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 $93.33 Median $93.33 Typical High $151.36 | Facility | None | $93.33 | $93.33 | $151.36 |
Aetna Setting Professional Modifier None (both parts) Typical Low $93.33 Median $107.15 Typical High $190.55 | Professional | None (both parts) | $93.33 | $107.15 | $190.55 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $43.65 Typical High $81.28 | Professional | 26 · Professional part | $32.36 | $43.65 | $81.28 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $50.12 Median $63.10 Typical High $125.89 | Professional | TC · Technical part | $50.12 | $63.10 | $125.89 |
Cigna Setting Facility Modifier None Typical Low $416.87 Median $416.87 Typical High $416.87 | Facility | None | $416.87 | $416.87 | $416.87 |
Cigna Setting Professional Modifier None (both parts) Typical Low $107.15 Median $234.42 Typical High $316.23 | Professional | None (both parts) | $107.15 | $234.42 | $316.23 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $104.71 Typical High $138.04 | Professional | 26 · Professional part | $41.69 | $104.71 | $138.04 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $125.89 Typical High $173.78 | Professional | TC · Technical part | $72.44 | $125.89 | $173.78 |
Hally Health Setting Professional Modifier None Typical Low $95.50 Median $138.04 Typical High $263.03 | Professional | None | $95.50 | $138.04 | $263.03 |
Hally Health Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $63.10 Typical High $100.00 | Professional | 26 · Professional part | $44.67 | $63.10 | $100.00 |
Hally Health Setting Professional Modifier TC · Technical part Typical Low $48.98 Median $74.13 Typical High $165.96 | Professional | TC · Technical part | $48.98 | $74.13 | $165.96 |
Medica Setting Facility Modifier None Typical Low $151.36 Median $309.03 Typical High $3,801.89 | Facility | None | $151.36 | $309.03 | $3,801.89 |
Medica Setting Professional Modifier None (both parts) Typical Low $109.65 Median $218.78 Typical High $794.33 | Professional | None (both parts) | $109.65 | $218.78 | $794.33 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $63.10 Typical High $309.03 | Professional | 26 · Professional part | $36.31 | $63.10 | $309.03 |
Medica Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $128.82 Typical High $524.81 | Professional | TC · Technical part | $74.13 | $128.82 | $524.81 |
Midlands Setting Professional Modifier None Typical Low $218.78 Median $234.42 Typical High $281.84 | Professional | None | $218.78 | $234.42 | $281.84 |
Midlands Setting Professional Modifier 26 · Professional part Typical Low $100.00 Median $104.71 Typical High $125.89 | Professional | 26 · Professional part | $100.00 | $104.71 | $125.89 |
Midlands Setting Professional Modifier TC · Technical part Typical Low $117.49 Median $125.89 Typical High $158.49 | Professional | TC · Technical part | $117.49 | $125.89 | $158.49 |
Midlands Setting Facility Modifier None Typical Low $416.87 Median $416.87 Typical High $416.87 | Facility | None | $416.87 | $416.87 | $416.87 |
Midlands Setting Professional Modifier None (both parts) Typical Low $204.17 Median $251.19 Typical High $281.84 | Professional | None (both parts) | $204.17 | $251.19 | $281.84 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $53.70 Median $102.33 Typical High $199.53 | Professional | None (both parts) | $53.70 | $102.33 | $199.53 |
United Setting Facility Modifier None Typical Low $2,344.23 Median $3,981.07 Typical High $5,011.87 | Facility | None | $2,344.23 | $3,981.07 | $5,011.87 |
United Setting Professional Modifier None (both parts) Typical Low $100.00 Median $131.83 Typical High $213.80 | Professional | None (both parts) | $100.00 | $131.83 | $213.80 |
United Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $42.66 Typical High $70.79 | Professional | 26 · Professional part | $33.11 | $42.66 | $70.79 |
United Setting Professional Modifier TC · Technical part Typical Low $67.61 Median $89.13 Typical High $147.91 | Professional | TC · Technical part | $67.61 | $89.13 | $147.91 |
Wellmark Setting Professional Modifier None (both parts) Typical Low $190.55 Median $190.55 Typical High $213.80 | Professional | None (both parts) | $190.55 | $190.55 | $213.80 |
Wellmark Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $85.11 Typical High $95.50 | Professional | 26 · Professional part | $85.11 | $85.11 | $95.50 |
Wellmark Setting Professional Modifier TC · Technical part Typical Low $104.71 Median $104.71 Typical High $117.49 | Professional | TC · Technical part | $104.71 | $104.71 | $117.49 |
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 $46.77 Median $47.86 Typical High $69.18 | Professional | 52 · Reduced service | $46.77 | $47.86 | $69.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $18.62 Median $19.05 Typical High $27.54 | Professional | 53 · Discontinued | $18.62 | $19.05 | $27.54 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $75.86 Median $75.86 Typical High $83.18 | Professional | FX · Film X-ray | $75.86 | $75.86 | $83.18 |
Where Iowa sits
The same service costs 4.2 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· 9th of 51
$191
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.