How much rates vary
Facilitymedian $224 · 10th to 90th $110 to $1,778Professionalmedian $49 · 10th to 90th $32 to $85
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 $57.54 Median $1,096.48 Typical High $1,445.44 | Facility | None | $57.54 | $1,096.48 | $1,445.44 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $40.74 Median $112.20 Typical High $173.78 | Facility | TC · Technical part | $40.74 | $112.20 | $173.78 |
Aetna Setting Professional Modifier None (both parts) Typical Low $57.54 Median $57.54 Typical High $190.55 | Professional | None (both parts) | $57.54 | $57.54 | $190.55 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $16.22 Median $16.60 Typical High $61.66 | Professional | 26 · Professional part | $16.22 | $16.60 | $61.66 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $39.81 Median $40.74 Typical High $51.29 | Professional | TC · Technical part | $39.81 | $40.74 | $51.29 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,122.02 Median $1,318.26 Typical High $1,548.82 | Facility | None | $1,122.02 | $1,318.26 | $1,548.82 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $28.84 Median $43.65 Typical High $77.62 | Professional | None (both parts) | $28.84 | $43.65 | $77.62 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $16.98 Median $18.62 Typical High $32.36 | Professional | 26 · Professional part | $16.98 | $18.62 | $32.36 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $19.95 Median $26.30 Typical High $54.95 | Professional | TC · Technical part | $19.95 | $26.30 | $54.95 |
Cigna Setting Facility Modifier None Typical Low $109.65 Median $147.91 Typical High $1,905.46 | Facility | None | $109.65 | $147.91 | $1,905.46 |
Cigna Setting Professional Modifier None (both parts) Typical Low $48.98 Median $60.26 Typical High $104.71 | Professional | None (both parts) | $48.98 | $60.26 | $104.71 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $15.85 Median $18.62 Typical High $34.67 | Professional | 26 · Professional part | $15.85 | $18.62 | $34.67 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $32.36 Median $40.74 Typical High $74.13 | Professional | TC · Technical part | $32.36 | $40.74 | $74.13 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $109.65 Median $154.88 Typical High $1,905.46 | Facility | None | $109.65 | $154.88 | $1,905.46 |
Medical Mutual of Ohio Setting Professional Modifier None (both parts) Typical Low $48.98 Median $60.26 Typical High $104.71 | Professional | None (both parts) | $48.98 | $60.26 | $104.71 |
Medical Mutual of Ohio Setting Professional Modifier 26 · Professional part Typical Low $15.85 Median $18.62 Typical High $33.88 | Professional | 26 · Professional part | $15.85 | $18.62 | $33.88 |
Medical Mutual of Ohio Setting Professional Modifier TC · Technical part Typical Low $33.11 Median $39.81 Typical High $74.13 | Professional | TC · Technical part | $33.11 | $39.81 | $74.13 |
Molina Setting Professional Modifier None (both parts) Typical Low $26.92 Median $38.90 Typical High $54.95 | Professional | None (both parts) | $26.92 | $38.90 | $54.95 |
SummaCare Setting Professional Modifier None (both parts) Typical Low $60.26 Median $66.07 Typical High $91.20 | Professional | None (both parts) | $60.26 | $66.07 | $91.20 |
SummaCare Setting Professional Modifier 26 · Professional part Typical Low $16.98 Median $18.62 Typical High $25.70 | Professional | 26 · Professional part | $16.98 | $18.62 | $25.70 |
SummaCare Setting Professional Modifier TC · Technical part Typical Low $42.66 Median $46.77 Typical High $64.57 | Professional | TC · Technical part | $42.66 | $46.77 | $64.57 |
United Setting Facility Modifier None Typical Low $1,122.02 Median $1,318.26 Typical High $1,862.09 | Facility | None | $1,122.02 | $1,318.26 | $1,862.09 |
United Setting Professional Modifier None (both parts) Typical Low $35.48 Median $54.95 Typical High $97.72 | Professional | None (both parts) | $35.48 | $54.95 | $97.72 |
United Setting Professional Modifier 26 · Professional part Typical Low $11.22 Median $17.78 Typical High $32.36 | Professional | 26 · Professional part | $11.22 | $17.78 | $32.36 |
United Setting Professional Modifier TC · Technical part Typical Low $21.88 Median $36.31 Typical High $70.79 | Professional | TC · Technical part | $21.88 | $36.31 | $70.79 |
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 $33.11 Median $83.18 Typical High $724.44 | Facility | 52 · Reduced service | $33.11 | $83.18 | $724.44 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $13.49 Median $33.11 Typical High $288.40 | Facility | 53 · Discontinued | $13.49 | $33.11 | $288.40 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $45.71 Median $131.83 Typical High $1,071.52 | Facility | FX · Film X-ray | $45.71 | $131.83 | $1,071.52 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $28.84 Median $28.84 Typical High $95.50 | Professional | 52 · Reduced service | $28.84 | $28.84 | $95.50 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $11.48 Median $11.48 Typical High $38.02 | Professional | 53 · Discontinued | $11.48 | $11.48 | $38.02 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $45.71 Median $45.71 Typical High $51.29 | Professional | FX · Film X-ray | $45.71 | $45.71 | $51.29 |
Where Ohio sits
The same service costs 5.6 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
$48.98
AK $182UT $32.36
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.