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 $42.66 Median $42.66 Typical High $154.88 | Facility | None | $42.66 | $42.66 | $154.88 |
Aetna Setting Professional Modifier None (both parts) Typical Low $42.66 Median $45.71 Typical High $100.00 | Professional | None (both parts) | $42.66 | $45.71 | $100.00 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $29.51 Typical High $57.54 | Professional | 26 · Professional part | $27.54 | $29.51 | $57.54 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $15.14 Median $16.98 Typical High $42.66 | Professional | TC · Technical part | $15.14 | $16.98 | $42.66 |
Cigna Setting Facility Modifier None Typical Low $302.00 Median $302.00 Typical High $302.00 | Facility | None | $302.00 | $302.00 | $302.00 |
Cigna Setting Professional Modifier None (both parts) Typical Low $97.72 Median $104.71 Typical High $151.36 | Professional | None (both parts) | $97.72 | $104.71 | $151.36 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $66.07 Typical High $95.50 | Professional | 26 · Professional part | $43.65 | $66.07 | $95.50 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $35.48 Median $38.90 Typical High $57.54 | Professional | TC · Technical part | $35.48 | $38.90 | $57.54 |
Hally Health Setting Professional Modifier None Typical Low $42.66 Median $147.91 Typical High $281.84 | Professional | None | $42.66 | $147.91 | $281.84 |
Hally Health Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $74.13 Typical High $154.88 | Professional | 26 · Professional part | $27.54 | $74.13 | $154.88 |
Hally Health Setting Professional Modifier TC · Technical part Typical Low $15.14 Median $64.57 Typical High $114.82 | Professional | TC · Technical part | $15.14 | $64.57 | $114.82 |
Medica Setting Facility Modifier None Typical Low $102.33 Median $154.88 Typical High $295.12 | Facility | None | $102.33 | $154.88 | $295.12 |
Medica Setting Professional Modifier None (both parts) Typical Low $57.54 Median $128.82 Typical High $660.69 | Professional | None (both parts) | $57.54 | $128.82 | $660.69 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $66.07 Typical High $338.84 | Professional | 26 · Professional part | $33.88 | $66.07 | $338.84 |
Medica Setting Professional Modifier TC · Technical part Typical Low $21.38 Median $48.98 Typical High $407.38 | Professional | TC · Technical part | $21.38 | $48.98 | $407.38 |
Midlands Setting Professional Modifier None Typical Low $104.71 Median $104.71 Typical High $123.03 | Professional | None | $104.71 | $104.71 | $123.03 |
Midlands Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $66.07 Typical High $79.43 | Professional | 26 · Professional part | $63.10 | $66.07 | $79.43 |
Midlands Setting Professional Modifier TC · Technical part Typical Low $38.90 Median $38.90 Typical High $45.71 | Professional | TC · Technical part | $38.90 | $38.90 | $45.71 |
Midlands Setting Facility Modifier None Typical Low $302.00 Median $302.00 Typical High $302.00 | Facility | None | $302.00 | $302.00 | $302.00 |
Midlands Setting Professional Modifier None (both parts) Typical Low $97.72 Median $123.03 Typical High $436.52 | Professional | None (both parts) | $97.72 | $123.03 | $436.52 |
United Setting Facility Modifier None Typical Low $154.88 Median $263.03 Typical High $331.13 | Facility | None | $154.88 | $263.03 | $331.13 |
United Setting Professional Modifier None (both parts) Typical Low $52.48 Median $70.79 Typical High $128.82 | Professional | None (both parts) | $52.48 | $70.79 | $128.82 |
United Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $40.74 Typical High $74.13 | Professional | 26 · Professional part | $32.36 | $40.74 | $74.13 |
United Setting Professional Modifier TC · Technical part Typical Low $20.42 Median $28.84 Typical High $57.54 | Professional | TC · Technical part | $20.42 | $28.84 | $57.54 |
Wellmark Setting Professional Modifier None (both parts) Typical Low $89.13 Median $89.13 Typical High $102.33 | Professional | None (both parts) | $89.13 | $89.13 | $102.33 |
Wellmark Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $56.23 Typical High $63.10 | Professional | 26 · Professional part | $56.23 | $56.23 | $63.10 |
Wellmark Setting Professional Modifier TC · Technical part Typical Low $33.88 Median $33.88 Typical High $38.02 | Professional | TC · Technical part | $33.88 | $33.88 | $38.02 |
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 $21.38 Median $21.38 Typical High $36.31 | Professional | 52 · Reduced service | $21.38 | $21.38 | $36.31 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.51 Median $8.51 Typical High $14.45 | Professional | 53 · Discontinued | $8.51 | $8.51 | $14.45 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $33.88 Median $33.88 Typical High $36.31 | Professional | FX · Film X-ray | $33.88 | $33.88 | $36.31 |
Where Iowa sits
The same service costs 3.8 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· 8th of 51
$102
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.