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 $102.33 Median $194.98 Typical High $229.09 | Facility | None | $102.33 | $194.98 | $229.09 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $34.67 Median $66.07 Typical High $77.62 | Facility | 26 · Professional part | $34.67 | $66.07 | $77.62 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $67.61 Median $131.83 Typical High $251.19 | Facility | TC · Technical part | $67.61 | $131.83 | $251.19 |
Aetna Setting Professional Modifier None (both parts) Typical Low $102.33 Median $114.82 Typical High $223.87 | Professional | None (both parts) | $102.33 | $114.82 | $223.87 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $37.15 Typical High $77.62 | Professional | 26 · Professional part | $34.67 | $37.15 | $77.62 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $67.61 Median $77.62 Typical High $151.36 | Professional | TC · Technical part | $67.61 | $77.62 | $151.36 |
Cigna Setting Facility Modifier None Typical Low $467.74 Median $467.74 Typical High $467.74 | Facility | None | $467.74 | $467.74 | $467.74 |
Cigna Setting Professional Modifier None (both parts) Typical Low $138.04 Median $251.19 Typical High $309.03 | Professional | None (both parts) | $138.04 | $251.19 | $309.03 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $83.18 Typical High $112.20 | Professional | 26 · Professional part | $46.77 | $83.18 | $112.20 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $169.82 Typical High $204.17 | Professional | TC · Technical part | $91.20 | $169.82 | $204.17 |
Hally Health Setting Professional Modifier None Typical Low $102.33 Median $190.55 Typical High $371.54 | Professional | None | $102.33 | $190.55 | $371.54 |
Hally Health Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $64.57 Typical High $141.25 | Professional | 26 · Professional part | $35.48 | $64.57 | $141.25 |
Hally Health Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $117.49 Typical High $204.17 | Professional | TC · Technical part | $66.07 | $117.49 | $204.17 |
Medica Setting Facility Modifier None Typical Low $204.17 Median $281.84 Typical High $489.78 | Facility | None | $204.17 | $281.84 | $489.78 |
Medica Setting Professional Modifier None (both parts) Typical Low $128.82 Median $245.47 Typical High $758.58 | Professional | None (both parts) | $128.82 | $245.47 | $758.58 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $77.62 Typical High $302.00 | Professional | 26 · Professional part | $41.69 | $77.62 | $302.00 |
Medica Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $151.36 Typical High $512.86 | Professional | TC · Technical part | $83.18 | $151.36 | $512.86 |
Midlands Setting Professional Modifier None Typical Low $251.19 Median $251.19 Typical High $302.00 | Professional | None | $251.19 | $251.19 | $302.00 |
Midlands Setting Professional Modifier 26 · Professional part Typical Low $77.62 Median $83.18 Typical High $97.72 | Professional | 26 · Professional part | $77.62 | $83.18 | $97.72 |
Midlands Setting Professional Modifier TC · Technical part Typical Low $169.82 Median $169.82 Typical High $204.17 | Professional | TC · Technical part | $169.82 | $169.82 | $204.17 |
Midlands Setting Facility Modifier None Typical Low $467.74 Median $467.74 Typical High $467.74 | Facility | None | $467.74 | $467.74 | $467.74 |
Midlands Setting Professional Modifier None (both parts) Typical Low $234.42 Median $275.42 Typical High $426.58 | Professional | None (both parts) | $234.42 | $275.42 | $426.58 |
Oscar Health Setting Facility Modifier None Typical Low $109.65 Median $741.31 Typical High $2,089.30 | Facility | None | $109.65 | $741.31 | $2,089.30 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $39.81 Median $85.11 Typical High $208.93 | Professional | None (both parts) | $39.81 | $85.11 | $208.93 |
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 $114.82 Median $138.04 Typical High $251.19 | Professional | None (both parts) | $114.82 | $138.04 | $251.19 |
United Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $47.86 Typical High $85.11 | Professional | 26 · Professional part | $39.81 | $47.86 | $85.11 |
United Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $91.20 Typical High $162.18 | Professional | TC · Technical part | $75.86 | $91.20 | $162.18 |
Wellmark Setting Professional Modifier None (both parts) Typical Low $208.93 Median $208.93 Typical High $239.88 | Professional | None (both parts) | $208.93 | $208.93 | $239.88 |
Wellmark Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $69.18 Typical High $77.62 | Professional | 26 · Professional part | $69.18 | $69.18 | $77.62 |
Wellmark Setting Professional Modifier TC · Technical part Typical Low $141.25 Median $141.25 Typical High $158.49 | Professional | TC · Technical part | $141.25 | $141.25 | $158.49 |
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 $51.29 Median $52.48 Typical High $87.10 | Professional | 52 · Reduced service | $51.29 | $52.48 | $87.10 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $20.42 Median $20.89 Typical High $34.67 | Professional | 53 · Discontinued | $20.42 | $20.89 | $34.67 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $81.28 Median $81.28 Typical High $89.13 | Professional | FX · Film X-ray | $81.28 | $81.28 | $89.13 |
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· 11th of 51
$178
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.