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 $95.50 Median $181.97 Typical High $229.09 | Facility | None | $95.50 | $181.97 | $229.09 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $70.79 Median $141.25 Typical High $269.15 | Facility | TC · Technical part | $70.79 | $141.25 | $269.15 |
Aetna Setting Professional Modifier None (both parts) Typical Low $95.50 Median $109.65 Typical High $218.78 | Professional | None (both parts) | $95.50 | $109.65 | $218.78 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $26.30 Typical High $54.95 | Professional | 26 · Professional part | $23.99 | $26.30 | $54.95 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $83.18 Typical High $162.18 | Professional | TC · Technical part | $70.79 | $83.18 | $162.18 |
Cigna Setting Facility Modifier None Typical Low $398.11 Median $398.11 Typical High $398.11 | Facility | None | $398.11 | $398.11 | $398.11 |
Cigna Setting Professional Modifier None (both parts) Typical Low $123.03 Median $239.88 Typical High $288.40 | Professional | None (both parts) | $123.03 | $239.88 | $288.40 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $58.88 Typical High $77.62 | Professional | 26 · Professional part | $31.62 | $58.88 | $77.62 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $181.97 Typical High $218.78 | Professional | TC · Technical part | $91.20 | $181.97 | $218.78 |
Hally Health Setting Professional Modifier None Typical Low $95.50 Median $141.25 Typical High $316.23 | Professional | None | $95.50 | $141.25 | $316.23 |
Hally Health Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $44.67 Typical High $107.15 | Professional | 26 · Professional part | $25.12 | $44.67 | $107.15 |
Hally Health Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $104.71 Typical High $208.93 | Professional | TC · Technical part | $70.79 | $104.71 | $208.93 |
Medica Setting Facility Modifier None Typical Low $125.89 Median $275.42 Typical High $457.09 | Facility | None | $125.89 | $275.42 | $457.09 |
Medica Setting Professional Modifier None (both parts) Typical Low $120.23 Median $234.42 Typical High $724.44 | Professional | None (both parts) | $120.23 | $234.42 | $724.44 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $53.70 Typical High $257.04 | Professional | 26 · Professional part | $28.84 | $53.70 | $257.04 |
Medica Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $154.88 Typical High $549.54 | Professional | TC · Technical part | $81.28 | $154.88 | $549.54 |
Midlands Setting Professional Modifier None Typical Low $239.88 Median $239.88 Typical High $288.40 | Professional | None | $239.88 | $239.88 | $288.40 |
Midlands Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $58.88 Typical High $70.79 | Professional | 26 · Professional part | $54.95 | $58.88 | $70.79 |
Midlands Setting Professional Modifier TC · Technical part Typical Low $181.97 Median $181.97 Typical High $218.78 | Professional | TC · Technical part | $181.97 | $181.97 | $218.78 |
Midlands Setting Facility Modifier None Typical Low $398.11 Median $398.11 Typical High $398.11 | Facility | None | $398.11 | $398.11 | $398.11 |
Midlands Setting Professional Modifier None (both parts) Typical Low $218.78 Median $257.04 Typical High $354.81 | Professional | None (both parts) | $218.78 | $257.04 | $354.81 |
Oscar Health Setting Facility Modifier None Typical Low $208.93 Median $549.54 Typical High $1,513.56 | Facility | None | $208.93 | $549.54 | $1,513.56 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $27.54 Median $91.20 Typical High $194.98 | Professional | None (both parts) | $27.54 | $91.20 | $194.98 |
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 $102.33 Median $128.82 Typical High $223.87 | Professional | None (both parts) | $102.33 | $128.82 | $223.87 |
United Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $33.11 Typical High $60.26 | Professional | 26 · Professional part | $26.92 | $33.11 | $60.26 |
United Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $97.72 Typical High $173.78 | Professional | TC · Technical part | $75.86 | $97.72 | $173.78 |
Wellmark Setting Professional Modifier None (both parts) Typical Low $199.53 Median $199.53 Typical High $229.09 | Professional | None (both parts) | $199.53 | $199.53 | $229.09 |
Wellmark Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $48.98 Typical High $54.95 | Professional | 26 · Professional part | $48.98 | $48.98 | $54.95 |
Wellmark Setting Professional Modifier TC · Technical part Typical Low $151.36 Median $151.36 Typical High $169.82 | Professional | TC · Technical part | $151.36 | $151.36 | $169.82 |
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 $47.86 Median $48.98 Typical High $81.28 | Professional | 52 · Reduced service | $47.86 | $48.98 | $81.28 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.05 Median $19.50 Typical High $33.11 | Professional | 53 · Discontinued | $19.05 | $19.50 | $33.11 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $75.86 Median $75.86 Typical High $85.11 | Professional | FX · Film X-ray | $75.86 | $75.86 | $85.11 |
Where Iowa sits
The same service costs 4.1 times more in Minnesota than in Florida. 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· 10th of 51
$200
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.