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 $102.33 Median $102.33 Typical High $190.55 | Facility | None | $102.33 | $102.33 | $190.55 |
Aetna Setting Professional Modifier None (both parts) Typical Low $102.33 Median $102.33 Typical High $117.49 | Professional | None (both parts) | $102.33 | $102.33 | $117.49 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $57.54 Typical High $64.57 | Professional | 26 · Professional part | $57.54 | $57.54 | $64.57 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $45.71 Median $45.71 Typical High $58.88 | Professional | TC · Technical part | $45.71 | $45.71 | $58.88 |
Cigna Setting Facility Modifier None Typical Low $380.19 Median $380.19 Typical High $380.19 | Facility | None | $380.19 | $380.19 | $380.19 |
Cigna Setting Professional Modifier None (both parts) Typical Low $100.00 Median $302.00 Typical High $363.08 | Professional | None (both parts) | $100.00 | $302.00 | $363.08 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $74.13 Median $138.04 Typical High $186.21 | Professional | 26 · Professional part | $74.13 | $138.04 | $186.21 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $44.67 Median $138.04 Typical High $169.82 | Professional | TC · Technical part | $44.67 | $138.04 | $169.82 |
Hally Health Setting Professional Modifier None Typical Low $117.49 Median $208.93 Typical High $323.59 | Professional | None | $117.49 | $208.93 | $323.59 |
Hally Health Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $104.71 Typical High $186.21 | Professional | 26 · Professional part | $58.88 | $104.71 | $186.21 |
Hally Health Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $91.20 Typical High $158.49 | Professional | TC · Technical part | $58.88 | $91.20 | $158.49 |
Medica Setting Facility Modifier None Typical Low $128.82 Median $234.42 Typical High $331.13 | Facility | None | $128.82 | $234.42 | $331.13 |
Medica Setting Professional Modifier None (both parts) Typical Low $134.90 Median $194.98 Typical High $741.31 | Professional | None (both parts) | $134.90 | $194.98 | $741.31 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $125.89 Typical High $407.38 | Professional | 26 · Professional part | $67.61 | $125.89 | $407.38 |
Medica Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $141.25 Typical High $562.34 | Professional | TC · Technical part | $69.18 | $141.25 | $562.34 |
Midlands Setting Professional Modifier None Typical Low $275.42 Median $302.00 Typical High $331.13 | Professional | None | $275.42 | $302.00 | $331.13 |
Midlands Setting Professional Modifier 26 · Professional part Typical Low $131.83 Median $138.04 Typical High $165.96 | Professional | 26 · Professional part | $131.83 | $138.04 | $165.96 |
Midlands Setting Professional Modifier TC · Technical part Typical Low $138.04 Median $138.04 Typical High $169.82 | Professional | TC · Technical part | $138.04 | $138.04 | $169.82 |
Midlands Setting Facility Modifier None Typical Low $380.19 Median $380.19 Typical High $380.19 | Facility | None | $380.19 | $380.19 | $380.19 |
Midlands Setting Professional Modifier None (both parts) Typical Low $234.42 Median $302.00 Typical High $316.23 | Professional | None (both parts) | $234.42 | $302.00 | $316.23 |
United Setting Professional Modifier None (both parts) Typical Low $125.89 Median $162.18 Typical High $302.00 | Professional | None (both parts) | $125.89 | $162.18 | $302.00 |
United Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $79.43 Typical High $147.91 | Professional | 26 · Professional part | $63.10 | $79.43 | $147.91 |
United Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $83.18 Typical High $158.49 | Professional | TC · Technical part | $64.57 | $83.18 | $158.49 |
Wellmark Setting Professional Modifier None (both parts) Typical Low $213.80 Median $213.80 Typical High $245.47 | Professional | None (both parts) | $213.80 | $213.80 | $245.47 |
Wellmark Setting Professional Modifier 26 · Professional part Typical Low $117.49 Median $117.49 Typical High $134.90 | Professional | 26 · Professional part | $117.49 | $117.49 | $134.90 |
Wellmark Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $97.72 Typical High $109.65 | Professional | TC · Technical part | $97.72 | $97.72 | $109.65 |
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 $51.29 Typical High $58.88 | Professional | 52 · Reduced service | $51.29 | $51.29 | $58.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $20.89 Median $20.89 Typical High $23.44 | Professional | 53 · Discontinued | $20.89 | $20.89 | $23.44 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $83.18 Median $83.18 Typical High $89.13 | Professional | FX · Film X-ray | $83.18 | $83.18 | $89.13 |
Where Iowa sits
The same service costs 4.5 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· 6th of 51
$214
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.