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 $53.70 Median $107.15 Typical High $128.82 | Facility | None | $53.70 | $107.15 | $128.82 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $32.36 Median $66.07 Typical High $120.23 | Facility | TC · Technical part | $32.36 | $66.07 | $120.23 |
Aetna Setting Professional Modifier None (both parts) Typical Low $53.70 Median $57.54 Typical High $123.03 | Professional | None (both parts) | $53.70 | $57.54 | $123.03 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $26.92 Typical High $52.48 | Professional | 26 · Professional part | $25.12 | $26.92 | $52.48 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $28.84 Median $30.90 Typical High $85.11 | Professional | TC · Technical part | $28.84 | $30.90 | $85.11 |
Cigna Setting Facility Modifier None Typical Low $363.08 Median $363.08 Typical High $363.08 | Facility | None | $363.08 | $363.08 | $363.08 |
Cigna Setting Professional Modifier None (both parts) Typical Low $91.20 Median $131.83 Typical High $177.83 | Professional | None (both parts) | $91.20 | $131.83 | $177.83 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $60.26 Typical High $81.28 | Professional | 26 · Professional part | $33.88 | $60.26 | $81.28 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $56.23 Median $72.44 Typical High $91.20 | Professional | TC · Technical part | $56.23 | $72.44 | $91.20 |
Hally Health Setting Professional Modifier None Typical Low $53.70 Median $117.49 Typical High $251.19 | Professional | None | $53.70 | $117.49 | $251.19 |
Hally Health Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $45.71 Typical High $120.23 | Professional | 26 · Professional part | $25.70 | $45.71 | $120.23 |
Hally Health Setting Professional Modifier TC · Technical part Typical Low $28.18 Median $63.10 Typical High $147.91 | Professional | TC · Technical part | $28.18 | $63.10 | $147.91 |
Medica Setting Facility Modifier None Typical Low $117.49 Median $154.88 Typical High $316.23 | Facility | None | $117.49 | $154.88 | $316.23 |
Medica Setting Professional Modifier None (both parts) Typical Low $64.57 Median $128.82 Typical High $562.34 | Professional | None (both parts) | $64.57 | $128.82 | $562.34 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $54.95 Typical High $186.21 | Professional | 26 · Professional part | $29.51 | $54.95 | $186.21 |
Medica Setting Professional Modifier TC · Technical part Typical Low $30.20 Median $70.79 Typical High $398.11 | Professional | TC · Technical part | $30.20 | $70.79 | $398.11 |
Midlands Setting Professional Modifier None Typical Low $131.83 Median $131.83 Typical High $154.88 | Professional | None | $131.83 | $131.83 | $154.88 |
Midlands Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $60.26 Typical High $70.79 | Professional | 26 · Professional part | $56.23 | $60.26 | $70.79 |
Midlands Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $72.44 Typical High $83.18 | Professional | TC · Technical part | $64.57 | $72.44 | $83.18 |
Midlands Setting Facility Modifier None Typical Low $363.08 Median $363.08 Typical High $363.08 | Facility | None | $363.08 | $363.08 | $363.08 |
Midlands Setting Professional Modifier None (both parts) Typical Low $120.23 Median $151.36 Typical High $302.00 | Professional | None (both parts) | $120.23 | $151.36 | $302.00 |
Oscar Health Setting Facility Modifier None Typical Low $109.65 Median $446.68 Typical High $1,258.93 | Facility | None | $109.65 | $446.68 | $1,258.93 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $28.84 Median $57.54 Typical High $112.20 | Professional | None (both parts) | $28.84 | $57.54 | $112.20 |
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 $58.88 Median $74.13 Typical High $128.82 | Professional | None (both parts) | $58.88 | $74.13 | $128.82 |
United Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $33.11 Typical High $61.66 | Professional | 26 · Professional part | $27.54 | $33.11 | $61.66 |
United Setting Professional Modifier TC · Technical part Typical Low $28.84 Median $38.90 Typical High $77.62 | Professional | TC · Technical part | $28.84 | $38.90 | $77.62 |
Wellmark Setting Professional Modifier None (both parts) Typical Low $112.20 Median $112.20 Typical High $125.89 | Professional | None (both parts) | $112.20 | $112.20 | $125.89 |
Wellmark Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $50.12 Typical High $56.23 | Professional | 26 · Professional part | $50.12 | $50.12 | $56.23 |
Wellmark Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $61.66 Typical High $70.79 | Professional | TC · Technical part | $61.66 | $61.66 | $70.79 |
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 $25.70 Median $26.92 Typical High $45.71 | Professional | 52 · Reduced service | $25.70 | $26.92 | $45.71 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.23 Median $10.72 Typical High $18.20 | Professional | 53 · Discontinued | $10.23 | $10.72 | $18.20 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $40.74 Median $42.66 Typical High $45.71 | Professional | FX · Film X-ray | $40.74 | $42.66 | $45.71 |
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
$107
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.