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 $102.33 Median $102.33 Typical High $676.08 | Facility | None | $102.33 | $102.33 | $676.08 |
Aetna Setting Professional Modifier None (both parts) Typical Low $102.33 Median $112.20 Typical High $208.93 | Professional | None (both parts) | $102.33 | $112.20 | $208.93 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $50.12 Typical High $89.13 | Professional | 26 · Professional part | $46.77 | $50.12 | $89.13 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $56.23 Median $64.57 Typical High $158.49 | Professional | TC · Technical part | $56.23 | $64.57 | $158.49 |
Cigna Setting Facility Modifier None Typical Low $588.84 Median $588.84 Typical High $588.84 | Facility | None | $588.84 | $588.84 | $588.84 |
Cigna Setting Professional Modifier None (both parts) Typical Low $173.78 Median $257.04 Typical High $371.54 | Professional | None (both parts) | $173.78 | $257.04 | $371.54 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $114.82 Typical High $147.91 | Professional | 26 · Professional part | $64.57 | $114.82 | $147.91 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $109.65 Median $141.25 Typical High $204.17 | Professional | TC · Technical part | $109.65 | $141.25 | $204.17 |
Hally Health Setting Professional Modifier None Typical Low $104.71 Median $204.17 Typical High $851.14 | Professional | None | $104.71 | $204.17 | $851.14 |
Hally Health Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $87.10 Typical High $245.47 | Professional | 26 · Professional part | $48.98 | $87.10 | $245.47 |
Hally Health Setting Professional Modifier TC · Technical part Typical Low $54.95 Median $109.65 Typical High $758.58 | Professional | TC · Technical part | $54.95 | $109.65 | $758.58 |
Medica Setting Facility Modifier None Typical Low $229.09 Median $371.54 Typical High $3,801.89 | Facility | None | $229.09 | $371.54 | $3,801.89 |
Medica Setting Professional Modifier None (both parts) Typical Low $141.25 Median $302.00 Typical High $3,388.44 | Professional | None (both parts) | $141.25 | $302.00 | $3,388.44 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $100.00 Typical High $630.96 | Professional | 26 · Professional part | $57.54 | $100.00 | $630.96 |
Medica Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $151.36 Typical High $2,884.03 | Professional | TC · Technical part | $75.86 | $151.36 | $2,884.03 |
Midlands Setting Professional Modifier None Typical Low $239.88 Median $257.04 Typical High $309.03 | Professional | None | $239.88 | $257.04 | $309.03 |
Midlands Setting Professional Modifier 26 · Professional part Typical Low $107.15 Median $114.82 Typical High $138.04 | Professional | 26 · Professional part | $107.15 | $114.82 | $138.04 |
Midlands Setting Professional Modifier TC · Technical part Typical Low $128.82 Median $141.25 Typical High $173.78 | Professional | TC · Technical part | $128.82 | $141.25 | $173.78 |
Midlands Setting Facility Modifier None Typical Low $588.84 Median $588.84 Typical High $588.84 | Facility | None | $588.84 | $588.84 | $588.84 |
Midlands Setting Professional Modifier None (both parts) Typical Low $223.87 Median $295.12 Typical High $1,949.84 | Professional | None (both parts) | $223.87 | $295.12 | $1,949.84 |
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 $123.03 Median $162.18 Typical High $295.12 | Professional | None (both parts) | $123.03 | $162.18 | $295.12 |
United Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $67.61 Typical High $109.65 | Professional | 26 · Professional part | $53.70 | $67.61 | $109.65 |
United Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $91.20 Typical High $186.21 | Professional | TC · Technical part | $69.18 | $91.20 | $186.21 |
Wellmark Setting Professional Modifier None (both parts) Typical Low $208.93 Median $208.93 Typical High $239.88 | Professional | None (both parts) | $208.93 | $208.93 | $239.88 |
Wellmark Setting Professional Modifier 26 · Professional part Typical Low $93.33 Median $93.33 Typical High $104.71 | Professional | 26 · Professional part | $93.33 | $93.33 | $104.71 |
Wellmark Setting Professional Modifier TC · Technical part Typical Low $117.49 Median $117.49 Typical High $131.83 | Professional | TC · Technical part | $117.49 | $117.49 | $131.83 |
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 $51.29 Median $52.48 Typical High $87.10 | Professional | 52 · Reduced service | $51.29 | $52.48 | $87.10 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $20.42 Median $20.89 Typical High $34.67 | Professional | 53 · Discontinued | $20.42 | $20.89 | $34.67 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $83.18 Median $83.18 Typical High $93.33 | Professional | FX · Film X-ray | $83.18 | $83.18 | $93.33 |
Where Iowa sits
The same service costs 4.8 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
$245
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.