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 $109.65 Median $218.78 Typical High $263.03 | Facility | None | $109.65 | $218.78 | $263.03 |
Aetna Setting Professional Modifier None (both parts) Typical Low $109.65 Median $117.49 Typical High $190.55 | Professional | None (both parts) | $109.65 | $117.49 | $190.55 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $36.31 Typical High $57.54 | Professional | 26 · Professional part | $33.11 | $36.31 | $57.54 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $81.28 Typical High $138.04 | Professional | TC · Technical part | $75.86 | $81.28 | $138.04 |
Cigna Setting Facility Modifier None Typical Low $549.54 Median $549.54 Typical High $549.54 | Facility | None | $549.54 | $549.54 | $549.54 |
Cigna Setting Professional Modifier None (both parts) Typical Low $169.82 Median $275.42 Typical High $489.78 | Professional | None (both parts) | $169.82 | $275.42 | $489.78 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $83.18 Typical High $162.18 | Professional | 26 · Professional part | $48.98 | $83.18 | $162.18 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $104.71 Median $190.55 Typical High $302.00 | Professional | TC · Technical part | $104.71 | $190.55 | $302.00 |
Hally Health Setting Professional Modifier None Typical Low $141.25 Median $190.55 Typical High $501.19 | Professional | None | $141.25 | $190.55 | $501.19 |
Medica Setting Facility Modifier None Typical Low $186.21 Median $295.12 Typical High $489.78 | Facility | None | $186.21 | $295.12 | $489.78 |
Medica Setting Professional Modifier None (both parts) Typical Low $138.04 Median $269.15 Typical High $812.83 | Professional | None (both parts) | $138.04 | $269.15 | $812.83 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $72.44 Typical High $239.88 | Professional | 26 · Professional part | $43.65 | $72.44 | $239.88 |
Medica Setting Professional Modifier TC · Technical part Typical Low $93.33 Median $162.18 Typical High $562.34 | Professional | TC · Technical part | $93.33 | $162.18 | $562.34 |
Midlands Setting Professional Modifier None Typical Low $251.19 Median $275.42 Typical High $501.19 | Professional | None | $251.19 | $275.42 | $501.19 |
Midlands Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $83.18 Typical High $186.21 | Professional | 26 · Professional part | $79.43 | $83.18 | $186.21 |
Midlands Setting Professional Modifier TC · Technical part Typical Low $173.78 Median $190.55 Typical High $309.03 | Professional | TC · Technical part | $173.78 | $190.55 | $309.03 |
Midlands Setting Facility Modifier None Typical Low $549.54 Median $549.54 Typical High $549.54 | Facility | None | $549.54 | $549.54 | $549.54 |
Midlands Setting Professional Modifier None (both parts) Typical Low $239.88 Median $309.03 Typical High $602.56 | Professional | None (both parts) | $239.88 | $309.03 | $602.56 |
Oscar Health Setting Facility Modifier None Typical Low $162.18 Median $870.96 Typical High $2,454.71 | Facility | None | $162.18 | $870.96 | $2,454.71 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $20.89 Median $51.29 Typical High $83.18 | Professional | None (both parts) | $20.89 | $51.29 | $83.18 |
United Setting Professional Modifier None (both parts) Typical Low $125.89 Median $165.96 Typical High $263.03 | Professional | None (both parts) | $125.89 | $165.96 | $263.03 |
United Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $52.48 Typical High $83.18 | Professional | 26 · Professional part | $39.81 | $52.48 | $83.18 |
United Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $114.82 Typical High $181.97 | Professional | TC · Technical part | $85.11 | $114.82 | $181.97 |
Wellmark Setting Professional Modifier None (both parts) Typical Low $316.23 Median $316.23 Typical High $363.08 | Professional | None (both parts) | $316.23 | $316.23 | $363.08 |
Wellmark Setting Professional Modifier 26 · Professional part Typical Low $125.89 Median $125.89 Typical High $144.54 | Professional | 26 · Professional part | $125.89 | $125.89 | $144.54 |
Wellmark Setting Professional Modifier TC · Technical part Typical Low $190.55 Median $190.55 Typical High $213.80 | Professional | TC · Technical part | $190.55 | $190.55 | $213.80 |
1 more rate 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 FX · Film X-ray Typical Low $87.10 Median $89.13 Typical High $95.50 | Professional | FX · Film X-ray | $87.10 | $89.13 | $95.50 |
Where Iowa sits
The same service costs 4.2 times more in Alaska than in New York. 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
$240
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.