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 $87.10 Median $173.78 Typical High $208.93 | Facility | None | $87.10 | $173.78 | $208.93 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $60.26 Median $117.49 Typical High $251.19 | Facility | TC · Technical part | $60.26 | $117.49 | $251.19 |
Aetna Setting Professional Modifier None (both parts) Typical Low $87.10 Median $97.72 Typical High $181.97 | Professional | None (both parts) | $87.10 | $97.72 | $181.97 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $29.51 Typical High $61.66 | Professional | 26 · Professional part | $27.54 | $29.51 | $61.66 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $67.61 Typical High $134.90 | Professional | TC · Technical part | $60.26 | $67.61 | $134.90 |
Cigna Setting Facility Modifier None Typical Low $407.38 Median $407.38 Typical High $407.38 | Facility | None | $407.38 | $407.38 | $407.38 |
Cigna Setting Professional Modifier None (both parts) Typical Low $107.15 Median $218.78 Typical High $263.03 | Professional | None (both parts) | $107.15 | $218.78 | $263.03 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $66.07 Typical High $89.13 | Professional | 26 · Professional part | $37.15 | $66.07 | $89.13 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $151.36 Typical High $186.21 | Professional | TC · Technical part | $70.79 | $151.36 | $186.21 |
Hally Health Setting Professional Modifier None Typical Low $87.10 Median $147.91 Typical High $288.40 | Professional | None | $87.10 | $147.91 | $288.40 |
Hally Health Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $50.12 Typical High $102.33 | Professional | 26 · Professional part | $28.18 | $50.12 | $102.33 |
Hally Health Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $91.20 Typical High $177.83 | Professional | TC · Technical part | $58.88 | $91.20 | $177.83 |
Medica Setting Facility Modifier None Typical Low $162.18 Median $213.80 Typical High $346.74 | Facility | None | $162.18 | $213.80 | $346.74 |
Medica Setting Professional Modifier None (both parts) Typical Low $109.65 Median $213.80 Typical High $660.69 | Professional | None (both parts) | $109.65 | $213.80 | $660.69 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $60.26 Typical High $218.78 | Professional | 26 · Professional part | $32.36 | $60.26 | $218.78 |
Medica Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $128.82 Typical High $457.09 | Professional | TC · Technical part | $70.79 | $128.82 | $457.09 |
Midlands Setting Professional Modifier None Typical Low $218.78 Median $218.78 Typical High $263.03 | Professional | None | $218.78 | $218.78 | $263.03 |
Midlands Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $66.07 Typical High $79.43 | Professional | 26 · Professional part | $61.66 | $66.07 | $79.43 |
Midlands Setting Professional Modifier TC · Technical part Typical Low $151.36 Median $151.36 Typical High $186.21 | Professional | TC · Technical part | $151.36 | $151.36 | $186.21 |
Midlands Setting Facility Modifier None Typical Low $407.38 Median $407.38 Typical High $407.38 | Facility | None | $407.38 | $407.38 | $407.38 |
Midlands Setting Professional Modifier None (both parts) Typical Low $199.53 Median $245.47 Typical High $331.13 | Professional | None (both parts) | $199.53 | $245.47 | $331.13 |
Oscar Health Setting Facility Modifier None Typical Low $229.09 Median $954.99 Typical High $2,691.53 | Facility | None | $229.09 | $954.99 | $2,691.53 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $31.62 Median $75.86 Typical High $177.83 | Professional | None (both parts) | $31.62 | $75.86 | $177.83 |
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 $93.33 Median $117.49 Typical High $204.17 | Professional | None (both parts) | $93.33 | $117.49 | $204.17 |
United Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $37.15 Typical High $67.61 | Professional | 26 · Professional part | $30.90 | $37.15 | $67.61 |
United Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $81.28 Typical High $138.04 | Professional | TC · Technical part | $64.57 | $81.28 | $138.04 |
Wellmark Setting Professional Modifier None (both parts) Typical Low $181.97 Median $181.97 Typical High $204.17 | Professional | None (both parts) | $181.97 | $181.97 | $204.17 |
Wellmark Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $54.95 Typical High $61.66 | Professional | 26 · Professional part | $54.95 | $54.95 | $61.66 |
Wellmark Setting Professional Modifier TC · Technical part Typical Low $125.89 Median $125.89 Typical High $144.54 | Professional | TC · Technical part | $125.89 | $125.89 | $144.54 |
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 $43.65 Median $44.67 Typical High $74.13 | Professional | 52 · Reduced service | $43.65 | $44.67 | $74.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $17.38 Median $17.78 Typical High $30.20 | Professional | 53 · Discontinued | $17.38 | $17.78 | $30.20 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $70.79 Median $70.79 Typical High $77.62 | Professional | FX · Film X-ray | $70.79 | $70.79 | $77.62 |
Where Iowa sits
The same service costs 4.2 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· 10th of 51
$170
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.