How much rates vary
Facilitymedian $282 · 10th to 90th $166 to $417Professionalmedian $316 · 10th to 90th $145 to $437
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 $147.91 Median $295.12 Typical High $295.12 | Facility | None | $147.91 | $295.12 | $295.12 |
Aetna Setting Professional Modifier None (both parts) Typical Low $131.83 Median $147.91 Typical High $263.03 | Professional | None (both parts) | $131.83 | $147.91 | $263.03 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $56.23 Typical High $100.00 | Professional | 26 · Professional part | $52.48 | $56.23 | $100.00 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $95.50 Typical High $165.96 | Professional | TC · Technical part | $75.86 | $95.50 | $165.96 |
Cigna Setting Facility Modifier None Typical Low $426.58 Median $426.58 Typical High $426.58 | Facility | None | $426.58 | $426.58 | $426.58 |
Cigna Setting Professional Modifier None (both parts) Typical Low $147.91 Median $380.19 Typical High $426.58 | Professional | None (both parts) | $147.91 | $380.19 | $426.58 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $138.04 Typical High $162.18 | Professional | 26 · Professional part | $63.10 | $138.04 | $162.18 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $89.13 Median $239.88 Typical High $288.40 | Professional | TC · Technical part | $89.13 | $239.88 | $288.40 |
Hally Health Setting Professional Modifier None Typical Low $154.88 Median $208.93 Typical High $354.81 | Professional | None | $154.88 | $208.93 | $354.81 |
Hally Health Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $95.50 Typical High $147.91 | Professional | 26 · Professional part | $57.54 | $95.50 | $147.91 |
Hally Health Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $114.82 Typical High $190.55 | Professional | TC · Technical part | $85.11 | $114.82 | $190.55 |
Medica Setting Facility Modifier None Typical Low $213.80 Median $281.84 Typical High $398.11 | Facility | None | $213.80 | $281.84 | $398.11 |
Medica Setting Professional Modifier None (both parts) Typical Low $147.91 Median $281.84 Typical High $933.25 | Professional | None (both parts) | $147.91 | $281.84 | $933.25 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $107.15 Typical High $363.08 | Professional | 26 · Professional part | $57.54 | $107.15 | $363.08 |
Medica Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $151.36 Typical High $575.44 | Professional | TC · Technical part | $74.13 | $151.36 | $575.44 |
Midlands Setting Professional Modifier None Typical Low $331.13 Median $380.19 Typical High $407.38 | Professional | None | $331.13 | $380.19 | $407.38 |
Midlands Setting Professional Modifier 26 · Professional part Typical Low $123.03 Median $138.04 Typical High $154.88 | Professional | 26 · Professional part | $123.03 | $138.04 | $154.88 |
Midlands Setting Professional Modifier TC · Technical part Typical Low $194.98 Median $239.88 Typical High $251.19 | Professional | TC · Technical part | $194.98 | $239.88 | $251.19 |
Midlands Setting Facility Modifier None Typical Low $426.58 Median $426.58 Typical High $426.58 | Facility | None | $426.58 | $426.58 | $426.58 |
Midlands Setting Professional Modifier None (both parts) Typical Low $263.03 Median $398.11 Typical High $436.52 | Professional | None (both parts) | $263.03 | $398.11 | $436.52 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $72.44 Median $158.49 Typical High $354.81 | Professional | None (both parts) | $72.44 | $158.49 | $354.81 |
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 $123.03 Median $158.49 Typical High $295.12 | Professional | None (both parts) | $123.03 | $158.49 | $295.12 |
United Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $67.61 Typical High $120.23 | Professional | 26 · Professional part | $53.70 | $67.61 | $120.23 |
United Setting Professional Modifier TC · Technical part Typical Low $67.61 Median $93.33 Typical High $169.82 | Professional | TC · Technical part | $67.61 | $93.33 | $169.82 |
Wellmark Setting Professional Modifier None (both parts) Typical Low $346.74 Median $346.74 Typical High $398.11 | Professional | None (both parts) | $346.74 | $346.74 | $398.11 |
Wellmark Setting Professional Modifier 26 · Professional part Typical Low $117.49 Median $117.49 Typical High $134.90 | Professional | 26 · Professional part | $117.49 | $117.49 | $134.90 |
Wellmark Setting Professional Modifier TC · Technical part Typical Low $229.09 Median $229.09 Typical High $263.03 | Professional | TC · Technical part | $229.09 | $229.09 | $263.03 |
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 $64.57 Median $74.13 Typical High $125.89 | Professional | 52 · Reduced service | $64.57 | $74.13 | $125.89 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $25.70 Median $30.20 Typical High $51.29 | Professional | 53 · Discontinued | $25.70 | $30.20 | $51.29 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $102.33 Median $120.23 Typical High $128.82 | Professional | FX · Film X-ray | $102.33 | $120.23 | $128.82 |
Where Iowa sits
The same service costs 4.9 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· 5th of 51
$316
AK $468UT $95.50
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.