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 $87.10 Typical High $120.23 | Facility | None | $87.10 | $87.10 | $120.23 |
Aetna Setting Professional Modifier None (both parts) Typical Low $87.10 Median $93.33 Typical High $162.18 | Professional | None (both parts) | $87.10 | $93.33 | $162.18 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $28.18 Typical High $47.86 | Professional | 26 · Professional part | $26.92 | $28.18 | $47.86 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $64.57 Typical High $107.15 | Professional | TC · Technical part | $60.26 | $64.57 | $107.15 |
Cigna Setting Facility Modifier None Typical Low $338.84 Median $338.84 Typical High $338.84 | Facility | None | $338.84 | $338.84 | $338.84 |
Cigna Setting Professional Modifier None (both parts) Typical Low $112.20 Median $218.78 Typical High $263.03 | Professional | None (both parts) | $112.20 | $218.78 | $263.03 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $64.57 Typical High $87.10 | Professional | 26 · Professional part | $35.48 | $64.57 | $87.10 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $77.62 Median $151.36 Typical High $186.21 | Professional | TC · Technical part | $77.62 | $151.36 | $186.21 |
Hally Health Setting Professional Modifier None Typical Low $87.10 Median $138.04 Typical High $380.19 | Professional | None | $87.10 | $138.04 | $380.19 |
Hally Health Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $51.29 Typical High $114.82 | Professional | 26 · Professional part | $27.54 | $51.29 | $114.82 |
Hally Health Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $89.13 Typical High $251.19 | Professional | TC · Technical part | $58.88 | $89.13 | $251.19 |
Medica Setting Facility Modifier None Typical Low $120.23 Median $213.80 Typical High $288.40 | Facility | None | $120.23 | $213.80 | $288.40 |
Medica Setting Professional Modifier None (both parts) Typical Low $109.65 Median $204.17 Typical High $645.65 | Professional | None (both parts) | $109.65 | $204.17 | $645.65 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $58.88 Typical High $229.09 | Professional | 26 · Professional part | $31.62 | $58.88 | $229.09 |
Medica Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $131.83 Typical High $467.74 | Professional | TC · Technical part | $70.79 | $131.83 | $467.74 |
Midlands Setting Professional Modifier None Typical Low $208.93 Median $218.78 Typical High $263.03 | Professional | None | $208.93 | $218.78 | $263.03 |
Midlands Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $64.57 Typical High $77.62 | Professional | 26 · Professional part | $60.26 | $64.57 | $77.62 |
Midlands Setting Professional Modifier TC · Technical part Typical Low $138.04 Median $151.36 Typical High $186.21 | Professional | TC · Technical part | $138.04 | $151.36 | $186.21 |
Midlands Setting Facility Modifier None Typical Low $338.84 Median $338.84 Typical High $338.84 | Facility | None | $338.84 | $338.84 | $338.84 |
Midlands Setting Professional Modifier None (both parts) Typical Low $186.21 Median $234.42 Typical High $309.03 | Professional | None (both parts) | $186.21 | $234.42 | $309.03 |
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 $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 $29.51 Median $36.31 Typical High $64.57 | Professional | 26 · Professional part | $29.51 | $36.31 | $64.57 |
United Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $81.28 Typical High $147.91 | Professional | TC · Technical part | $64.57 | $81.28 | $147.91 |
Wellmark Setting Professional Modifier None (both parts) Typical Low $177.83 Median $177.83 Typical High $204.17 | Professional | None (both parts) | $177.83 | $177.83 | $204.17 |
Wellmark Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $52.48 Typical High $60.26 | Professional | 26 · Professional part | $52.48 | $52.48 | $60.26 |
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 $29.51 | Professional | 53 · Discontinued | $17.38 | $17.78 | $29.51 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $69.18 Median $69.18 Typical High $77.62 | Professional | FX · Film X-ray | $69.18 | $69.18 | $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· 8th of 51
$191
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.