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 $407.38 Median $2,818.38 Typical High $2,818.38 | Facility | None | $407.38 | $2,818.38 | $2,818.38 |
Aetna Setting Professional Modifier None (both parts) Typical Low $2,089.30 Median $2,818.38 Typical High $4,073.80 | Professional | None (both parts) | $2,089.30 | $2,818.38 | $4,073.80 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $34.67 Typical High $52.48 | Professional | 26 · Professional part | $33.11 | $34.67 | $52.48 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $2,089.30 Median $2,818.38 Typical High $3,981.07 | Professional | TC · Technical part | $2,089.30 | $2,818.38 | $3,981.07 |
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 $257.04 Median $741.31 Typical High $7,762.47 | Professional | None (both parts) | $257.04 | $741.31 | $7,762.47 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $83.18 Typical High $112.20 | Professional | 26 · Professional part | $46.77 | $83.18 | $112.20 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $218.78 Median $645.65 Typical High $7,762.47 | Professional | TC · Technical part | $218.78 | $645.65 | $7,762.47 |
Hally Health Setting Professional Modifier None Typical Low $275.42 Median $436.52 Typical High $758.58 | Professional | None | $275.42 | $436.52 | $758.58 |
Hally Health Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $64.57 Typical High $114.82 | Professional | 26 · Professional part | $35.48 | $64.57 | $114.82 |
Hally Health Setting Professional Modifier TC · Technical part Typical Low $234.42 Median $363.08 Typical High $630.96 | Professional | TC · Technical part | $234.42 | $363.08 | $630.96 |
Medica Setting Facility Modifier None Typical Low $81.28 Median $1,318.26 Typical High $8,128.31 | Facility | None | $81.28 | $1,318.26 | $8,128.31 |
Medica Setting Professional Modifier None (both parts) Typical Low $81.28 Median $1,513.56 Typical High $4,786.30 | Professional | None (both parts) | $81.28 | $1,513.56 | $4,786.30 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $75.86 Typical High $457.09 | Professional | 26 · Professional part | $41.69 | $75.86 | $457.09 |
Medica Setting Professional Modifier TC · Technical part Typical Low $645.65 Median $2,238.72 Typical High $4,786.30 | Professional | TC · Technical part | $645.65 | $2,238.72 | $4,786.30 |
Midlands Setting Professional Modifier None Typical Low $691.83 Median $7,762.47 Typical High $7,762.47 | Professional | None | $691.83 | $7,762.47 | $7,762.47 |
Midlands Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $83.18 Typical High $100.00 | Professional | 26 · Professional part | $79.43 | $83.18 | $100.00 |
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 $524.81 Median $1,000.00 Typical High $7,762.47 | Professional | None (both parts) | $524.81 | $1,000.00 | $7,762.47 |
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 $371.54 Median $1,737.80 Typical High $3,090.30 | Professional | None (both parts) | $371.54 | $1,737.80 | $3,090.30 |
United Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $50.12 Typical High $83.18 | Professional | 26 · Professional part | $39.81 | $50.12 | $83.18 |
United Setting Professional Modifier TC · Technical part Typical Low $323.59 Median $1,698.24 Typical High $3,019.95 | Professional | TC · Technical part | $323.59 | $1,698.24 | $3,019.95 |
Wellmark Setting Professional Modifier None (both parts) Typical Low $5,754.40 Median $5,754.40 Typical High $6,456.54 | Professional | None (both parts) | $5,754.40 | $5,754.40 | $6,456.54 |
Wellmark Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $66.07 Typical High $75.86 | Professional | 26 · Professional part | $66.07 | $66.07 | $75.86 |
Wellmark Setting Professional Modifier TC · Technical part Typical Low $5,623.41 Median $5,623.41 Typical High $6,456.54 | Professional | TC · Technical part | $5,623.41 | $5,623.41 | $6,456.54 |
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 $1,122.02 Median $1,412.54 Typical High $1,995.26 | Professional | 52 · Reduced service | $1,122.02 | $1,412.54 | $1,995.26 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $446.68 Median $562.34 Typical High $812.83 | Professional | 53 · Discontinued | $446.68 | $562.34 | $812.83 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $1,905.46 Median $2,238.72 Typical High $2,290.87 | Professional | FX · Film X-ray | $1,905.46 | $2,238.72 | $2,290.87 |
Where Iowa sits
The same service costs 15.1 times more in Colorado 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· 8th of 51
$1,995
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.