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 $83.18 Median $83.18 Typical High $199.53 | Facility | None | $83.18 | $83.18 | $199.53 |
Aetna Setting Professional Modifier None (both parts) Typical Low $83.18 Median $83.18 Typical High $169.82 | Professional | None (both parts) | $83.18 | $83.18 | $169.82 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $33.88 Typical High $57.54 | Professional | 26 · Professional part | $33.11 | $33.88 | $57.54 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $48.98 Median $48.98 Typical High $109.65 | Professional | TC · Technical part | $48.98 | $48.98 | $109.65 |
Cigna Setting Facility Modifier None Typical Low $371.54 Median $371.54 Typical High $371.54 | Facility | None | $371.54 | $371.54 | $371.54 |
Cigna Setting Professional Modifier None (both parts) Typical Low $112.20 Median $208.93 Typical High $281.84 | Professional | None (both parts) | $112.20 | $208.93 | $281.84 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $81.28 Typical High $109.65 | Professional | 26 · Professional part | $39.81 | $81.28 | $109.65 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $125.89 Typical High $173.78 | Professional | TC · Technical part | $72.44 | $125.89 | $173.78 |
Hally Health Setting Professional Modifier None Typical Low $83.18 Median $154.88 Typical High $316.23 | Professional | None | $83.18 | $154.88 | $316.23 |
Hally Health Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $61.66 Typical High $112.20 | Professional | 26 · Professional part | $35.48 | $61.66 | $112.20 |
Hally Health Setting Professional Modifier TC · Technical part Typical Low $48.98 Median $97.72 Typical High $204.17 | Professional | TC · Technical part | $48.98 | $97.72 | $204.17 |
Medica Setting Facility Modifier None Typical Low $177.83 Median $223.87 Typical High $338.84 | Facility | None | $177.83 | $223.87 | $338.84 |
Medica Setting Professional Modifier None (both parts) Typical Low $102.33 Median $199.53 Typical High $758.58 | Professional | None (both parts) | $102.33 | $199.53 | $758.58 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $66.07 Typical High $269.15 | Professional | 26 · Professional part | $33.88 | $66.07 | $269.15 |
Medica Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $117.49 Typical High $501.19 | Professional | TC · Technical part | $61.66 | $117.49 | $501.19 |
Midlands Setting Professional Modifier None Typical Low $208.93 Median $208.93 Typical High $245.47 | Professional | None | $208.93 | $208.93 | $245.47 |
Midlands Setting Professional Modifier 26 · Professional part Typical Low $77.62 Median $81.28 Typical High $95.50 | Professional | 26 · Professional part | $77.62 | $81.28 | $95.50 |
Midlands Setting Professional Modifier TC · Technical part Typical Low $125.89 Median $125.89 Typical High $151.36 | Professional | TC · Technical part | $125.89 | $125.89 | $151.36 |
Midlands Setting Facility Modifier None Typical Low $371.54 Median $371.54 Typical High $371.54 | Facility | None | $371.54 | $371.54 | $371.54 |
Midlands Setting Professional Modifier None (both parts) Typical Low $186.21 Median $234.42 Typical High $323.59 | Professional | None (both parts) | $186.21 | $234.42 | $323.59 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $39.81 Median $85.11 Typical High $173.78 | Professional | None (both parts) | $39.81 | $85.11 | $173.78 |
United Setting Professional Modifier None (both parts) Typical Low $93.33 Median $112.20 Typical High $199.53 | Professional | None (both parts) | $93.33 | $112.20 | $199.53 |
United Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $40.74 Typical High $70.79 | Professional | 26 · Professional part | $33.88 | $40.74 | $70.79 |
United Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $72.44 Typical High $128.82 | Professional | TC · Technical part | $58.88 | $72.44 | $128.82 |
Wellmark Setting Professional Modifier None (both parts) Typical Low $165.96 Median $165.96 Typical High $186.21 | Professional | None (both parts) | $165.96 | $165.96 | $186.21 |
Wellmark Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $64.57 Typical High $74.13 | Professional | 26 · Professional part | $64.57 | $64.57 | $74.13 |
Wellmark Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $100.00 Typical High $112.20 | Professional | TC · Technical part | $100.00 | $100.00 | $112.20 |
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 $41.69 Median $41.69 Typical High $48.98 | Professional | 52 · Reduced service | $41.69 | $41.69 | $48.98 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $16.60 Median $16.60 Typical High $19.50 | Professional | 53 · Discontinued | $16.60 | $16.60 | $19.50 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $66.07 Median $66.07 Typical High $70.79 | Professional | FX · Film X-ray | $66.07 | $66.07 | $70.79 |
Where Iowa sits
The same service costs 4.5 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· 4th of 51
$182
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.