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 $707.95 | Facility | None | $112.20 | $112.20 | $707.95 |
Aetna Setting Professional Modifier None (both parts) Typical Low $112.20 Median $114.82 Typical High $194.98 | Professional | None (both parts) | $112.20 | $114.82 | $194.98 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $48.98 Typical High $72.44 | Professional | 26 · Professional part | $47.86 | $48.98 | $72.44 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $67.61 Typical High $109.65 | Professional | TC · Technical part | $64.57 | $67.61 | $109.65 |
Cigna Setting Facility Modifier None Typical Low $891.25 Median $891.25 Typical High $891.25 | Facility | None | $891.25 | $891.25 | $891.25 |
Cigna Setting Professional Modifier None (both parts) Typical Low $186.21 Median $281.84 Typical High $407.38 | Professional | None (both parts) | $186.21 | $281.84 | $407.38 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $117.49 Typical High $158.49 | Professional | 26 · Professional part | $64.57 | $117.49 | $158.49 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $117.49 Median $162.18 Typical High $251.19 | Professional | TC · Technical part | $117.49 | $162.18 | $251.19 |
Hally Health Setting Professional Modifier None Typical Low $114.82 Median $223.87 Typical High $851.14 | Professional | None | $114.82 | $223.87 | $851.14 |
Hally Health Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $93.33 Typical High $199.53 | Professional | 26 · Professional part | $50.12 | $93.33 | $199.53 |
Hally Health Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $125.89 Typical High $758.58 | Professional | TC · Technical part | $63.10 | $125.89 | $758.58 |
Medica Setting Facility Modifier None Typical Low $251.19 Median $398.11 Typical High $1,513.56 | Facility | None | $251.19 | $398.11 | $1,513.56 |
Medica Setting Professional Modifier None (both parts) Typical Low $151.36 Median $331.13 Typical High $3,548.13 | Professional | None (both parts) | $151.36 | $331.13 | $3,548.13 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $102.33 Typical High $616.60 | Professional | 26 · Professional part | $61.66 | $102.33 | $616.60 |
Medica Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $177.83 Typical High $3,019.95 | Professional | TC · Technical part | $85.11 | $177.83 | $3,019.95 |
Midlands Setting Professional Modifier None Typical Low $257.04 Median $281.84 Typical High $338.84 | Professional | None | $257.04 | $281.84 | $338.84 |
Midlands Setting Professional Modifier 26 · Professional part Typical Low $109.65 Median $117.49 Typical High $141.25 | Professional | 26 · Professional part | $109.65 | $117.49 | $141.25 |
Midlands Setting Professional Modifier TC · Technical part Typical Low $147.91 Median $162.18 Typical High $194.98 | Professional | TC · Technical part | $147.91 | $162.18 | $194.98 |
Midlands Setting Facility Modifier None Typical Low $891.25 Median $891.25 Typical High $891.25 | Facility | None | $891.25 | $891.25 | $891.25 |
Midlands Setting Professional Modifier None (both parts) Typical Low $245.47 Median $309.03 Typical High $1,949.84 | Professional | None (both parts) | $245.47 | $309.03 | $1,949.84 |
United Setting Facility Modifier None Typical Low $933.25 Median $1,584.89 Typical High $1,995.26 | Facility | None | $933.25 | $1,584.89 | $1,995.26 |
United Setting Professional Modifier None (both parts) Typical Low $131.83 Median $177.83 Typical High $338.84 | Professional | None (both parts) | $131.83 | $177.83 | $338.84 |
United Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $70.79 Typical High $112.20 | Professional | 26 · Professional part | $56.23 | $70.79 | $112.20 |
United Setting Professional Modifier TC · Technical part Typical Low $77.62 Median $102.33 Typical High $251.19 | Professional | TC · Technical part | $77.62 | $102.33 | $251.19 |
Wellmark Setting Professional Modifier None (both parts) Typical Low $218.78 Median $218.78 Typical High $251.19 | Professional | None (both parts) | $218.78 | $218.78 | $251.19 |
Wellmark Setting Professional Modifier 26 · Professional part Typical Low $91.20 Median $91.20 Typical High $104.71 | Professional | 26 · Professional part | $91.20 | $91.20 | $104.71 |
Wellmark Setting Professional Modifier TC · Technical part Typical Low $128.82 Median $128.82 Typical High $144.54 | Professional | TC · Technical part | $128.82 | $128.82 | $144.54 |
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 $56.23 Median $56.23 Typical High $95.50 | Professional | 52 · Reduced service | $56.23 | $56.23 | $95.50 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $22.91 Median $22.91 Typical High $38.90 | Professional | 53 · Discontinued | $22.91 | $22.91 | $38.90 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $91.20 Median $91.20 Typical High $100.00 | Professional | FX · Film X-ray | $91.20 | $91.20 | $100.00 |
Where Iowa sits
The same service costs 4.9 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· 9th of 51
$275
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.