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 $2,238.72 Median $2,818.38 Typical High $4,073.80 | Professional | None (both parts) | $2,238.72 | $2,818.38 | $4,073.80 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $46.77 Typical High $70.79 | Professional | 26 · Professional part | $45.71 | $46.77 | $70.79 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $2,238.72 Median $2,818.38 Typical High $3,981.07 | Professional | TC · Technical part | $2,238.72 | $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 $275.42 Median $1,023.29 Typical High $7,762.47 | Professional | None (both parts) | $275.42 | $1,023.29 | $7,762.47 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $112.20 Typical High $151.36 | Professional | 26 · Professional part | $66.07 | $112.20 | $151.36 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $223.87 Median $851.14 Typical High $7,762.47 | Professional | TC · Technical part | $223.87 | $851.14 | $7,762.47 |
Hally Health Setting Professional Modifier None Typical Low $234.42 Median $478.63 Typical High $741.31 | Professional | None | $234.42 | $478.63 | $741.31 |
Hally Health Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $85.11 Typical High $109.65 | Professional | 26 · Professional part | $48.98 | $85.11 | $109.65 |
Hally Health Setting Professional Modifier TC · Technical part Typical Low $181.97 Median $389.05 Typical High $645.65 | Professional | TC · Technical part | $181.97 | $389.05 | $645.65 |
Medica Setting Facility Modifier None Typical Low $109.65 Median $758.58 Typical High $7,585.78 | Facility | None | $109.65 | $758.58 | $7,585.78 |
Medica Setting Professional Modifier None (both parts) Typical Low $109.65 Median $2,570.40 Typical High $5,011.87 | Professional | None (both parts) | $109.65 | $2,570.40 | $5,011.87 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $102.33 Typical High $501.19 | Professional | 26 · Professional part | $60.26 | $102.33 | $501.19 |
Medica Setting Professional Modifier TC · Technical part Typical Low $645.65 Median $3,890.45 Typical High $4,897.79 | Professional | TC · Technical part | $645.65 | $3,890.45 | $4,897.79 |
Midlands Setting Professional Modifier None Typical Low $741.31 Median $7,762.47 Typical High $7,762.47 | Professional | None | $741.31 | $7,762.47 | $7,762.47 |
Midlands Setting Professional Modifier 26 · Professional part Typical Low $107.15 Median $112.20 Typical High $134.90 | Professional | 26 · Professional part | $107.15 | $112.20 | $134.90 |
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 $575.44 Median $1,071.52 Typical High $7,762.47 | Professional | None (both parts) | $575.44 | $1,071.52 | $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 $562.34 Median $2,951.21 Typical High $5,128.61 | Professional | None (both parts) | $562.34 | $2,951.21 | $5,128.61 |
United Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $69.18 Typical High $114.82 | Professional | 26 · Professional part | $54.95 | $69.18 | $114.82 |
United Setting Professional Modifier TC · Technical part Typical Low $489.78 Median $2,884.03 Typical High $5,011.87 | Professional | TC · Technical part | $489.78 | $2,884.03 | $5,011.87 |
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 $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 $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 $1,174.90 Median $1,412.54 Typical High $1,995.26 | Professional | 52 · Reduced service | $1,174.90 | $1,412.54 | $1,995.26 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $467.74 Median $562.34 Typical High $812.83 | Professional | 53 · Discontinued | $467.74 | $562.34 | $812.83 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $1,949.84 Median $2,238.72 Typical High $2,290.87 | Professional | FX · Film X-ray | $1,949.84 | $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· 6th of 51
$2,884
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.