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 $123.03 Median $123.03 Typical High $707.95 | Facility | None | $123.03 | $123.03 | $707.95 |
Aetna Setting Professional Modifier None (both parts) Typical Low $123.03 Median $123.03 Typical High $177.83 | Professional | None (both parts) | $123.03 | $123.03 | $177.83 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $58.88 Typical High $89.13 | Professional | 26 · Professional part | $56.23 | $58.88 | $89.13 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $64.57 Typical High $107.15 | Professional | TC · Technical part | $63.10 | $64.57 | $107.15 |
Cigna Setting Facility Modifier None Typical Low $645.65 Median $645.65 Typical High $645.65 | Facility | None | $645.65 | $645.65 | $645.65 |
Cigna Setting Professional Modifier None (both parts) Typical Low $199.53 Median $302.00 Typical High $436.52 | Professional | None (both parts) | $199.53 | $302.00 | $436.52 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $144.54 Typical High $190.55 | Professional | 26 · Professional part | $81.28 | $144.54 | $190.55 |
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 $123.03 Median $239.88 Typical High $870.96 | Professional | None | $123.03 | $239.88 | $870.96 |
Hally Health Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $114.82 Typical High $239.88 | Professional | 26 · Professional part | $61.66 | $114.82 | $239.88 |
Hally Health Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $123.03 Typical High $758.58 | Professional | TC · Technical part | $61.66 | $123.03 | $758.58 |
Medica Setting Facility Modifier None Typical Low $269.15 Median $426.58 Typical High $7,585.78 | Facility | None | $269.15 | $426.58 | $7,585.78 |
Medica Setting Professional Modifier None (both parts) Typical Low $162.18 Median $346.74 Typical High $3,162.28 | Professional | None (both parts) | $162.18 | $346.74 | $3,162.28 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $72.44 Median $125.89 Typical High $478.63 | Professional | 26 · Professional part | $72.44 | $125.89 | $478.63 |
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 $275.42 Median $302.00 Typical High $363.08 | Professional | None | $275.42 | $302.00 | $363.08 |
Midlands Setting Professional Modifier 26 · Professional part Typical Low $131.83 Median $144.54 Typical High $169.82 | Professional | 26 · Professional part | $131.83 | $144.54 | $169.82 |
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 $645.65 Median $645.65 Typical High $645.65 | Facility | None | $645.65 | $645.65 | $645.65 |
Midlands Setting Professional Modifier None (both parts) Typical Low $263.03 Median $338.84 Typical High $1,995.26 | Professional | None (both parts) | $263.03 | $338.84 | $1,995.26 |
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 $141.25 Median $190.55 Typical High $346.74 | Professional | None (both parts) | $141.25 | $190.55 | $346.74 |
United Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $85.11 Typical High $141.25 | Professional | 26 · Professional part | $67.61 | $85.11 | $141.25 |
United Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $100.00 Typical High $190.55 | Professional | TC · Technical part | $74.13 | $100.00 | $190.55 |
Wellmark Setting Professional Modifier None (both parts) Typical Low $239.88 Median $239.88 Typical High $269.15 | Professional | None (both parts) | $239.88 | $239.88 | $269.15 |
Wellmark Setting Professional Modifier 26 · Professional part Typical Low $112.20 Median $112.20 Typical High $125.89 | Professional | 26 · Professional part | $112.20 | $112.20 | $125.89 |
Wellmark Setting Professional Modifier TC · Technical part Typical Low $125.89 Median $125.89 Typical High $144.54 | Professional | TC · Technical part | $125.89 | $125.89 | $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 $61.66 Median $61.66 Typical High $102.33 | Professional | 52 · Reduced service | $61.66 | $61.66 | $102.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $24.55 Median $24.55 Typical High $41.69 | Professional | 53 · Discontinued | $24.55 | $24.55 | $41.69 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $97.72 Median $97.72 Typical High $107.15 | Professional | FX · Film X-ray | $97.72 | $97.72 | $107.15 |
Where Iowa sits
The same service costs 4.5 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
$282
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.