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 $346.74 Median $562.34 Typical High $562.34 | Facility | None | $346.74 | $562.34 | $562.34 |
Aetna Setting Professional Modifier None (both parts) Typical Low $467.74 Median $562.34 Typical High $812.83 | Professional | None (both parts) | $467.74 | $562.34 | $812.83 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $37.15 Typical High $56.23 | Professional | 26 · Professional part | $37.15 | $37.15 | $56.23 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $457.09 Median $549.54 Typical High $794.33 | Professional | TC · Technical part | $457.09 | $549.54 | $794.33 |
Cigna Setting Facility Modifier None Typical Low $1,380.38 Median $1,380.38 Typical High $1,380.38 | Facility | None | $1,380.38 | $1,380.38 | $1,380.38 |
Cigna Setting Professional Modifier None (both parts) Typical Low $245.47 Median $660.69 Typical High $1,513.56 | Professional | None (both parts) | $245.47 | $660.69 | $1,513.56 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $93.33 Typical High $120.23 | Professional | 26 · Professional part | $47.86 | $93.33 | $120.23 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $208.93 Median $575.44 Typical High $1,412.54 | Professional | TC · Technical part | $208.93 | $575.44 | $1,412.54 |
Hally Health Setting Professional Modifier None Typical Low $251.19 Median $398.11 Typical High $707.95 | Professional | None | $251.19 | $398.11 | $707.95 |
Hally Health Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $69.18 Typical High $125.89 | Professional | 26 · Professional part | $39.81 | $69.18 | $125.89 |
Hally Health Setting Professional Modifier TC · Technical part Typical Low $208.93 Median $323.59 Typical High $562.34 | Professional | TC · Technical part | $208.93 | $323.59 | $562.34 |
Medica Setting Facility Modifier None Typical Low $91.20 Median $645.65 Typical High $1,513.56 | Facility | None | $91.20 | $645.65 | $1,513.56 |
Medica Setting Professional Modifier None (both parts) Typical Low $91.20 Median $691.83 Typical High $1,778.28 | Professional | None (both parts) | $91.20 | $691.83 | $1,778.28 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $77.62 Typical High $354.81 | Professional | 26 · Professional part | $42.66 | $77.62 | $354.81 |
Medica Setting Professional Modifier TC · Technical part Typical Low $489.78 Median $891.25 Typical High $1,412.54 | Professional | TC · Technical part | $489.78 | $891.25 | $1,412.54 |
Midlands Setting Professional Modifier None Typical Low $616.60 Median $1,513.56 Typical High $1,513.56 | Professional | None | $616.60 | $1,513.56 | $1,513.56 |
Midlands Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $93.33 Typical High $107.15 | Professional | 26 · Professional part | $83.18 | $93.33 | $107.15 |
Midlands Setting Facility Modifier None Typical Low $1,380.38 Median $1,380.38 Typical High $1,380.38 | Facility | None | $1,380.38 | $1,380.38 | $1,380.38 |
Midlands Setting Professional Modifier None (both parts) Typical Low $512.86 Median $912.01 Typical High $1,513.56 | Professional | None (both parts) | $512.86 | $912.01 | $1,513.56 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $47.86 Median $102.33 Typical High $489.78 | Professional | None (both parts) | $47.86 | $102.33 | $489.78 |
United Setting Facility Modifier None Typical Low $933.25 Median $1,584.89 Typical High $1,995.26 | Facility | None | $933.25 | $1,584.89 | $1,995.26 |
United Setting Professional Modifier None (both parts) Typical Low $338.84 Median $741.31 Typical High $1,230.27 | Professional | None (both parts) | $338.84 | $741.31 | $1,230.27 |
United Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $53.70 Typical High $87.10 | Professional | 26 · Professional part | $40.74 | $53.70 | $87.10 |
United Setting Professional Modifier TC · Technical part Typical Low $288.40 Median $691.83 Typical High $1,174.90 | Professional | TC · Technical part | $288.40 | $691.83 | $1,174.90 |
Wellmark Setting Professional Modifier None (both parts) Typical Low $1,148.15 Median $1,148.15 Typical High $1,318.26 | Professional | None (both parts) | $1,148.15 | $1,148.15 | $1,318.26 |
Wellmark Setting Professional Modifier 26 · Professional part Typical Low $77.62 Median $77.62 Typical High $87.10 | Professional | 26 · Professional part | $77.62 | $77.62 | $87.10 |
Wellmark Setting Professional Modifier TC · Technical part Typical Low $1,071.52 Median $1,071.52 Typical High $1,230.27 | Professional | TC · Technical part | $1,071.52 | $1,071.52 | $1,230.27 |
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 $234.42 Median $281.84 Typical High $407.38 | Professional | 52 · Reduced service | $234.42 | $281.84 | $407.38 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $93.33 Median $112.20 Typical High $162.18 | Professional | 53 · Discontinued | $93.33 | $112.20 | $162.18 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $371.54 Median $446.68 Typical High $457.09 | Professional | FX · Film X-ray | $371.54 | $446.68 | $457.09 |
Where Iowa sits
The same service costs 4.8 times more in Alaska than in New Jersey. 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· 9th of 51
$708
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.