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 $60.26 Median $60.26 Typical High $102.33 | Facility | None | $60.26 | $60.26 | $102.33 |
Aetna Setting Professional Modifier None (both parts) Typical Low $60.26 Median $63.10 Typical High $104.71 | Professional | None (both parts) | $60.26 | $63.10 | $104.71 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $28.18 Typical High $48.98 | Professional | 26 · Professional part | $26.30 | $28.18 | $48.98 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $33.11 Median $35.48 Typical High $70.79 | Professional | TC · Technical part | $33.11 | $35.48 | $70.79 |
Cigna Setting Facility Modifier None Typical Low $263.03 Median $263.03 Typical High $263.03 | Facility | None | $263.03 | $263.03 | $263.03 |
Cigna Setting Professional Modifier None (both parts) Typical Low $97.72 Median $147.91 Typical High $204.17 | Professional | None (both parts) | $97.72 | $147.91 | $204.17 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $66.07 Typical High $89.13 | Professional | 26 · Professional part | $34.67 | $66.07 | $89.13 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $54.95 Median $83.18 Typical High $109.65 | Professional | TC · Technical part | $54.95 | $83.18 | $109.65 |
Hally Health Setting Professional Modifier None Typical Low $60.26 Median $112.20 Typical High $229.09 | Professional | None | $60.26 | $112.20 | $229.09 |
Hally Health Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $50.12 Typical High $107.15 | Professional | 26 · Professional part | $27.54 | $50.12 | $107.15 |
Hally Health Setting Professional Modifier TC · Technical part Typical Low $32.36 Median $66.07 Typical High $120.23 | Professional | TC · Technical part | $32.36 | $66.07 | $120.23 |
Medica Setting Facility Modifier None Typical Low $102.33 Median $169.82 Typical High $275.42 | Facility | None | $102.33 | $169.82 | $275.42 |
Medica Setting Professional Modifier None (both parts) Typical Low $70.79 Median $144.54 Typical High $501.19 | Professional | None (both parts) | $70.79 | $144.54 | $501.19 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $58.88 Typical High $323.59 | Professional | 26 · Professional part | $30.20 | $58.88 | $323.59 |
Medica Setting Professional Modifier TC · Technical part Typical Low $35.48 Median $66.07 Typical High $323.59 | Professional | TC · Technical part | $35.48 | $66.07 | $323.59 |
Midlands Setting Professional Modifier None Typical Low $144.54 Median $147.91 Typical High $173.78 | Professional | None | $144.54 | $147.91 | $173.78 |
Midlands Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $66.07 Typical High $77.62 | Professional | 26 · Professional part | $61.66 | $66.07 | $77.62 |
Midlands Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $83.18 Typical High $97.72 | Professional | TC · Technical part | $75.86 | $83.18 | $97.72 |
Midlands Setting Facility Modifier None Typical Low $263.03 Median $263.03 Typical High $263.03 | Facility | None | $263.03 | $263.03 | $263.03 |
Midlands Setting Professional Modifier None (both parts) Typical Low $138.04 Median $173.78 Typical High $288.40 | Professional | None (both parts) | $138.04 | $173.78 | $288.40 |
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 $64.57 Median $81.28 Typical High $138.04 | Professional | None (both parts) | $64.57 | $81.28 | $138.04 |
United Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $36.31 Typical High $63.10 | Professional | 26 · Professional part | $28.84 | $36.31 | $63.10 |
United Setting Professional Modifier TC · Technical part Typical Low $34.67 Median $43.65 Typical High $72.44 | Professional | TC · Technical part | $34.67 | $43.65 | $72.44 |
Wellmark Setting Professional Modifier None (both parts) Typical Low $128.82 Median $128.82 Typical High $144.54 | Professional | None (both parts) | $128.82 | $128.82 | $144.54 |
Wellmark Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $54.95 Typical High $63.10 | Professional | 26 · Professional part | $54.95 | $54.95 | $63.10 |
Wellmark Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $72.44 Typical High $83.18 | Professional | TC · Technical part | $72.44 | $72.44 | $83.18 |
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 $30.20 Median $30.20 Typical High $51.29 | Professional | 52 · Reduced service | $30.20 | $30.20 | $51.29 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.02 Median $12.02 Typical High $20.42 | Professional | 53 · Discontinued | $12.02 | $12.02 | $20.42 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $47.86 Median $47.86 Typical High $51.29 | Professional | FX · Film X-ray | $47.86 | $47.86 | $51.29 |
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· 5th of 51
$145
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.