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 $141.25 Median $141.25 Typical High $239.88 | Facility | None | $141.25 | $141.25 | $239.88 |
Aetna Setting Professional Modifier None (both parts) Typical Low $141.25 Median $141.25 Typical High $169.82 | Professional | None (both parts) | $141.25 | $141.25 | $169.82 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $89.13 Median $89.13 Typical High $114.82 | Professional | 26 · Professional part | $89.13 | $89.13 | $114.82 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $52.48 Median $52.48 Typical High $67.61 | Professional | TC · Technical part | $52.48 | $52.48 | $67.61 |
Cigna Setting Facility Modifier None Typical Low $524.81 Median $524.81 Typical High $524.81 | Facility | None | $524.81 | $524.81 | $524.81 |
Cigna Setting Professional Modifier None (both parts) Typical Low $141.25 Median $389.05 Typical High $489.78 | Professional | None (both parts) | $141.25 | $389.05 | $489.78 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $109.65 Median $218.78 Typical High $281.84 | Professional | 26 · Professional part | $109.65 | $218.78 | $281.84 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $52.48 Median $158.49 Typical High $204.17 | Professional | TC · Technical part | $52.48 | $158.49 | $204.17 |
Hally Health Setting Professional Modifier None Typical Low $158.49 Median $281.84 Typical High $537.03 | Professional | None | $158.49 | $281.84 | $537.03 |
Hally Health Setting Professional Modifier 26 · Professional part Typical Low $93.33 Median $162.18 Typical High $346.74 | Professional | 26 · Professional part | $93.33 | $162.18 | $346.74 |
Hally Health Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $97.72 Typical High $208.93 | Professional | TC · Technical part | $66.07 | $97.72 | $208.93 |
Medica Setting Facility Modifier None Typical Low $194.98 Median $316.23 Typical High $446.68 | Facility | None | $194.98 | $316.23 | $446.68 |
Medica Setting Professional Modifier None (both parts) Typical Low $190.55 Median $288.40 Typical High $1,000.00 | Professional | None (both parts) | $190.55 | $288.40 | $1,000.00 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $102.33 Median $190.55 Typical High $616.60 | Professional | 26 · Professional part | $102.33 | $190.55 | $616.60 |
Medica Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $162.18 Typical High $776.25 | Professional | TC · Technical part | $74.13 | $162.18 | $776.25 |
Midlands Setting Professional Modifier None Typical Low $416.87 Median $416.87 Typical High $436.52 | Professional | None | $416.87 | $416.87 | $436.52 |
Midlands Setting Professional Modifier 26 · Professional part Typical Low $199.53 Median $218.78 Typical High $257.04 | Professional | 26 · Professional part | $199.53 | $218.78 | $257.04 |
Midlands Setting Professional Modifier TC · Technical part Typical Low $158.49 Median $158.49 Typical High $204.17 | Professional | TC · Technical part | $158.49 | $158.49 | $204.17 |
Midlands Setting Facility Modifier None Typical Low $524.81 Median $524.81 Typical High $524.81 | Facility | None | $524.81 | $524.81 | $524.81 |
Midlands Setting Professional Modifier None (both parts) Typical Low $323.59 Median $416.87 Typical High $436.52 | Professional | None (both parts) | $323.59 | $416.87 | $436.52 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $102.33 Median $138.04 Typical High $323.59 | Professional | None (both parts) | $102.33 | $138.04 | $323.59 |
United Setting Professional Modifier None (both parts) Typical Low $169.82 Median $213.80 Typical High $407.38 | Professional | None (both parts) | $169.82 | $213.80 | $407.38 |
United Setting Professional Modifier 26 · Professional part Typical Low $95.50 Median $117.49 Typical High $218.78 | Professional | 26 · Professional part | $95.50 | $117.49 | $218.78 |
United Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $100.00 Typical High $190.55 | Professional | TC · Technical part | $66.07 | $100.00 | $190.55 |
Wellmark Setting Professional Modifier None (both parts) Typical Low $302.00 Median $302.00 Typical High $338.84 | Professional | None (both parts) | $302.00 | $302.00 | $338.84 |
Wellmark Setting Professional Modifier 26 · Professional part Typical Low $186.21 Median $186.21 Typical High $213.80 | Professional | 26 · Professional part | $186.21 | $186.21 | $213.80 |
Wellmark Setting Professional Modifier TC · Technical part Typical Low $112.20 Median $112.20 Typical High $125.89 | Professional | TC · Technical part | $112.20 | $112.20 | $125.89 |
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 $70.79 Median $70.79 Typical High $81.28 | Professional | 52 · Reduced service | $70.79 | $70.79 | $81.28 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $28.18 Median $28.18 Typical High $32.36 | Professional | 53 · Discontinued | $28.18 | $28.18 | $32.36 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $112.20 Median $112.20 Typical High $123.03 | Professional | FX · Film X-ray | $112.20 | $112.20 | $123.03 |
Where Iowa sits
The same service costs 4.2 times more in Alaska than in Florida. 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· 5th of 51
$302
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.