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 $128.82 Median $269.15 Typical High $281.84 | Facility | None | $128.82 | $269.15 | $281.84 |
Aetna Setting Professional Modifier None (both parts) Typical Low $125.89 Median $134.90 Typical High $275.42 | Professional | None (both parts) | $125.89 | $134.90 | $275.42 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $45.71 Typical High $87.10 | Professional | 26 · Professional part | $43.65 | $45.71 | $87.10 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $83.18 Typical High $218.78 | Professional | TC · Technical part | $81.28 | $83.18 | $218.78 |
Cigna Setting Facility Modifier None Typical Low $588.84 Median $588.84 Typical High $588.84 | Facility | None | $588.84 | $588.84 | $588.84 |
Cigna Setting Professional Modifier None (both parts) Typical Low $190.55 Median $288.40 Typical High $398.11 | Professional | None (both parts) | $190.55 | $288.40 | $398.11 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $97.72 Typical High $131.83 | Professional | 26 · Professional part | $56.23 | $97.72 | $131.83 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $131.83 Median $194.98 Typical High $269.15 | Professional | TC · Technical part | $131.83 | $194.98 | $269.15 |
Hally Health Setting Professional Modifier None Typical Low $117.49 Median $229.09 Typical High $467.74 | Professional | None | $117.49 | $229.09 | $467.74 |
Hally Health Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $77.62 Typical High $141.25 | Professional | 26 · Professional part | $41.69 | $77.62 | $141.25 |
Hally Health Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $151.36 Typical High $269.15 | Professional | TC · Technical part | $74.13 | $151.36 | $269.15 |
Medica Setting Facility Modifier None Typical Low $181.97 Median $323.59 Typical High $426.58 | Facility | None | $181.97 | $323.59 | $426.58 |
Medica Setting Professional Modifier None (both parts) Typical Low $154.88 Median $281.84 Typical High $1,047.13 | Professional | None (both parts) | $154.88 | $281.84 | $1,047.13 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $89.13 Typical High $288.40 | Professional | 26 · Professional part | $50.12 | $89.13 | $288.40 |
Medica Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $169.82 Typical High $776.25 | Professional | TC · Technical part | $97.72 | $169.82 | $776.25 |
Midlands Setting Professional Modifier None Typical Low $269.15 Median $288.40 Typical High $380.19 | Professional | None | $269.15 | $288.40 | $380.19 |
Midlands Setting Professional Modifier 26 · Professional part Typical Low $93.33 Median $97.72 Typical High $125.89 | Professional | 26 · Professional part | $93.33 | $97.72 | $125.89 |
Midlands Setting Professional Modifier TC · Technical part Typical Low $173.78 Median $194.98 Typical High $257.04 | Professional | TC · Technical part | $173.78 | $194.98 | $257.04 |
Midlands Setting Facility Modifier None Typical Low $588.84 Median $588.84 Typical High $588.84 | Facility | None | $588.84 | $588.84 | $588.84 |
Midlands Setting Professional Modifier None (both parts) Typical Low $251.19 Median $323.59 Typical High $660.69 | Professional | None (both parts) | $251.19 | $323.59 | $660.69 |
United Setting Facility Modifier None Typical Low $128.82 Median $218.78 Typical High $275.42 | Facility | None | $128.82 | $218.78 | $275.42 |
United Setting Professional Modifier None (both parts) Typical Low $144.54 Median $181.97 Typical High $309.03 | Professional | None (both parts) | $144.54 | $181.97 | $309.03 |
United Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $58.88 Typical High $107.15 | Professional | 26 · Professional part | $47.86 | $58.88 | $107.15 |
United Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $117.49 Typical High $199.53 | Professional | TC · Technical part | $95.50 | $117.49 | $199.53 |
Wellmark Setting Professional Modifier None (both parts) Typical Low $257.04 Median $257.04 Typical High $295.12 | Professional | None (both parts) | $257.04 | $257.04 | $295.12 |
Wellmark Setting Professional Modifier 26 · Professional part Typical Low $87.10 Median $87.10 Typical High $100.00 | Professional | 26 · Professional part | $87.10 | $87.10 | $100.00 |
Wellmark Setting Professional Modifier TC · Technical part Typical Low $169.82 Median $169.82 Typical High $194.98 | Professional | TC · Technical part | $169.82 | $169.82 | $194.98 |
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 $63.10 Median $64.57 Typical High $138.04 | Professional | 52 · Reduced service | $63.10 | $64.57 | $138.04 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $25.12 Median $25.70 Typical High $54.95 | Professional | 53 · Discontinued | $25.12 | $25.70 | $54.95 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $102.33 Median $102.33 Typical High $218.78 | Professional | FX · Film X-ray | $102.33 | $102.33 | $218.78 |
Where Iowa sits
The same service costs 4.3 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· 4th 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.