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 $112.20 Median $112.20 Typical High $691.83 | Facility | None | $112.20 | $112.20 | $691.83 |
Aetna Setting Professional Modifier None (both parts) Typical Low $112.20 Median $114.82 Typical High $218.78 | Professional | None (both parts) | $112.20 | $114.82 | $218.78 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $47.86 Typical High $79.43 | Professional | 26 · Professional part | $46.77 | $47.86 | $79.43 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $67.61 Typical High $162.18 | Professional | TC · Technical part | $63.10 | $67.61 | $162.18 |
Cigna Setting Facility Modifier None Typical Low $602.56 Median $602.56 Typical High $602.56 | Facility | None | $602.56 | $602.56 | $602.56 |
Cigna Setting Professional Modifier None (both parts) Typical Low $186.21 Median $275.42 Typical High $398.11 | Professional | None (both parts) | $186.21 | $275.42 | $398.11 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $117.49 Typical High $151.36 | Professional | 26 · Professional part | $66.07 | $117.49 | $151.36 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $109.65 Median $158.49 Typical High $229.09 | Professional | TC · Technical part | $109.65 | $158.49 | $229.09 |
Hally Health Setting Professional Modifier None Typical Low $112.20 Median $218.78 Typical High $851.14 | Professional | None | $112.20 | $218.78 | $851.14 |
Hally Health Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $91.20 Typical High $239.88 | Professional | 26 · Professional part | $50.12 | $91.20 | $239.88 |
Hally Health Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $125.89 Typical High $758.58 | Professional | TC · Technical part | $61.66 | $125.89 | $758.58 |
Medica Setting Facility Modifier None Typical Low $245.47 Median $398.11 Typical High $7,585.78 | Facility | None | $245.47 | $398.11 | $7,585.78 |
Medica Setting Professional Modifier None (both parts) Typical Low $147.91 Median $316.23 Typical High $3,090.30 | Professional | None (both parts) | $147.91 | $316.23 | $3,090.30 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $102.33 Typical High $537.03 | Professional | 26 · Professional part | $58.88 | $102.33 | $537.03 |
Medica Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $154.88 Typical High $2,818.38 | Professional | TC · Technical part | $83.18 | $154.88 | $2,818.38 |
Midlands Setting Professional Modifier None Typical Low $251.19 Median $275.42 Typical High $331.13 | Professional | None | $251.19 | $275.42 | $331.13 |
Midlands Setting Professional Modifier 26 · Professional part Typical Low $107.15 Median $117.49 Typical High $138.04 | Professional | 26 · Professional part | $107.15 | $117.49 | $138.04 |
Midlands Setting Professional Modifier TC · Technical part Typical Low $144.54 Median $158.49 Typical High $190.55 | Professional | TC · Technical part | $144.54 | $158.49 | $190.55 |
Midlands Setting Facility Modifier None Typical Low $602.56 Median $602.56 Typical High $602.56 | Facility | None | $602.56 | $602.56 | $602.56 |
Midlands Setting Professional Modifier None (both parts) Typical Low $239.88 Median $309.03 Typical High $1,949.84 | Professional | None (both parts) | $239.88 | $309.03 | $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 $128.82 Median $173.78 Typical High $316.23 | Professional | None (both parts) | $128.82 | $173.78 | $316.23 |
United Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $69.18 Typical High $112.20 | Professional | 26 · Professional part | $53.70 | $69.18 | $112.20 |
United Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $100.00 Typical High $190.55 | Professional | TC · Technical part | $75.86 | $100.00 | $190.55 |
Wellmark Setting Professional Modifier None (both parts) Typical Low $229.09 Median $229.09 Typical High $257.04 | Professional | None (both parts) | $229.09 | $229.09 | $257.04 |
Wellmark Setting Professional Modifier 26 · Professional part Typical Low $93.33 Median $93.33 Typical High $107.15 | Professional | 26 · Professional part | $93.33 | $93.33 | $107.15 |
Wellmark Setting Professional Modifier TC · Technical part Typical Low $134.90 Median $134.90 Typical High $151.36 | Professional | TC · Technical part | $134.90 | $134.90 | $151.36 |
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 $54.95 Median $56.23 Typical High $93.33 | Professional | 52 · Reduced service | $54.95 | $56.23 | $93.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $22.39 Median $22.39 Typical High $38.02 | Professional | 53 · Discontinued | $22.39 | $22.39 | $38.02 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $89.13 Median $89.13 Typical High $97.72 | Professional | FX · Film X-ray | $89.13 | $89.13 | $97.72 |
Where Iowa sits
The same service costs 4.1 times more in Alaska than in Texas. 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· 12th of 51
$257
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.