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 $25.12 Median $51.29 Typical High $53.70 | Facility | None | $25.12 | $51.29 | $53.70 |
Aetna Setting Professional Modifier None (both parts) Typical Low $23.99 Median $26.30 Typical High $81.28 | Professional | None (both parts) | $23.99 | $26.30 | $81.28 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $9.12 Median $9.77 Typical High $22.91 | Professional | 26 · Professional part | $9.12 | $9.77 | $22.91 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $14.45 Median $16.22 Typical High $70.79 | Professional | TC · Technical part | $14.45 | $16.22 | $70.79 |
Cigna Setting Facility Modifier None Typical Low $213.80 Median $213.80 Typical High $213.80 | Facility | None | $213.80 | $213.80 | $213.80 |
Cigna Setting Professional Modifier None (both parts) Typical Low $37.15 Median $56.23 Typical High $91.20 | Professional | None (both parts) | $37.15 | $56.23 | $91.20 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $11.75 Median $20.42 Typical High $26.92 | Professional | 26 · Professional part | $11.75 | $20.42 | $26.92 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $23.44 Median $35.48 Typical High $79.43 | Professional | TC · Technical part | $23.44 | $35.48 | $79.43 |
Hally Health Setting Professional Modifier None Typical Low $22.91 Median $52.48 Typical High $338.84 | Professional | None | $22.91 | $52.48 | $338.84 |
Hally Health Setting Professional Modifier 26 · Professional part Typical Low $8.71 Median $18.20 Typical High $44.67 | Professional | 26 · Professional part | $8.71 | $18.20 | $44.67 |
Hally Health Setting Professional Modifier TC · Technical part Typical Low $13.80 Median $27.54 Typical High $245.47 | Professional | TC · Technical part | $13.80 | $27.54 | $245.47 |
Medica Setting Facility Modifier None Typical Low $48.98 Median $66.07 Typical High $208.93 | Facility | None | $48.98 | $66.07 | $208.93 |
Medica Setting Professional Modifier None (both parts) Typical Low $25.12 Median $54.95 Typical High $758.58 | Professional | None (both parts) | $25.12 | $54.95 | $758.58 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $10.47 Median $18.62 Typical High $131.83 | Professional | 26 · Professional part | $10.47 | $18.62 | $131.83 |
Medica Setting Professional Modifier TC · Technical part Typical Low $13.18 Median $33.11 Typical High $707.95 | Professional | TC · Technical part | $13.18 | $33.11 | $707.95 |
Midlands Setting Professional Modifier None Typical Low $50.12 Median $56.23 Typical High $63.10 | Professional | None | $50.12 | $56.23 | $63.10 |
Midlands Setting Professional Modifier 26 · Professional part Typical Low $19.50 Median $20.42 Typical High $24.55 | Professional | 26 · Professional part | $19.50 | $20.42 | $24.55 |
Midlands Setting Professional Modifier TC · Technical part Typical Low $30.90 Median $35.48 Typical High $38.02 | Professional | TC · Technical part | $30.90 | $35.48 | $38.02 |
Midlands Setting Facility Modifier None Typical Low $213.80 Median $213.80 Typical High $213.80 | Facility | None | $213.80 | $213.80 | $213.80 |
Midlands Setting Professional Modifier None (both parts) Typical Low $46.77 Median $61.66 Typical High $501.19 | Professional | None (both parts) | $46.77 | $61.66 | $501.19 |
Oscar Health Setting Facility Modifier None Typical Low $1,148.15 Median $1,148.15 Typical High $9,549.93 | Facility | None | $1,148.15 | $1,148.15 | $9,549.93 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $9.77 Median $20.89 Typical High $46.77 | Professional | None (both parts) | $9.77 | $20.89 | $46.77 |
United Setting Professional Modifier None (both parts) Typical Low $23.44 Median $30.20 Typical High $79.43 | Professional | None (both parts) | $23.44 | $30.20 | $79.43 |
United Setting Professional Modifier 26 · Professional part Typical Low $10.00 Median $12.02 Typical High $21.88 | Professional | 26 · Professional part | $10.00 | $12.02 | $21.88 |
United Setting Professional Modifier TC · Technical part Typical Low $13.18 Median $17.78 Typical High $67.61 | Professional | TC · Technical part | $13.18 | $17.78 | $67.61 |
Wellmark Setting Professional Modifier None (both parts) Typical Low $44.67 Median $44.67 Typical High $51.29 | Professional | None (both parts) | $44.67 | $44.67 | $51.29 |
Wellmark Setting Professional Modifier 26 · Professional part Typical Low $16.22 Median $16.22 Typical High $18.62 | Professional | 26 · Professional part | $16.22 | $16.22 | $18.62 |
Wellmark Setting Professional Modifier TC · Technical part Typical Low $28.18 Median $28.18 Typical High $32.36 | Professional | TC · Technical part | $28.18 | $28.18 | $32.36 |
1 more rate 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 FX · Film X-ray Typical Low $19.05 Median $19.95 Typical High $44.67 | Professional | FX · Film X-ray | $19.05 | $19.95 | $44.67 |
Where Iowa sits
The same service costs 4.8 times more in Kansas 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· 13th of 51
$51.29
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.