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 $141.25 Median $141.25 Typical High $676.08 | Facility | None | $141.25 | $141.25 | $676.08 |
Aetna Setting Professional Modifier None (both parts) Typical Low $141.25 Median $141.25 Typical High $234.42 | Professional | None (both parts) | $141.25 | $141.25 | $234.42 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $52.48 Typical High $77.62 | Professional | 26 · Professional part | $51.29 | $52.48 | $77.62 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $89.13 Median $91.20 Typical High $154.88 | Professional | TC · Technical part | $89.13 | $91.20 | $154.88 |
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 $229.09 Median $363.08 Typical High $512.86 | Professional | None (both parts) | $229.09 | $363.08 | $512.86 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $131.83 Typical High $162.18 | Professional | 26 · Professional part | $66.07 | $131.83 | $162.18 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $147.91 Median $229.09 Typical High $331.13 | Professional | TC · Technical part | $147.91 | $229.09 | $331.13 |
Hally Health Setting Professional Modifier None Typical Low $144.54 Median $275.42 Typical High $851.14 | Professional | None | $144.54 | $275.42 | $851.14 |
Hally Health Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $97.72 Typical High $177.83 | Professional | 26 · Professional part | $54.95 | $97.72 | $177.83 |
Hally Health Setting Professional Modifier TC · Technical part Typical Low $89.13 Median $169.82 Typical High $758.58 | Professional | TC · Technical part | $89.13 | $169.82 | $758.58 |
Medica Setting Facility Modifier None Typical Low $302.00 Median $446.68 Typical High $7,585.78 | Facility | None | $302.00 | $446.68 | $7,585.78 |
Medica Setting Professional Modifier None (both parts) Typical Low $186.21 Median $371.54 Typical High $3,090.30 | Professional | None (both parts) | $186.21 | $371.54 | $3,090.30 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $112.20 Typical High $489.78 | Professional | 26 · Professional part | $60.26 | $112.20 | $489.78 |
Medica Setting Professional Modifier TC · Technical part Typical Low $120.23 Median $213.80 Typical High $2,818.38 | Professional | TC · Technical part | $120.23 | $213.80 | $2,818.38 |
Midlands Setting Professional Modifier None Typical Low $309.03 Median $363.08 Typical High $407.38 | Professional | None | $309.03 | $363.08 | $407.38 |
Midlands Setting Professional Modifier 26 · Professional part Typical Low $114.82 Median $131.83 Typical High $151.36 | Professional | 26 · Professional part | $114.82 | $131.83 | $151.36 |
Midlands Setting Professional Modifier TC · Technical part Typical Low $194.98 Median $229.09 Typical High $257.04 | Professional | TC · Technical part | $194.98 | $229.09 | $257.04 |
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 $288.40 Median $389.05 Typical High $1,949.84 | Professional | None (both parts) | $288.40 | $389.05 | $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 $169.82 Median $223.87 Typical High $389.05 | Professional | None (both parts) | $169.82 | $223.87 | $389.05 |
United Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $70.79 Typical High $120.23 | Professional | 26 · Professional part | $58.88 | $70.79 | $120.23 |
United Setting Professional Modifier TC · Technical part Typical Low $109.65 Median $147.91 Typical High $263.03 | Professional | TC · Technical part | $109.65 | $147.91 | $263.03 |
Wellmark Setting Professional Modifier None (both parts) Typical Low $323.59 Median $323.59 Typical High $371.54 | Professional | None (both parts) | $323.59 | $323.59 | $371.54 |
Wellmark Setting Professional Modifier 26 · Professional part Typical Low $109.65 Median $109.65 Typical High $125.89 | Professional | 26 · Professional part | $109.65 | $109.65 | $125.89 |
Wellmark Setting Professional Modifier TC · Technical part Typical Low $213.80 Median $213.80 Typical High $245.47 | Professional | TC · Technical part | $213.80 | $213.80 | $245.47 |
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 $70.79 Median $70.79 Typical High $114.82 | Professional | 52 · Reduced service | $70.79 | $70.79 | $114.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $28.18 Median $28.18 Typical High $45.71 | Professional | 53 · Discontinued | $28.18 | $28.18 | $45.71 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $114.82 Median $114.82 Typical High $123.03 | Professional | FX · Film X-ray | $114.82 | $114.82 | $123.03 |
Where Iowa sits
The same service costs 3.8 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· 7th of 51
$347
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.