How much rates vary
Facilitymedian $832 · 10th to 90th $427 to $1,514Professionalmedian $275 · 10th to 90th $141 to $562
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 $389.05 Median $831.76 Typical High $1,995.26 | Facility | None | $389.05 | $831.76 | $1,995.26 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $79.43 Median $181.97 Typical High $223.87 | Facility | 26 · Professional part | $79.43 | $181.97 | $223.87 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $223.87 Median $457.09 Typical High $676.08 | Facility | TC · Technical part | $223.87 | $457.09 | $676.08 |
Aetna Setting Professional Modifier None (both parts) Typical Low $234.42 Median $380.19 Typical High $1,288.25 | Professional | None (both parts) | $234.42 | $380.19 | $1,288.25 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $83.18 Typical High $223.87 | Professional | 26 · Professional part | $66.07 | $83.18 | $223.87 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $165.96 Median $194.98 Typical High $562.34 | Professional | TC · Technical part | $165.96 | $194.98 | $562.34 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $151.36 Median $173.78 Typical High $446.68 | Professional | None (both parts) | $151.36 | $173.78 | $446.68 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $269.15 Median $363.08 Typical High $602.56 | Professional | None (both parts) | $269.15 | $363.08 | $602.56 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $74.13 Typical High $123.03 | Professional | 26 · Professional part | $67.61 | $74.13 | $123.03 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $194.98 Median $281.84 Typical High $478.63 | Professional | TC · Technical part | $194.98 | $281.84 | $478.63 |
Aultcare Setting Facility Modifier None Typical Low $1,096.48 Median $1,096.48 Typical High $1,096.48 | Facility | None | $1,096.48 | $1,096.48 | $1,096.48 |
Aultcare Setting Professional Modifier None (both parts) Typical Low $257.04 Median $269.15 Typical High $426.58 | Professional | None (both parts) | $257.04 | $269.15 | $426.58 |
Cigna Setting Facility Modifier None Typical Low $467.74 Median $645.65 Typical High $1,348.96 | Facility | None | $467.74 | $645.65 | $1,348.96 |
Cigna Setting Professional Modifier None (both parts) Typical Low $229.09 Median $281.84 Typical High $776.25 | Professional | None (both parts) | $229.09 | $281.84 | $776.25 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $75.86 Typical High $147.91 | Professional | 26 · Professional part | $58.88 | $75.86 | $147.91 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $162.18 Median $204.17 Typical High $588.84 | Professional | TC · Technical part | $162.18 | $204.17 | $588.84 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $512.86 Median $831.76 Typical High $1,348.96 | Facility | None | $512.86 | $831.76 | $1,348.96 |
Medical Mutual of Ohio Setting Professional Modifier None (both parts) Typical Low $229.09 Median $275.42 Typical High $776.25 | Professional | None (both parts) | $229.09 | $275.42 | $776.25 |
Medical Mutual of Ohio Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $75.86 Typical High $141.25 | Professional | 26 · Professional part | $63.10 | $75.86 | $141.25 |
Medical Mutual of Ohio Setting Professional Modifier TC · Technical part Typical Low $162.18 Median $204.17 Typical High $588.84 | Professional | TC · Technical part | $162.18 | $204.17 | $588.84 |
Molina Setting Professional Modifier None (both parts) Typical Low $45.71 Median $199.53 Typical High $302.00 | Professional | None (both parts) | $45.71 | $199.53 | $302.00 |
SummaCare Setting Professional Modifier None (both parts) Typical Low $138.04 Median $151.36 Typical High $309.03 | Professional | None (both parts) | $138.04 | $151.36 | $309.03 |
SummaCare Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $66.07 Typical High $97.72 | Professional | 26 · Professional part | $60.26 | $66.07 | $97.72 |
SummaCare Setting Professional Modifier TC · Technical part Typical Low $77.62 Median $85.11 Typical High $173.78 | Professional | TC · Technical part | $77.62 | $85.11 | $173.78 |
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 $218.78 Median $346.74 Typical High $616.60 | Professional | None (both parts) | $218.78 | $346.74 | $616.60 |
United Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $69.18 Typical High $131.83 | Professional | 26 · Professional part | $44.67 | $69.18 | $131.83 |
United Setting Professional Modifier TC · Technical part Typical Low $158.49 Median $275.42 Typical High $478.63 | Professional | TC · Technical part | $158.49 | $275.42 | $478.63 |
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 $144.54 Median $338.84 Typical High $575.44 | Facility | 52 · Reduced service | $144.54 | $338.84 | $575.44 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $58.88 Median $134.90 Typical High $229.09 | Facility | 53 · Discontinued | $58.88 | $134.90 | $229.09 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $186.21 Median $537.03 Typical High $851.14 | Facility | FX · Film X-ray | $186.21 | $537.03 | $851.14 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $117.49 Median $117.49 Typical High $707.95 | Professional | 52 · Reduced service | $117.49 | $117.49 | $707.95 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $46.77 Median $46.77 Typical High $281.84 | Professional | 53 · Discontinued | $46.77 | $46.77 | $281.84 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $186.21 Median $186.21 Typical High $338.84 | Professional | FX · Film X-ray | $186.21 | $186.21 | $338.84 |
Where Ohio sits
The same service costs 5.8 times more in Wyoming 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· 47th of 51
$275
WY $912UT $158
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.