How much rates vary
Facilitymedian $550 · 10th to 90th $269 to $2,512Professionalmedian $148 · 10th to 90th $85 to $251
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 $154.88 Median $1,621.81 Typical High $2,137.96 | Facility | None | $154.88 | $1,621.81 | $2,137.96 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $100.00 Median $275.42 Typical High $426.58 | Facility | TC · Technical part | $100.00 | $275.42 | $426.58 |
Aetna Setting Professional Modifier None (both parts) Typical Low $154.88 Median $154.88 Typical High $489.78 | Professional | None (both parts) | $154.88 | $154.88 | $489.78 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $54.95 Typical High $204.17 | Professional | 26 · Professional part | $53.70 | $54.95 | $204.17 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $100.00 Typical High $123.03 | Professional | TC · Technical part | $100.00 | $100.00 | $123.03 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,659.59 Median $1,949.84 Typical High $2,290.87 | Facility | None | $1,659.59 | $1,949.84 | $2,290.87 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $112.20 Median $117.49 Typical High $218.78 | Professional | None (both parts) | $112.20 | $117.49 | $218.78 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $64.57 Typical High $107.15 | Professional | 26 · Professional part | $60.26 | $64.57 | $107.15 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $50.12 Median $58.88 Typical High $128.82 | Professional | TC · Technical part | $50.12 | $58.88 | $128.82 |
Cigna Setting Facility Modifier None Typical Low $269.15 Median $354.81 Typical High $2,691.53 | Facility | None | $269.15 | $354.81 | $2,691.53 |
Cigna Setting Professional Modifier None (both parts) Typical Low $131.83 Median $165.96 Typical High $309.03 | Professional | None (both parts) | $131.83 | $165.96 | $309.03 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $64.57 Typical High $120.23 | Professional | 26 · Professional part | $53.70 | $64.57 | $120.23 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $102.33 Typical High $199.53 | Professional | TC · Technical part | $81.28 | $102.33 | $199.53 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $269.15 Median $371.54 Typical High $2,691.53 | Facility | None | $269.15 | $371.54 | $2,691.53 |
Medical Mutual of Ohio Setting Professional Modifier None (both parts) Typical Low $131.83 Median $162.18 Typical High $309.03 | Professional | None (both parts) | $131.83 | $162.18 | $309.03 |
Medical Mutual of Ohio Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $61.66 Typical High $114.82 | Professional | 26 · Professional part | $53.70 | $61.66 | $114.82 |
Medical Mutual of Ohio Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $102.33 Typical High $199.53 | Professional | TC · Technical part | $85.11 | $102.33 | $199.53 |
Molina Setting Professional Modifier None (both parts) Typical Low $45.71 Median $141.25 Typical High $239.88 | Professional | None (both parts) | $45.71 | $141.25 | $239.88 |
SummaCare Setting Professional Modifier None (both parts) Typical Low $158.49 Median $173.78 Typical High $239.88 | Professional | None (both parts) | $158.49 | $173.78 | $239.88 |
SummaCare Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $61.66 Typical High $91.20 | Professional | 26 · Professional part | $56.23 | $61.66 | $91.20 |
SummaCare Setting Professional Modifier TC · Technical part Typical Low $102.33 Median $109.65 Typical High $154.88 | Professional | TC · Technical part | $102.33 | $109.65 | $154.88 |
United Setting Facility Modifier None Typical Low $1,621.81 Median $1,862.09 Typical High $2,691.53 | Facility | None | $1,621.81 | $1,862.09 | $2,691.53 |
United Setting Professional Modifier None (both parts) Typical Low $102.33 Median $158.49 Typical High $295.12 | Professional | None (both parts) | $102.33 | $158.49 | $295.12 |
United Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $61.66 Typical High $112.20 | Professional | 26 · Professional part | $40.74 | $61.66 | $112.20 |
United Setting Professional Modifier TC · Technical part Typical Low $50.12 Median $95.50 Typical High $186.21 | Professional | TC · Technical part | $50.12 | $95.50 | $186.21 |
6 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 Facility Modifier 52 · Reduced service Typical Low $87.10 Median $204.17 Typical High $1,071.52 | Facility | 52 · Reduced service | $87.10 | $204.17 | $1,071.52 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $35.48 Median $81.28 Typical High $426.58 | Facility | 53 · Discontinued | $35.48 | $81.28 | $426.58 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $123.03 Median $323.59 Typical High $1,584.89 | Facility | FX · Film X-ray | $123.03 | $323.59 | $1,584.89 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $77.62 Median $77.62 Typical High $245.47 | Professional | 52 · Reduced service | $77.62 | $77.62 | $245.47 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $30.90 Median $30.90 Typical High $97.72 | Professional | 53 · Discontinued | $30.90 | $30.90 | $97.72 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $123.03 Median $123.03 Typical High $141.25 | Professional | FX · Film X-ray | $123.03 | $123.03 | $141.25 |
Where Ohio sits
The same service costs 4.3 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.
Ohio· 46th of 51
$148
AK $513UT $120
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.