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 $104.71 Median $104.71 Typical High $676.08 | Facility | None | $104.71 | $104.71 | $676.08 |
Aetna Setting Professional Modifier None (both parts) Typical Low $104.71 Median $112.20 Typical High $229.09 | Professional | None (both parts) | $104.71 | $112.20 | $229.09 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $46.77 Typical High $77.62 | Professional | 26 · Professional part | $45.71 | $46.77 | $77.62 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $64.57 Typical High $158.49 | Professional | TC · Technical part | $60.26 | $64.57 | $158.49 |
Cigna Setting Facility Modifier None Typical Low $616.60 Median $616.60 Typical High $616.60 | Facility | None | $616.60 | $616.60 | $616.60 |
Cigna Setting Professional Modifier None (both parts) Typical Low $173.78 Median $263.03 Typical High $380.19 | Professional | None (both parts) | $173.78 | $263.03 | $380.19 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $112.20 Typical High $144.54 | Professional | 26 · Professional part | $64.57 | $112.20 | $144.54 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $109.65 Median $151.36 Typical High $218.78 | Professional | TC · Technical part | $109.65 | $151.36 | $218.78 |
Hally Health Setting Professional Modifier None Typical Low $107.15 Median $208.93 Typical High $851.14 | Professional | None | $107.15 | $208.93 | $851.14 |
Hally Health Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $87.10 Typical High $251.19 | Professional | 26 · Professional part | $47.86 | $87.10 | $251.19 |
Hally Health Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $117.49 Typical High $758.58 | Professional | TC · Technical part | $58.88 | $117.49 | $758.58 |
Medica Setting Facility Modifier None Typical Low $234.42 Median $371.54 Typical High $7,585.78 | Facility | None | $234.42 | $371.54 | $7,585.78 |
Medica Setting Professional Modifier None (both parts) Typical Low $141.25 Median $302.00 Typical High $3,311.31 | Professional | None (both parts) | $141.25 | $302.00 | $3,311.31 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $100.00 Typical High $575.44 | Professional | 26 · Professional part | $57.54 | $100.00 | $575.44 |
Medica Setting Professional Modifier TC · Technical part Typical Low $77.62 Median $154.88 Typical High $2,818.38 | Professional | TC · Technical part | $77.62 | $154.88 | $2,818.38 |
Midlands Setting Professional Modifier None Typical Low $239.88 Median $263.03 Typical High $316.23 | Professional | None | $239.88 | $263.03 | $316.23 |
Midlands Setting Professional Modifier 26 · Professional part Typical Low $104.71 Median $112.20 Typical High $134.90 | Professional | 26 · Professional part | $104.71 | $112.20 | $134.90 |
Midlands Setting Professional Modifier TC · Technical part Typical Low $134.90 Median $151.36 Typical High $177.83 | Professional | TC · Technical part | $134.90 | $151.36 | $177.83 |
Midlands Setting Facility Modifier None Typical Low $616.60 Median $616.60 Typical High $616.60 | Facility | None | $616.60 | $616.60 | $616.60 |
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 $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 $123.03 Median $165.96 Typical High $295.12 | Professional | None (both parts) | $123.03 | $165.96 | $295.12 |
United Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $66.07 Typical High $112.20 | Professional | 26 · Professional part | $52.48 | $66.07 | $112.20 |
United Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $93.33 Typical High $186.21 | Professional | TC · Technical part | $70.79 | $93.33 | $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 $87.10 Median $87.10 Typical High $100.00 | Professional | 26 · Professional part | $87.10 | $87.10 | $100.00 |
Wellmark Setting Professional Modifier TC · Technical part Typical Low $120.23 Median $120.23 Typical High $138.04 | Professional | TC · Technical part | $120.23 | $120.23 | $138.04 |
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 $52.48 Median $53.70 Typical High $89.13 | Professional | 52 · Reduced service | $52.48 | $53.70 | $89.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $20.89 Median $21.38 Typical High $35.48 | Professional | 53 · Discontinued | $20.89 | $21.38 | $35.48 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $85.11 Median $85.11 Typical High $93.33 | Professional | FX · Film X-ray | $85.11 | $85.11 | $93.33 |
Where Iowa sits
The same service costs 4.9 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· 10th 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.