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 $154.88 Median $154.88 Typical High $234.42 | Facility | None | $154.88 | $154.88 | $234.42 |
Aetna Setting Professional Modifier None (both parts) Typical Low $154.88 Median $162.18 Typical High $269.15 | Professional | None (both parts) | $154.88 | $162.18 | $269.15 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $72.44 Typical High $123.03 | Professional | 26 · Professional part | $67.61 | $72.44 | $123.03 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $91.20 Typical High $151.36 | Professional | TC · Technical part | $85.11 | $91.20 | $151.36 |
Cigna Setting Facility Modifier None Typical Low $562.34 Median $562.34 Typical High $562.34 | Facility | None | $562.34 | $562.34 | $562.34 |
Cigna Setting Professional Modifier None (both parts) Typical Low $186.21 Median $380.19 Typical High $457.09 | Professional | None (both parts) | $186.21 | $380.19 | $457.09 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $89.13 Median $165.96 Typical High $208.93 | Professional | 26 · Professional part | $89.13 | $165.96 | $208.93 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $218.78 Typical High $257.04 | Professional | TC · Technical part | $97.72 | $218.78 | $257.04 |
Hally Health Setting Professional Modifier None Typical Low $154.88 Median $263.03 Typical High $467.74 | Professional | None | $154.88 | $263.03 | $467.74 |
Hally Health Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $128.82 Typical High $208.93 | Professional | 26 · Professional part | $70.79 | $128.82 | $208.93 |
Hally Health Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $128.82 Typical High $223.87 | Professional | TC · Technical part | $85.11 | $128.82 | $223.87 |
Medica Setting Facility Modifier None Typical Low $218.78 Median $331.13 Typical High $446.68 | Facility | None | $218.78 | $331.13 | $446.68 |
Medica Setting Professional Modifier None (both parts) Typical Low $181.97 Median $346.74 Typical High $1,122.02 | Professional | None (both parts) | $181.97 | $346.74 | $1,122.02 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $147.91 Typical High $478.63 | Professional | 26 · Professional part | $79.43 | $147.91 | $478.63 |
Medica Setting Professional Modifier TC · Technical part Typical Low $93.33 Median $173.78 Typical High $645.65 | Professional | TC · Technical part | $93.33 | $173.78 | $645.65 |
Midlands Setting Professional Modifier None Typical Low $354.81 Median $380.19 Typical High $457.09 | Professional | None | $354.81 | $380.19 | $457.09 |
Midlands Setting Professional Modifier 26 · Professional part Typical Low $158.49 Median $165.96 Typical High $194.98 | Professional | 26 · Professional part | $158.49 | $165.96 | $194.98 |
Midlands Setting Professional Modifier TC · Technical part Typical Low $208.93 Median $218.78 Typical High $257.04 | Professional | TC · Technical part | $208.93 | $218.78 | $257.04 |
Midlands Setting Facility Modifier None Typical Low $562.34 Median $562.34 Typical High $562.34 | Facility | None | $562.34 | $562.34 | $562.34 |
Midlands Setting Professional Modifier None (both parts) Typical Low $338.84 Median $407.38 Typical High $575.44 | Professional | None (both parts) | $338.84 | $407.38 | $575.44 |
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 $158.49 Median $199.53 Typical High $354.81 | Professional | None (both parts) | $158.49 | $199.53 | $354.81 |
United Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $93.33 Typical High $165.96 | Professional | 26 · Professional part | $75.86 | $93.33 | $165.96 |
United Setting Professional Modifier TC · Technical part Typical Low $87.10 Median $107.15 Typical High $194.98 | Professional | TC · Technical part | $87.10 | $107.15 | $194.98 |
Wellmark Setting Professional Modifier None (both parts) Typical Low $331.13 Median $331.13 Typical High $371.54 | Professional | None (both parts) | $331.13 | $331.13 | $371.54 |
Wellmark Setting Professional Modifier 26 · Professional part Typical Low $141.25 Median $141.25 Typical High $158.49 | Professional | 26 · Professional part | $141.25 | $141.25 | $158.49 |
Wellmark Setting Professional Modifier TC · Technical part Typical Low $186.21 Median $186.21 Typical High $213.80 | Professional | TC · Technical part | $186.21 | $186.21 | $213.80 |
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 $75.86 Median $77.62 Typical High $131.83 | Professional | 52 · Reduced service | $75.86 | $77.62 | $131.83 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $30.20 Median $30.90 Typical High $52.48 | Professional | 53 · Discontinued | $30.20 | $30.90 | $52.48 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $123.03 Median $123.03 Typical High $131.83 | Professional | FX · Film X-ray | $123.03 | $123.03 | $131.83 |
Where Iowa sits
The same service costs 5.2 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· 7th of 51
$331
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.