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 $114.82 Median $114.82 Typical High $691.83 | Facility | None | $114.82 | $114.82 | $691.83 |
Aetna Setting Professional Modifier None (both parts) Typical Low $114.82 Median $117.49 Typical High $218.78 | Professional | None (both parts) | $114.82 | $117.49 | $218.78 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $53.70 Typical High $89.13 | Professional | 26 · Professional part | $53.70 | $53.70 | $89.13 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $64.57 Typical High $131.83 | Professional | TC · Technical part | $60.26 | $64.57 | $131.83 |
Cigna Setting Facility Modifier None Typical Low $616.60 Median $616.60 Typical High $616.60 | Facility | None | $616.60 | $616.60 | $616.60 |
Cigna Setting Professional Modifier None (both parts) Typical Low $186.21 Median $281.84 Typical High $407.38 | Professional | None (both parts) | $186.21 | $281.84 | $407.38 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $74.13 Median $128.82 Typical High $169.82 | Professional | 26 · Professional part | $74.13 | $128.82 | $169.82 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $109.65 Median $154.88 Typical High $218.78 | Professional | TC · Technical part | $109.65 | $154.88 | $218.78 |
Hally Health Setting Professional Modifier None Typical Low $114.82 Median $223.87 Typical High $870.96 | Professional | None | $114.82 | $223.87 | $870.96 |
Hally Health Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $102.33 Typical High $199.53 | Professional | 26 · Professional part | $54.95 | $102.33 | $199.53 |
Hally Health Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $120.23 Typical High $758.58 | Professional | TC · Technical part | $60.26 | $120.23 | $758.58 |
Medica Setting Facility Modifier None Typical Low $257.04 Median $407.38 Typical High $7,585.78 | Facility | None | $257.04 | $407.38 | $7,585.78 |
Medica Setting Professional Modifier None (both parts) Typical Low $154.88 Median $331.13 Typical High $3,162.28 | Professional | None (both parts) | $154.88 | $331.13 | $3,162.28 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $114.82 Typical High $630.96 | Professional | 26 · Professional part | $66.07 | $114.82 | $630.96 |
Medica Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $154.88 Typical High $2,818.38 | Professional | TC · Technical part | $81.28 | $154.88 | $2,818.38 |
Midlands Setting Professional Modifier None Typical Low $263.03 Median $281.84 Typical High $338.84 | Professional | None | $263.03 | $281.84 | $338.84 |
Midlands Setting Professional Modifier 26 · Professional part Typical Low $123.03 Median $128.82 Typical High $154.88 | Professional | 26 · Professional part | $123.03 | $128.82 | $154.88 |
Midlands Setting Professional Modifier TC · Technical part Typical Low $138.04 Median $154.88 Typical High $186.21 | Professional | TC · Technical part | $138.04 | $154.88 | $186.21 |
Midlands Setting Facility Modifier None Typical Low $616.60 Median $616.60 Typical High $616.60 | Facility | None | $616.60 | $616.60 | $616.60 |
Midlands Setting Professional Modifier None (both parts) Typical Low $245.47 Median $323.59 Typical High $1,995.26 | Professional | None (both parts) | $245.47 | $323.59 | $1,995.26 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $63.10 Median $117.49 Typical High $234.42 | Professional | None (both parts) | $63.10 | $117.49 | $234.42 |
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 $134.90 Median $177.83 Typical High $323.59 | Professional | None (both parts) | $134.90 | $177.83 | $323.59 |
United Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $77.62 Typical High $128.82 | Professional | 26 · Professional part | $61.66 | $77.62 | $128.82 |
United Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $97.72 Typical High $190.55 | Professional | TC · Technical part | $72.44 | $97.72 | $190.55 |
Wellmark Setting Professional Modifier None (both parts) Typical Low $223.87 Median $223.87 Typical High $257.04 | Professional | None (both parts) | $223.87 | $223.87 | $257.04 |
Wellmark Setting Professional Modifier 26 · Professional part Typical Low $102.33 Median $102.33 Typical High $117.49 | Professional | 26 · Professional part | $102.33 | $102.33 | $117.49 |
Wellmark Setting Professional Modifier TC · Technical part Typical Low $123.03 Median $123.03 Typical High $138.04 | Professional | TC · Technical part | $123.03 | $123.03 | $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 $57.54 Median $57.54 Typical High $97.72 | Professional | 52 · Reduced service | $57.54 | $57.54 | $97.72 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $22.91 Median $22.91 Typical High $38.90 | Professional | 53 · Discontinued | $22.91 | $22.91 | $38.90 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $91.20 Median $91.20 Typical High $102.33 | Professional | FX · Film X-ray | $91.20 | $91.20 | $102.33 |
Where Iowa sits
The same service costs 5.4 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· 11th of 51
$257
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.