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 $100.00 Median $199.53 Typical High $199.53 | Facility | None | $100.00 | $199.53 | $199.53 |
Aetna Setting Professional Modifier None (both parts) Typical Low $100.00 Median $109.65 Typical High $218.78 | Professional | None (both parts) | $100.00 | $109.65 | $218.78 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $33.11 Typical High $64.57 | Professional | 26 · Professional part | $30.20 | $33.11 | $64.57 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $77.62 Typical High $158.49 | Professional | TC · Technical part | $69.18 | $77.62 | $158.49 |
Cigna Setting Facility Modifier None Typical Low $416.87 Median $416.87 Typical High $416.87 | Facility | None | $416.87 | $416.87 | $416.87 |
Cigna Setting Professional Modifier None (both parts) Typical Low $125.89 Median $251.19 Typical High $302.00 | Professional | None (both parts) | $125.89 | $251.19 | $302.00 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $74.13 Typical High $102.33 | Professional | 26 · Professional part | $41.69 | $74.13 | $102.33 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $173.78 Typical High $213.80 | Professional | TC · Technical part | $83.18 | $173.78 | $213.80 |
Hally Health Setting Professional Modifier None Typical Low $100.00 Median $154.88 Typical High $380.19 | Professional | None | $100.00 | $154.88 | $380.19 |
Hally Health Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $61.66 Typical High $112.20 | Professional | 26 · Professional part | $31.62 | $61.66 | $112.20 |
Hally Health Setting Professional Modifier TC · Technical part Typical Low $67.61 Median $102.33 Typical High $251.19 | Professional | TC · Technical part | $67.61 | $102.33 | $251.19 |
Medica Setting Facility Modifier None Typical Low $134.90 Median $245.47 Typical High $588.84 | Facility | None | $134.90 | $245.47 | $588.84 |
Medica Setting Professional Modifier None (both parts) Typical Low $123.03 Median $234.42 Typical High $758.58 | Professional | None (both parts) | $123.03 | $234.42 | $758.58 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $67.61 Typical High $338.84 | Professional | 26 · Professional part | $37.15 | $67.61 | $338.84 |
Medica Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $151.36 Typical High $537.03 | Professional | TC · Technical part | $79.43 | $151.36 | $537.03 |
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 $70.79 Median $74.13 Typical High $89.13 | Professional | 26 · Professional part | $70.79 | $74.13 | $89.13 |
Midlands Setting Professional Modifier TC · Technical part Typical Low $173.78 Median $173.78 Typical High $213.80 | Professional | TC · Technical part | $173.78 | $173.78 | $213.80 |
Midlands Setting Facility Modifier None Typical Low $416.87 Median $416.87 Typical High $416.87 | Facility | None | $416.87 | $416.87 | $416.87 |
Midlands Setting Professional Modifier None (both parts) Typical Low $234.42 Median $269.15 Typical High $346.74 | Professional | None (both parts) | $234.42 | $269.15 | $346.74 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $36.31 Median $91.20 Typical High $213.80 | Professional | None (both parts) | $36.31 | $91.20 | $213.80 |
United Setting Facility Modifier None Typical Low $354.81 Median $602.56 Typical High $758.58 | Facility | None | $354.81 | $602.56 | $758.58 |
United Setting Professional Modifier None (both parts) Typical Low $107.15 Median $134.90 Typical High $239.88 | Professional | None (both parts) | $107.15 | $134.90 | $239.88 |
United Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $42.66 Typical High $77.62 | Professional | 26 · Professional part | $34.67 | $42.66 | $77.62 |
United Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $91.20 Typical High $165.96 | Professional | TC · Technical part | $72.44 | $91.20 | $165.96 |
Wellmark Setting Professional Modifier None (both parts) Typical Low $213.80 Median $213.80 Typical High $245.47 | Professional | None (both parts) | $213.80 | $213.80 | $245.47 |
Wellmark Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $63.10 Typical High $72.44 | Professional | 26 · Professional part | $63.10 | $63.10 | $72.44 |
Wellmark Setting Professional Modifier TC · Technical part Typical Low $151.36 Median $151.36 Typical High $173.78 | Professional | TC · Technical part | $151.36 | $151.36 | $173.78 |
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 $50.12 Median $51.29 Typical High $85.11 | Professional | 52 · Reduced service | $50.12 | $51.29 | $85.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.95 Median $20.42 Typical High $34.67 | Professional | 53 · Discontinued | $19.95 | $20.42 | $34.67 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $79.43 Median $79.43 Typical High $89.13 | Professional | FX · Film X-ray | $79.43 | $79.43 | $89.13 |
Where Iowa sits
The same service costs 3.9 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· 8th of 51
$214
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.