How much rates vary
Facilitymedian $138 · 10th to 90th $100 to $282Professionalmedian $100 · 10th to 90th $50 to $219
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 $41.69 Median $41.69 Typical High $100.00 | Facility | None | $41.69 | $41.69 | $100.00 |
Aetna Setting Professional Modifier None (both parts) Typical Low $41.69 Median $43.65 Typical High $74.13 | Professional | None (both parts) | $41.69 | $43.65 | $74.13 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $20.42 Median $20.89 Typical High $33.88 | Professional | 26 · Professional part | $20.42 | $20.89 | $33.88 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $20.89 Median $22.39 Typical High $45.71 | Professional | TC · Technical part | $20.89 | $22.39 | $45.71 |
Cigna Setting Facility Modifier None Typical Low $245.47 Median $245.47 Typical High $245.47 | Facility | None | $245.47 | $245.47 | $245.47 |
Cigna Setting Professional Modifier None (both parts) Typical Low $83.18 Median $102.33 Typical High $144.54 | Professional | None (both parts) | $83.18 | $102.33 | $144.54 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $48.98 Typical High $66.07 | Professional | 26 · Professional part | $32.36 | $48.98 | $66.07 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $45.71 Median $53.70 Typical High $74.13 | Professional | TC · Technical part | $45.71 | $53.70 | $74.13 |
Hally Health Setting Professional Modifier None Typical Low $41.69 Median $104.71 Typical High $204.17 | Professional | None | $41.69 | $104.71 | $204.17 |
Hally Health Setting Professional Modifier 26 · Professional part Typical Low $20.42 Median $42.66 Typical High $89.13 | Professional | 26 · Professional part | $20.42 | $42.66 | $89.13 |
Hally Health Setting Professional Modifier TC · Technical part Typical Low $20.89 Median $56.23 Typical High $120.23 | Professional | TC · Technical part | $20.89 | $56.23 | $120.23 |
Medica Setting Facility Modifier None Typical Low $100.00 Median $134.90 Typical High $275.42 | Facility | None | $100.00 | $134.90 | $275.42 |
Medica Setting Professional Modifier None (both parts) Typical Low $52.48 Median $117.49 Typical High $501.19 | Professional | None (both parts) | $52.48 | $117.49 | $501.19 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $24.55 Median $43.65 Typical High $323.59 | Professional | 26 · Professional part | $24.55 | $43.65 | $323.59 |
Medica Setting Professional Modifier TC · Technical part Typical Low $25.12 Median $54.95 Typical High $323.59 | Professional | TC · Technical part | $25.12 | $54.95 | $323.59 |
Midlands Setting Professional Modifier None Typical Low $102.33 Median $102.33 Typical High $120.23 | Professional | None | $102.33 | $102.33 | $120.23 |
Midlands Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $48.98 Typical High $57.54 | Professional | 26 · Professional part | $45.71 | $48.98 | $57.54 |
Midlands Setting Professional Modifier TC · Technical part Typical Low $53.70 Median $53.70 Typical High $64.57 | Professional | TC · Technical part | $53.70 | $53.70 | $64.57 |
Midlands Setting Facility Modifier None Typical Low $245.47 Median $245.47 Typical High $245.47 | Facility | None | $245.47 | $245.47 | $245.47 |
Midlands Setting Professional Modifier None (both parts) Typical Low $93.33 Median $120.23 Typical High $275.42 | Professional | None (both parts) | $93.33 | $120.23 | $275.42 |
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 $47.86 Median $61.66 Typical High $112.20 | Professional | None (both parts) | $47.86 | $61.66 | $112.20 |
United Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $28.18 Typical High $48.98 | Professional | 26 · Professional part | $22.91 | $28.18 | $48.98 |
United Setting Professional Modifier TC · Technical part Typical Low $24.55 Median $31.62 Typical High $60.26 | Professional | TC · Technical part | $24.55 | $31.62 | $60.26 |
Wellmark Setting Professional Modifier None (both parts) Typical Low $87.10 Median $87.10 Typical High $100.00 | Professional | None (both parts) | $87.10 | $87.10 | $100.00 |
Wellmark Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $40.74 Typical High $46.77 | Professional | 26 · Professional part | $40.74 | $40.74 | $46.77 |
Wellmark Setting Professional Modifier TC · Technical part Typical Low $46.77 Median $46.77 Typical High $52.48 | Professional | TC · Technical part | $46.77 | $46.77 | $52.48 |
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 $20.89 Median $20.89 Typical High $35.48 | Professional | 52 · Reduced service | $20.89 | $20.89 | $35.48 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.32 Median $8.32 Typical High $14.13 | Professional | 53 · Discontinued | $8.32 | $8.32 | $14.13 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $33.11 Median $33.11 Typical High $35.48 | Professional | FX · Film X-ray | $33.11 | $33.11 | $35.48 |
Where Iowa sits
The same service costs 4.5 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· 7th of 51
$100
AK $141UT $31.62
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.