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 $120.23 Median $120.23 Typical High $691.83 | Facility | None | $120.23 | $120.23 | $691.83 |
Aetna Setting Professional Modifier None (both parts) Typical Low $120.23 Median $120.23 Typical High $204.17 | Professional | None (both parts) | $120.23 | $120.23 | $204.17 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $46.77 Typical High $77.62 | Professional | 26 · Professional part | $45.71 | $46.77 | $77.62 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $74.13 Typical High $154.88 | Professional | TC · Technical part | $72.44 | $74.13 | $154.88 |
Cigna Setting Facility Modifier None Typical Low $645.65 Median $645.65 Typical High $645.65 | Facility | None | $645.65 | $645.65 | $645.65 |
Cigna Setting Professional Modifier None (both parts) Typical Low $194.98 Median $295.12 Typical High $426.58 | Professional | None (both parts) | $194.98 | $295.12 | $426.58 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $112.20 Typical High $151.36 | Professional | 26 · Professional part | $64.57 | $112.20 | $151.36 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $123.03 Median $181.97 Typical High $263.03 | Professional | TC · Technical part | $123.03 | $181.97 | $263.03 |
Hally Health Setting Professional Modifier None Typical Low $120.23 Median $234.42 Typical High $851.14 | Professional | None | $120.23 | $234.42 | $851.14 |
Hally Health Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $89.13 Typical High $194.98 | Professional | 26 · Professional part | $48.98 | $89.13 | $194.98 |
Hally Health Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $141.25 Typical High $758.58 | Professional | TC · Technical part | $70.79 | $141.25 | $758.58 |
Medica Setting Facility Modifier None Typical Low $263.03 Median $416.87 Typical High $7,585.78 | Facility | None | $263.03 | $416.87 | $7,585.78 |
Medica Setting Professional Modifier None (both parts) Typical Low $154.88 Median $331.13 Typical High $3,090.30 | Professional | None (both parts) | $154.88 | $331.13 | $3,090.30 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $102.33 Typical High $537.03 | Professional | 26 · Professional part | $57.54 | $102.33 | $537.03 |
Medica Setting Professional Modifier TC · Technical part Typical Low $89.13 Median $169.82 Typical High $2,818.38 | Professional | TC · Technical part | $89.13 | $169.82 | $2,818.38 |
Midlands Setting Professional Modifier None Typical Low $269.15 Median $295.12 Typical High $346.74 | Professional | None | $269.15 | $295.12 | $346.74 |
Midlands Setting Professional Modifier 26 · Professional part Typical Low $107.15 Median $112.20 Typical High $138.04 | Professional | 26 · Professional part | $107.15 | $112.20 | $138.04 |
Midlands Setting Professional Modifier TC · Technical part Typical Low $162.18 Median $181.97 Typical High $213.80 | Professional | TC · Technical part | $162.18 | $181.97 | $213.80 |
Midlands Setting Facility Modifier None Typical Low $645.65 Median $645.65 Typical High $645.65 | Facility | None | $645.65 | $645.65 | $645.65 |
Midlands Setting Professional Modifier None (both parts) Typical Low $257.04 Median $338.84 Typical High $1,949.84 | Professional | None (both parts) | $257.04 | $338.84 | $1,949.84 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $54.95 Median $114.82 Typical High $245.47 | Professional | None (both parts) | $54.95 | $114.82 | $245.47 |
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 $181.97 Typical High $331.13 | Professional | None (both parts) | $134.90 | $181.97 | $331.13 |
United Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $67.61 Typical High $112.20 | Professional | 26 · Professional part | $53.70 | $67.61 | $112.20 |
United Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $109.65 Typical High $208.93 | Professional | TC · Technical part | $81.28 | $109.65 | $208.93 |
Wellmark Setting Professional Modifier None (both parts) Typical Low $234.42 Median $234.42 Typical High $269.15 | Professional | None (both parts) | $234.42 | $234.42 | $269.15 |
Wellmark Setting Professional Modifier 26 · Professional part Typical Low $89.13 Median $89.13 Typical High $102.33 | Professional | 26 · Professional part | $89.13 | $89.13 | $102.33 |
Wellmark Setting Professional Modifier TC · Technical part Typical Low $144.54 Median $144.54 Typical High $165.96 | Professional | TC · Technical part | $144.54 | $144.54 | $165.96 |
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 $60.26 Median $60.26 Typical High $102.33 | Professional | 52 · Reduced service | $60.26 | $60.26 | $102.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $23.99 Median $23.99 Typical High $40.74 | Professional | 53 · Discontinued | $23.99 | $23.99 | $40.74 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $95.50 Median $95.50 Typical High $102.33 | Professional | FX · Film X-ray | $95.50 | $95.50 | $102.33 |
Where Iowa sits
The same service costs 4.3 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
$269
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.