How much rates vary
Facilitymedian $79 · 10th to 90th $40 to $1,445Professionalmedian $60 · 10th to 90th $26 to $107
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 $38.02 Median $74.13 Typical High $89.13 | Facility | None | $38.02 | $74.13 | $89.13 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $23.99 Median $54.95 Typical High $102.33 | Facility | TC · Technical part | $23.99 | $54.95 | $102.33 |
Aetna Setting Professional Modifier None (both parts) Typical Low $19.05 Median $38.02 Typical High $64.57 | Professional | None (both parts) | $19.05 | $38.02 | $64.57 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $7.94 Median $13.49 Typical High $22.39 | Professional | 26 · Professional part | $7.94 | $13.49 | $22.39 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $10.00 Median $23.99 Typical High $41.69 | Professional | TC · Technical part | $10.00 | $23.99 | $41.69 |
Cigna Setting Facility Modifier None Typical Low $60.26 Median $60.26 Typical High $60.26 | Facility | None | $60.26 | $60.26 | $60.26 |
Cigna Setting Professional Modifier None (both parts) Typical Low $28.84 Median $93.33 Typical High $107.15 | Professional | None (both parts) | $28.84 | $93.33 | $107.15 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $10.47 Median $33.11 Typical High $38.02 | Professional | 26 · Professional part | $10.47 | $33.11 | $38.02 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $18.20 Median $61.66 Typical High $69.18 | Professional | TC · Technical part | $18.20 | $61.66 | $69.18 |
Hally Health Setting Professional Modifier None Typical Low $38.02 Median $42.66 Typical High $89.13 | Professional | None | $38.02 | $42.66 | $89.13 |
Hally Health Setting Professional Modifier 26 · Professional part Typical Low $13.80 Median $15.14 Typical High $36.31 | Professional | 26 · Professional part | $13.80 | $15.14 | $36.31 |
Hally Health Setting Professional Modifier TC · Technical part Typical Low $23.44 Median $26.92 Typical High $43.65 | Professional | TC · Technical part | $23.44 | $26.92 | $43.65 |
Medica Setting Facility Modifier None Typical Low $38.02 Median $64.57 Typical High $1,348.96 | Facility | None | $38.02 | $64.57 | $1,348.96 |
Medica Setting Professional Modifier None (both parts) Typical Low $33.11 Median $61.66 Typical High $741.31 | Professional | None (both parts) | $33.11 | $61.66 | $741.31 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $10.00 Median $22.91 Typical High $95.50 | Professional | 26 · Professional part | $10.00 | $22.91 | $95.50 |
Medica Setting Professional Modifier TC · Technical part Typical Low $14.45 Median $37.15 Typical High $724.44 | Professional | TC · Technical part | $14.45 | $37.15 | $724.44 |
Midlands Setting Professional Modifier None Typical Low $85.11 Median $93.33 Typical High $107.15 | Professional | None | $85.11 | $93.33 | $107.15 |
Midlands Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $33.11 Typical High $38.02 | Professional | 26 · Professional part | $28.84 | $33.11 | $38.02 |
Midlands Setting Professional Modifier TC · Technical part Typical Low $54.95 Median $61.66 Typical High $69.18 | Professional | TC · Technical part | $54.95 | $61.66 | $69.18 |
Midlands Setting Facility Modifier None Typical Low $60.26 Median $60.26 Typical High $60.26 | Facility | None | $60.26 | $60.26 | $60.26 |
Midlands Setting Professional Modifier None (both parts) Typical Low $22.91 Median $87.10 Typical High $107.15 | Professional | None (both parts) | $22.91 | $87.10 | $107.15 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $15.49 Median $39.81 Typical High $79.43 | Professional | None (both parts) | $15.49 | $39.81 | $79.43 |
United Setting Facility Modifier None Typical Low $812.83 Median $1,380.38 Typical High $1,737.80 | Facility | None | $812.83 | $1,380.38 | $1,737.80 |
United Setting Professional Modifier None (both parts) Typical Low $22.91 Median $45.71 Typical High $79.43 | Professional | None (both parts) | $22.91 | $45.71 | $79.43 |
United Setting Professional Modifier 26 · Professional part Typical Low $10.00 Median $17.78 Typical High $30.90 | Professional | 26 · Professional part | $10.00 | $17.78 | $30.90 |
United Setting Professional Modifier TC · Technical part Typical Low $12.88 Median $28.18 Typical High $50.12 | Professional | TC · Technical part | $12.88 | $28.18 | $50.12 |
Wellmark Setting Professional Modifier None (both parts) Typical Low $75.86 Median $75.86 Typical High $85.11 | Professional | None (both parts) | $75.86 | $75.86 | $85.11 |
Wellmark Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $25.70 Typical High $29.51 | Professional | 26 · Professional part | $25.70 | $25.70 | $29.51 |
Wellmark Setting Professional Modifier TC · Technical part Typical Low $50.12 Median $50.12 Typical High $56.23 | Professional | TC · Technical part | $50.12 | $50.12 | $56.23 |
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 $17.78 Median $19.05 Typical High $27.54 | Professional | 52 · Reduced service | $17.78 | $19.05 | $27.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.08 Median $7.59 Typical High $10.96 | Professional | 53 · Discontinued | $7.08 | $7.59 | $10.96 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $28.84 Median $30.20 Typical High $32.36 | Professional | FX · Film X-ray | $28.84 | $30.20 | $32.36 |
Where Iowa sits
The same service costs 9.3 times more in Alaska than in New York. 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
$60.26
AK $123NY $13.18
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.