How much rates vary
Facilitymedian $224 · 10th to 90th $141 to $3,162Professionalmedian $105 · 10th to 90th $50 to $200
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 $70.79 Median $141.25 Typical High $169.82 | Facility | None | $70.79 | $141.25 | $169.82 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $43.65 Median $93.33 Typical High $181.97 | Facility | TC · Technical part | $43.65 | $93.33 | $181.97 |
Aetna Setting Professional Modifier None (both parts) Typical Low $70.79 Median $83.18 Typical High $162.18 | Professional | None (both parts) | $70.79 | $83.18 | $162.18 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $30.90 Typical High $63.10 | Professional | 26 · Professional part | $28.18 | $30.90 | $63.10 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $43.65 Median $52.48 Typical High $102.33 | Professional | TC · Technical part | $43.65 | $52.48 | $102.33 |
Cigna Setting Facility Modifier None Typical Low $302.00 Median $302.00 Typical High $302.00 | Facility | None | $302.00 | $302.00 | $302.00 |
Cigna Setting Professional Modifier None (both parts) Typical Low $102.33 Median $177.83 Typical High $234.42 | Professional | None (both parts) | $102.33 | $177.83 | $234.42 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $67.61 Typical High $91.20 | Professional | 26 · Professional part | $37.15 | $67.61 | $91.20 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $109.65 Typical High $141.25 | Professional | TC · Technical part | $63.10 | $109.65 | $141.25 |
Hally Health Setting Professional Modifier None Typical Low $70.79 Median $134.90 Typical High $245.47 | Professional | None | $70.79 | $134.90 | $245.47 |
Hally Health Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $53.70 Typical High $117.49 | Professional | 26 · Professional part | $28.84 | $53.70 | $117.49 |
Hally Health Setting Professional Modifier TC · Technical part Typical Low $42.66 Median $81.28 Typical High $147.91 | Professional | TC · Technical part | $42.66 | $81.28 | $147.91 |
Medica Setting Facility Modifier None Typical Low $154.88 Median $208.93 Typical High $288.40 | Facility | None | $154.88 | $208.93 | $288.40 |
Medica Setting Professional Modifier None (both parts) Typical Low $87.10 Median $173.78 Typical High $524.81 | Professional | None (both parts) | $87.10 | $173.78 | $524.81 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $61.66 Typical High $194.98 | Professional | 26 · Professional part | $33.11 | $61.66 | $194.98 |
Medica Setting Professional Modifier TC · Technical part Typical Low $52.48 Median $93.33 Typical High $331.13 | Professional | TC · Technical part | $52.48 | $93.33 | $331.13 |
Midlands Setting Professional Modifier None Typical Low $177.83 Median $177.83 Typical High $213.80 | Professional | None | $177.83 | $177.83 | $213.80 |
Midlands Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $67.61 Typical High $81.28 | Professional | 26 · Professional part | $63.10 | $67.61 | $81.28 |
Midlands Setting Professional Modifier TC · Technical part Typical Low $107.15 Median $109.65 Typical High $131.83 | Professional | TC · Technical part | $107.15 | $109.65 | $131.83 |
Midlands Setting Facility Modifier None Typical Low $302.00 Median $302.00 Typical High $302.00 | Facility | None | $302.00 | $302.00 | $302.00 |
Midlands Setting Professional Modifier None (both parts) Typical Low $162.18 Median $190.55 Typical High $316.23 | Professional | None (both parts) | $162.18 | $190.55 | $316.23 |
Oscar Health Setting Facility Modifier None Typical Low $549.54 Median $1,479.11 Typical High $4,168.69 | Facility | None | $549.54 | $1,479.11 | $4,168.69 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $32.36 Median $69.18 Typical High $147.91 | Professional | None (both parts) | $32.36 | $69.18 | $147.91 |
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 $79.43 Median $95.50 Typical High $173.78 | Professional | None (both parts) | $79.43 | $95.50 | $173.78 |
United Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $38.02 Typical High $69.18 | Professional | 26 · Professional part | $30.90 | $38.02 | $69.18 |
United Setting Professional Modifier TC · Technical part Typical Low $48.98 Median $57.54 Typical High $104.71 | Professional | TC · Technical part | $48.98 | $57.54 | $104.71 |
Wellmark Setting Professional Modifier None (both parts) Typical Low $151.36 Median $151.36 Typical High $169.82 | Professional | None (both parts) | $151.36 | $151.36 | $169.82 |
Wellmark Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $56.23 Typical High $64.57 | Professional | 26 · Professional part | $56.23 | $56.23 | $64.57 |
Wellmark Setting Professional Modifier TC · Technical part Typical Low $93.33 Median $93.33 Typical High $107.15 | Professional | TC · Technical part | $93.33 | $93.33 | $107.15 |
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 $35.48 Median $36.31 Typical High $60.26 | Professional | 52 · Reduced service | $35.48 | $36.31 | $60.26 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $14.13 Median $14.45 Typical High $24.55 | Professional | 53 · Discontinued | $14.13 | $14.45 | $24.55 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $57.54 Median $57.54 Typical High $63.10 | Professional | FX · Film X-ray | $57.54 | $57.54 | $63.10 |
Where Iowa sits
The same service costs 3.6 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· 16th of 51
$112
AK $245TX $67.61
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.