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 $123.03 Median $281.84 Typical High $323.59 | Facility | None | $123.03 | $281.84 | $323.59 |
Aetna Setting Professional Modifier None (both parts) Typical Low $117.49 Median $131.83 Typical High $223.87 | Professional | None (both parts) | $117.49 | $131.83 | $223.87 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $31.62 Typical High $63.10 | Professional | 26 · Professional part | $28.84 | $31.62 | $63.10 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $100.00 Typical High $169.82 | Professional | TC · Technical part | $91.20 | $100.00 | $169.82 |
Cigna Setting Facility Modifier None Typical Low $446.68 Median $446.68 Typical High $446.68 | Facility | None | $446.68 | $446.68 | $446.68 |
Cigna Setting Professional Modifier None (both parts) Typical Low $138.04 Median $309.03 Typical High $524.81 | Professional | None (both parts) | $138.04 | $309.03 | $524.81 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $70.79 Typical High $95.50 | Professional | 26 · Professional part | $39.81 | $70.79 | $95.50 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $239.88 Typical High $436.52 | Professional | TC · Technical part | $100.00 | $239.88 | $436.52 |
Hally Health Setting Professional Modifier None Typical Low $169.82 Median $234.42 Typical High $426.58 | Professional | None | $169.82 | $234.42 | $426.58 |
Hally Health Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $53.70 Typical High $93.33 | Professional | 26 · Professional part | $30.20 | $53.70 | $93.33 |
Hally Health Setting Professional Modifier TC · Technical part Typical Low $120.23 Median $169.82 Typical High $281.84 | Professional | TC · Technical part | $120.23 | $169.82 | $281.84 |
Medica Setting Facility Modifier None Typical Low $181.97 Median $263.03 Typical High $512.86 | Facility | None | $181.97 | $263.03 | $512.86 |
Medica Setting Professional Modifier None (both parts) Typical Low $141.25 Median $275.42 Typical High $891.25 | Professional | None (both parts) | $141.25 | $275.42 | $891.25 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $63.10 Typical High $371.54 | Professional | 26 · Professional part | $35.48 | $63.10 | $371.54 |
Medica Setting Professional Modifier TC · Technical part Typical Low $107.15 Median $213.80 Typical High $691.83 | Professional | TC · Technical part | $107.15 | $213.80 | $691.83 |
Midlands Setting Professional Modifier None Typical Low $288.40 Median $309.03 Typical High $524.81 | Professional | None | $288.40 | $309.03 | $524.81 |
Midlands Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $70.79 Typical High $83.18 | Professional | 26 · Professional part | $67.61 | $70.79 | $83.18 |
Midlands Setting Professional Modifier TC · Technical part Typical Low $208.93 Median $239.88 Typical High $436.52 | Professional | TC · Technical part | $208.93 | $239.88 | $436.52 |
Midlands Setting Facility Modifier None Typical Low $446.68 Median $446.68 Typical High $446.68 | Facility | None | $446.68 | $446.68 | $446.68 |
Midlands Setting Professional Modifier None (both parts) Typical Low $245.47 Median $302.00 Typical High $524.81 | Professional | None (both parts) | $245.47 | $302.00 | $524.81 |
Oscar Health Setting Facility Modifier None Typical Low $371.54 Median $371.54 Typical High $371.54 | Facility | None | $371.54 | $371.54 | $371.54 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $33.11 Median $100.00 Typical High $218.78 | Professional | None (both parts) | $33.11 | $100.00 | $218.78 |
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 $131.83 Median $169.82 Typical High $295.12 | Professional | None (both parts) | $131.83 | $169.82 | $295.12 |
United Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $39.81 Typical High $72.44 | Professional | 26 · Professional part | $32.36 | $39.81 | $72.44 |
United Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $131.83 Typical High $234.42 | Professional | TC · Technical part | $95.50 | $131.83 | $234.42 |
Wellmark Setting Professional Modifier None (both parts) Typical Low $218.78 Median $218.78 Typical High $251.19 | Professional | None (both parts) | $218.78 | $218.78 | $251.19 |
Wellmark Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $58.88 Typical High $66.07 | Professional | 26 · Professional part | $58.88 | $58.88 | $66.07 |
Wellmark Setting Professional Modifier TC · Technical part Typical Low $162.18 Median $162.18 Typical High $186.21 | Professional | TC · Technical part | $162.18 | $162.18 | $186.21 |
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 $60.26 Median $61.66 Typical High $107.15 | Professional | 52 · Reduced service | $60.26 | $61.66 | $107.15 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $23.99 Median $25.12 Typical High $42.66 | Professional | 53 · Discontinued | $23.99 | $25.12 | $42.66 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $97.72 Median $100.00 Typical High $107.15 | Professional | FX · Film X-ray | $97.72 | $100.00 | $107.15 |
Where Iowa sits
The same service costs 4.9 times more in Wyoming 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· 13th of 51
$204
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.