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 $77.62 Median $77.62 Typical High $186.21 | Facility | None | $77.62 | $77.62 | $186.21 |
Aetna Setting Professional Modifier None (both parts) Typical Low $77.62 Median $85.11 Typical High $158.49 | Professional | None (both parts) | $77.62 | $85.11 | $158.49 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $44.67 Typical High $77.62 | Professional | 26 · Professional part | $41.69 | $44.67 | $77.62 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $34.67 Median $39.81 Typical High $77.62 | Professional | TC · Technical part | $34.67 | $39.81 | $77.62 |
Cigna Setting Facility Modifier None Typical Low $323.59 Median $323.59 Typical High $323.59 | Facility | None | $323.59 | $323.59 | $323.59 |
Cigna Setting Professional Modifier None (both parts) Typical Low $114.82 Median $190.55 Typical High $257.04 | Professional | None (both parts) | $114.82 | $190.55 | $257.04 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $100.00 Typical High $138.04 | Professional | 26 · Professional part | $58.88 | $100.00 | $138.04 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $53.70 Median $89.13 Typical High $114.82 | Professional | TC · Technical part | $53.70 | $89.13 | $114.82 |
Hally Health Setting Professional Modifier None Typical Low $77.62 Median $151.36 Typical High $354.81 | Professional | None | $77.62 | $151.36 | $354.81 |
Hally Health Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $79.43 Typical High $186.21 | Professional | 26 · Professional part | $42.66 | $79.43 | $186.21 |
Hally Health Setting Professional Modifier TC · Technical part Typical Low $34.67 Median $69.18 Typical High $147.91 | Professional | TC · Technical part | $34.67 | $69.18 | $147.91 |
Medica Setting Facility Modifier None Typical Low $165.96 Median $204.17 Typical High $251.19 | Facility | None | $165.96 | $204.17 | $251.19 |
Medica Setting Professional Modifier None (both parts) Typical Low $95.50 Median $204.17 Typical High $1,288.25 | Professional | None (both parts) | $95.50 | $204.17 | $1,288.25 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $93.33 Typical High $501.19 | Professional | 26 · Professional part | $50.12 | $93.33 | $501.19 |
Medica Setting Professional Modifier TC · Technical part Typical Low $42.66 Median $77.62 Typical High $794.33 | Professional | TC · Technical part | $42.66 | $77.62 | $794.33 |
Midlands Setting Professional Modifier None Typical Low $190.55 Median $190.55 Typical High $229.09 | Professional | None | $190.55 | $190.55 | $229.09 |
Midlands Setting Professional Modifier 26 · Professional part Typical Low $95.50 Median $100.00 Typical High $123.03 | Professional | 26 · Professional part | $95.50 | $100.00 | $123.03 |
Midlands Setting Professional Modifier TC · Technical part Typical Low $89.13 Median $89.13 Typical High $107.15 | Professional | TC · Technical part | $89.13 | $89.13 | $107.15 |
Midlands Setting Facility Modifier None Typical Low $323.59 Median $323.59 Typical High $323.59 | Facility | None | $323.59 | $323.59 | $323.59 |
Midlands Setting Professional Modifier None (both parts) Typical Low $177.83 Median $204.17 Typical High $346.74 | Professional | None (both parts) | $177.83 | $204.17 | $346.74 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $41.69 Median $83.18 Typical High $162.18 | Professional | None (both parts) | $41.69 | $83.18 | $162.18 |
United Setting Professional Modifier None (both parts) Typical Low $87.10 Median $104.71 Typical High $194.98 | Professional | None (both parts) | $87.10 | $104.71 | $194.98 |
United Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $57.54 Typical High $107.15 | Professional | 26 · Professional part | $46.77 | $57.54 | $107.15 |
United Setting Professional Modifier TC · Technical part Typical Low $40.74 Median $48.98 Typical High $87.10 | Professional | TC · Technical part | $40.74 | $48.98 | $87.10 |
Wellmark Setting Professional Modifier None (both parts) Typical Low $162.18 Median $162.18 Typical High $186.21 | Professional | None (both parts) | $162.18 | $162.18 | $186.21 |
Wellmark Setting Professional Modifier 26 · Professional part Typical Low $87.10 Median $87.10 Typical High $97.72 | Professional | 26 · Professional part | $87.10 | $87.10 | $97.72 |
Wellmark Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $75.86 Typical High $87.10 | Professional | TC · Technical part | $75.86 | $75.86 | $87.10 |
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 $38.90 Median $38.90 Typical High $66.07 | Professional | 52 · Reduced service | $38.90 | $38.90 | $66.07 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $15.49 Median $15.49 Typical High $26.30 | Professional | 53 · Discontinued | $15.49 | $15.49 | $26.30 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $61.66 Median $61.66 Typical High $67.61 | Professional | FX · Film X-ray | $61.66 | $61.66 | $67.61 |
Where Iowa sits
The same service costs 4.2 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· 21st of 51
$112
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.