How much rates vary
Facilitymedian $117 · 10th to 90th $87 to $692Professionalmedian $35 · 10th to 90th $17 to $62
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 $52.48 Median $117.49 Typical High $691.83 | Facility | None | $52.48 | $117.49 | $691.83 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $7.76 Median $21.38 Typical High $26.30 | Facility | 26 · Professional part | $7.76 | $21.38 | $26.30 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $48.98 Median $81.28 Typical High $120.23 | Facility | TC · Technical part | $48.98 | $81.28 | $120.23 |
Aetna Setting Professional Modifier None (both parts) Typical Low $37.15 Median $37.15 Typical High $117.49 | Professional | None (both parts) | $37.15 | $37.15 | $117.49 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $7.76 Median $7.76 Typical High $25.12 | Professional | 26 · Professional part | $7.76 | $7.76 | $25.12 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $29.51 Median $29.51 Typical High $93.33 | Professional | TC · Technical part | $29.51 | $29.51 | $93.33 |
Anthem BCBS Setting Facility Modifier None Typical Low $537.03 Median $630.96 Typical High $741.31 | Facility | None | $537.03 | $630.96 | $741.31 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $16.98 Median $25.12 Typical High $51.29 | Professional | None (both parts) | $16.98 | $25.12 | $51.29 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $8.13 Median $9.33 Typical High $14.79 | Professional | 26 · Professional part | $8.13 | $9.33 | $14.79 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $15.85 Median $22.39 Typical High $38.02 | Professional | TC · Technical part | $15.85 | $22.39 | $38.02 |
Cigna Setting Facility Modifier None Typical Low $89.13 Median $107.15 Typical High $831.76 | Facility | None | $89.13 | $107.15 | $831.76 |
Cigna Setting Professional Modifier None (both parts) Typical Low $32.36 Median $41.69 Typical High $75.86 | Professional | None (both parts) | $32.36 | $41.69 | $75.86 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $7.08 Median $9.33 Typical High $16.60 | Professional | 26 · Professional part | $7.08 | $9.33 | $16.60 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $25.12 Median $33.11 Typical High $60.26 | Professional | TC · Technical part | $25.12 | $33.11 | $60.26 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $89.13 Median $112.20 Typical High $831.76 | Facility | None | $89.13 | $112.20 | $831.76 |
Medical Mutual of Ohio Setting Professional Modifier None (both parts) Typical Low $32.36 Median $39.81 Typical High $72.44 | Professional | None (both parts) | $32.36 | $39.81 | $72.44 |
Medical Mutual of Ohio Setting Professional Modifier 26 · Professional part Typical Low $7.24 Median $8.91 Typical High $16.60 | Professional | 26 · Professional part | $7.24 | $8.91 | $16.60 |
Medical Mutual of Ohio Setting Professional Modifier TC · Technical part Typical Low $25.70 Median $32.36 Typical High $57.54 | Professional | TC · Technical part | $25.70 | $32.36 | $57.54 |
Molina Setting Professional Modifier None (both parts) Typical Low $26.30 Median $38.90 Typical High $54.95 | Professional | None (both parts) | $26.30 | $38.90 | $54.95 |
SummaCare Setting Professional Modifier None (both parts) Typical Low $41.69 Median $45.71 Typical High $63.10 | Professional | None (both parts) | $41.69 | $45.71 | $63.10 |
SummaCare Setting Professional Modifier 26 · Professional part Typical Low $8.13 Median $8.91 Typical High $13.49 | Professional | 26 · Professional part | $8.13 | $8.91 | $13.49 |
SummaCare Setting Professional Modifier TC · Technical part Typical Low $33.11 Median $36.31 Typical High $50.12 | Professional | TC · Technical part | $33.11 | $36.31 | $50.12 |
United Setting Facility Modifier None Typical Low $489.78 Median $575.44 Typical High $812.83 | Facility | None | $489.78 | $575.44 | $812.83 |
United Setting Professional Modifier None (both parts) Typical Low $22.91 Median $37.15 Typical High $67.61 | Professional | None (both parts) | $22.91 | $37.15 | $67.61 |
United Setting Professional Modifier 26 · Professional part Typical Low $5.50 Median $8.32 Typical High $15.49 | Professional | 26 · Professional part | $5.50 | $8.32 | $15.49 |
United Setting Professional Modifier TC · Technical part Typical Low $15.14 Median $28.84 Typical High $57.54 | Professional | TC · Technical part | $15.14 | $28.84 | $57.54 |
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 $21.88 Median $44.67 Typical High $346.74 | Facility | 52 · Reduced service | $21.88 | $44.67 | $346.74 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $8.71 Median $17.78 Typical High $138.04 | Facility | 53 · Discontinued | $8.71 | $17.78 | $138.04 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $30.20 Median $97.72 Typical High $501.19 | Facility | FX · Film X-ray | $30.20 | $97.72 | $501.19 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $18.62 Median $18.62 Typical High $43.65 | Professional | 52 · Reduced service | $18.62 | $18.62 | $43.65 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.59 Median $7.59 Typical High $17.38 | Professional | 53 · Discontinued | $7.59 | $7.59 | $17.38 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $30.20 Median $30.20 Typical High $33.88 | Professional | FX · Film X-ray | $30.20 | $30.20 | $33.88 |
Where Ohio sits
The same service costs 3.6 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· 45th of 51
$36.31
AK $115UT $31.62
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.