How much rates vary
Facilitymedian $229 · 10th to 90th $135 to $479Professionalmedian $240 · 10th to 90th $129 to $398
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 $109.65 Median $218.78 Typical High $218.78 | Facility | None | $109.65 | $218.78 | $218.78 |
Aetna Setting Professional Modifier None (both parts) Typical Low $102.33 Median $109.65 Typical High $204.17 | Professional | None (both parts) | $102.33 | $109.65 | $204.17 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $33.88 Typical High $57.54 | Professional | 26 · Professional part | $31.62 | $33.88 | $57.54 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $67.61 Median $77.62 Typical High $158.49 | Professional | TC · Technical part | $67.61 | $77.62 | $158.49 |
Cigna Setting Facility Modifier None Typical Low $489.78 Median $489.78 Typical High $489.78 | Facility | None | $489.78 | $489.78 | $489.78 |
Cigna Setting Professional Modifier None (both parts) Typical Low $151.36 Median $275.42 Typical High $354.81 | Professional | None (both parts) | $151.36 | $275.42 | $354.81 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $75.86 Typical High $100.00 | Professional | 26 · Professional part | $41.69 | $75.86 | $100.00 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $112.20 Median $199.53 Typical High $269.15 | Professional | TC · Technical part | $112.20 | $199.53 | $269.15 |
Hally Health Setting Professional Modifier None Typical Low $117.49 Median $165.96 Typical High $323.59 | Professional | None | $117.49 | $165.96 | $323.59 |
Hally Health Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $61.66 Typical High $114.82 | Professional | 26 · Professional part | $33.11 | $61.66 | $114.82 |
Hally Health Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $120.23 Typical High $234.42 | Professional | TC · Technical part | $85.11 | $120.23 | $234.42 |
Medica Setting Facility Modifier None Typical Low $141.25 Median $239.88 Typical High $389.05 | Facility | None | $141.25 | $239.88 | $389.05 |
Medica Setting Professional Modifier None (both parts) Typical Low $144.54 Median $257.04 Typical High $741.31 | Professional | None (both parts) | $144.54 | $257.04 | $741.31 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $70.79 Typical High $263.03 | Professional | 26 · Professional part | $38.02 | $70.79 | $263.03 |
Medica Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $190.55 Typical High $512.86 | Professional | TC · Technical part | $97.72 | $190.55 | $512.86 |
Midlands Setting Professional Modifier None Typical Low $245.47 Median $275.42 Typical High $354.81 | Professional | None | $245.47 | $275.42 | $354.81 |
Midlands Setting Professional Modifier 26 · Professional part Typical Low $72.44 Median $75.86 Typical High $91.20 | Professional | 26 · Professional part | $72.44 | $75.86 | $91.20 |
Midlands Setting Professional Modifier TC · Technical part Typical Low $173.78 Median $199.53 Typical High $269.15 | Professional | TC · Technical part | $173.78 | $199.53 | $269.15 |
Midlands Setting Facility Modifier None Typical Low $489.78 Median $489.78 Typical High $489.78 | Facility | None | $489.78 | $489.78 | $489.78 |
Midlands Setting Professional Modifier None (both parts) Typical Low $199.53 Median $295.12 Typical High $354.81 | Professional | None (both parts) | $199.53 | $295.12 | $354.81 |
United Setting Facility Modifier None Typical Low $128.82 Median $218.78 Typical High $275.42 | Facility | None | $128.82 | $218.78 | $275.42 |
United Setting Professional Modifier None (both parts) Typical Low $128.82 Median $162.18 Typical High $281.84 | Professional | None (both parts) | $128.82 | $162.18 | $281.84 |
United Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $43.65 Typical High $77.62 | Professional | 26 · Professional part | $35.48 | $43.65 | $77.62 |
United Setting Professional Modifier TC · Technical part Typical Low $93.33 Median $117.49 Typical High $208.93 | Professional | TC · Technical part | $93.33 | $117.49 | $208.93 |
Wellmark Setting Professional Modifier None (both parts) Typical Low $239.88 Median $239.88 Typical High $275.42 | Professional | None (both parts) | $239.88 | $239.88 | $275.42 |
Wellmark Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $63.10 Typical High $70.79 | Professional | 26 · Professional part | $63.10 | $63.10 | $70.79 |
Wellmark Setting Professional Modifier TC · Technical part Typical Low $177.83 Median $177.83 Typical High $204.17 | Professional | TC · Technical part | $177.83 | $177.83 | $204.17 |
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 $51.29 Median $54.95 Typical High $93.33 | Professional | 52 · Reduced service | $51.29 | $54.95 | $93.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $20.42 Median $21.88 Typical High $38.02 | Professional | 53 · Discontinued | $20.42 | $21.88 | $38.02 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $81.28 Median $89.13 Typical High $93.33 | Professional | FX · Film X-ray | $81.28 | $89.13 | $93.33 |
Where Iowa sits
The same service costs 3.7 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
$240
AK $363TX $97.72
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.