifier None (both parts) Typical Low $239.88 Median $354.81 Typical High $512.86 | Professional | None (both parts) | $239.88 | $354.81 | $512.86 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $77.62 Median $199.53 Typical High $257.04 | Professional | 26 · Professional part | $77.62 | $199.53 | $257.04 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $141.25 Median $154.88 Typical High $263.03 | Professional | TC · Technical part | $141.25 | $154.88 | $263.03 |
Hally Health Setting Professional Modifier None Typical Low $147.91 Median $281.84 Typical High $870.96 | Professional | None | $147.91 | $281.84 | $870.96 |
Hally Health Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $120.23 Typical High $302.00 | Professional | 26 · Professional part | $85.11 | $120.23 | $302.00 |
Hally Health Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $123.03 Typical High $758.58 | Professional | TC · Technical part | $60.26 | $123.03 | $758.58 |
Medica Setting Facility Modifier None Typical Low $316.23 Median $501.19 Typical High $7,585.78 | Facility | None | $316.23 | $501.19 | $7,585.78 |
Medica Setting Professional Modifier None (both parts) Typical Low $190.55 Median $407.38 Typical High $3,162.28 | Professional | None (both parts) | $190.55 | $407.38 | $3,162.28 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $165.96 Typical High $676.08 | Professional | 26 · Professional part | $81.28 | $165.96 | $676.08 |
Medica Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $177.83 Typical High $2,818.38 | Professional | TC · Technical part | $79.43 | $177.83 | $2,818.38 |
Midlands Setting Professional Modifier None Typical Low $323.59 Median $354.81 Typical High $426.58 | Professional | None | $323.59 | $354.81 | $426.58 |
Midlands Setting Professional Modifier 26 · Professional part Typical Low $186.21 Median $199.53 Typical High $234.42 | Professional | 26 · Professional part | $186.21 | $199.53 | $234.42 |
Midlands Setting Professional Modifier TC · Technical part Typical Low $141.25 Median $154.88 Typical High $186.21 | Professional | TC · Technical part | $141.25 | $154.88 | $186.21 |
Midlands Setting Facility Modifier None Typical Low $794.33 Median $794.33 Typical High $794.33 | Facility | None | $794.33 | $794.33 | $794.33 |
Midlands Setting Professional Modifier None (both parts) Typical Low $309.03 Median $407.38 Typical High $1,995.26 | Professional | None (both parts) | $309.03 | $407.38 | $1,995.26 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $74.13 Median $151.36 Typical High $309.03 | Professional | None (both parts) | $74.13 | $151.36 | $309.03 |
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 $165.96 Median $218.78 Typical High $398.11 | Professional | None (both parts) | $165.96 | $218.78 | $398.11 |
United Setting Professional Modifier 26 · Professional part Typical Low $77.62 Median $109.65 Typical High $186.21 | Professional | 26 · Professional part | $77.62 | $109.65 | $186.21 |
United Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $97.72 Typical High $229.09 | Professional | TC · Technical part | $72.44 | $97.72 | $229.09 |
Wellmark Setting Professional Modifier None (both parts) Typical Low $288.40 Median $288.40 Typical High $323.59 | Professional | None (both parts) | $288.40 | $288.40 | $323.59 |
Wellmark Setting Professional Modifier 26 · Professional part Typical Low $158.49 Median $158.49 Typical High $181.97 | Professional | 26 · Professional part | $158.49 | $158.49 | $181.97 |
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 $70.79 Median $72.44 Typical High $112.20 | Professional | 52 · Reduced service | $70.79 | $72.44 | $112.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $28.84 Median $28.84 Typical High $44.67 | Professional | 53 · Discontinued | $28.84 | $28.84 | $44.67 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $114.82 Median $114.82 Typical High $128.82 | Professional | FX · Film X-ray | $114.82 | $114.82 | $128.82 |
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· 10th of 51
$324
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.