How much rates vary
Facilitymedian $661 · 10th to 90th $282 to $14,791Professionalmedian $288 · 10th to 90th $135 to $851
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 $125.89 Median $125.89 Typical High $707.95 | Facility | None | $125.89 | $125.89 | $707.95 |
Aetna Setting Professional Modifier None (both parts) Typical Low $125.89 Median $138.04 Typical High $331.13 | Professional | None (both parts) | $125.89 | $138.04 | $331.13 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $48.98 Typical High $102.33 | Professional | 26 · Professional part | $46.77 | $48.98 | $102.33 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $89.13 Typical High $229.09 | Professional | TC · Technical part | $81.28 | $89.13 | $229.09 |
Cigna Setting Facility Modifier None Typical Low $660.69 Median $660.69 Typical High $660.69 | Facility | None | $660.69 | $660.69 | $660.69 |
Cigna Setting Professional Modifier None (both parts) Typical Low $208.93 Median $316.23 Typical High $457.09 | Professional | None (both parts) | $208.93 | $316.23 | $457.09 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $112.20 Typical High $147.91 | Professional | 26 · Professional part | $64.57 | $112.20 | $147.91 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $134.90 Median $204.17 Typical High $295.12 | Professional | TC · Technical part | $134.90 | $204.17 | $295.12 |
Hally Health Setting Professional Modifier None Typical Low $128.82 Median $251.19 Typical High $1,071.52 | Professional | None | $128.82 | $251.19 | $1,071.52 |
Hally Health Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $89.13 Typical High $331.13 | Professional | 26 · Professional part | $47.86 | $89.13 | $331.13 |
Hally Health Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $158.49 Typical High $776.25 | Professional | TC · Technical part | $79.43 | $158.49 | $776.25 |
Medica Setting Facility Modifier None Typical Low $281.84 Median $436.52 Typical High $13,182.57 | Facility | None | $281.84 | $436.52 | $13,182.57 |
Medica Setting Professional Modifier None (both parts) Typical Low $162.18 Median $346.74 Typical High $3,090.30 | Professional | None (both parts) | $162.18 | $346.74 | $3,090.30 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $100.00 Typical High $645.65 | Professional | 26 · Professional part | $57.54 | $100.00 | $645.65 |
Medica Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $181.97 Typical High $2,818.38 | Professional | TC · Technical part | $97.72 | $181.97 | $2,818.38 |
Midlands Setting Professional Modifier None Typical Low $288.40 Median $316.23 Typical High $371.54 | Professional | None | $288.40 | $316.23 | $371.54 |
Midlands Setting Professional Modifier 26 · Professional part Typical Low $104.71 Median $112.20 Typical High $134.90 | Professional | 26 · Professional part | $104.71 | $112.20 | $134.90 |
Midlands Setting Professional Modifier TC · Technical part Typical Low $181.97 Median $204.17 Typical High $239.88 | Professional | TC · Technical part | $181.97 | $204.17 | $239.88 |
Midlands Setting Facility Modifier None Typical Low $660.69 Median $660.69 Typical High $660.69 | Facility | None | $660.69 | $660.69 | $660.69 |
Midlands Setting Professional Modifier None (both parts) Typical Low $269.15 Median $346.74 Typical High $1,949.84 | Professional | None (both parts) | $269.15 | $346.74 | $1,949.84 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $53.70 Median $114.82 Typical High $263.03 | Professional | None (both parts) | $53.70 | $114.82 | $263.03 |
United Setting Facility Modifier None Typical Low $8,317.64 Median $13,803.84 Typical High $17,378.01 | Facility | None | $8,317.64 | $13,803.84 | $17,378.01 |
United Setting Professional Modifier None (both parts) Typical Low $141.25 Median $186.21 Typical High $338.84 | Professional | None (both parts) | $141.25 | $186.21 | $338.84 |
United Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $66.07 Typical High $109.65 | Professional | 26 · Professional part | $52.48 | $66.07 | $109.65 |
United Setting Professional Modifier TC · Technical part Typical Low $89.13 Median $117.49 Typical High $218.78 | Professional | TC · Technical part | $89.13 | $117.49 | $218.78 |
Wellmark Setting Professional Modifier None (both parts) Typical Low $251.19 Median $251.19 Typical High $288.40 | Professional | None (both parts) | $251.19 | $251.19 | $288.40 |
Wellmark Setting Professional Modifier 26 · Professional part Typical Low $87.10 Median $87.10 Typical High $100.00 | Professional | 26 · Professional part | $87.10 | $87.10 | $100.00 |
Wellmark Setting Professional Modifier TC · Technical part Typical Low $162.18 Median $162.18 Typical High $186.21 | Professional | TC · Technical part | $162.18 | $162.18 | $186.21 |
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 $61.66 Median $63.10 Typical High $107.15 | Professional | 52 · Reduced service | $61.66 | $63.10 | $107.15 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $25.12 Median $25.12 Typical High $43.65 | Professional | 53 · Discontinued | $25.12 | $25.12 | $43.65 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $100.00 Median $102.33 Typical High $109.65 | Professional | FX · Film X-ray | $100.00 | $102.33 | $109.65 |
Where Iowa sits
The same service costs 4.2 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
$288
AK $437UT $105
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.