How much rates vary
Facilitymedian $1,000 · 10th to 90th $603 to $1,905Professionalmedian $309 · 10th to 90th $126 to $575
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 $758.58 Median $1,122.02 Typical High $2,089.30 | Facility | None | $758.58 | $1,122.02 | $2,089.30 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $79.43 Median $223.87 Typical High $269.15 | Facility | 26 · Professional part | $79.43 | $223.87 | $269.15 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $363.08 Median $588.84 Typical High $812.83 | Facility | TC · Technical part | $363.08 | $588.84 | $812.83 |
Aetna Setting Professional Modifier None (both parts) Typical Low $275.42 Median $281.84 Typical High $1,698.24 | Professional | None (both parts) | $275.42 | $281.84 | $1,698.24 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $79.43 Typical High $537.03 | Professional | 26 · Professional part | $79.43 | $79.43 | $537.03 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $194.98 Median $194.98 Typical High $660.69 | Professional | TC · Technical part | $194.98 | $194.98 | $660.69 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $309.03 Median $363.08 Typical High $602.56 | Professional | None (both parts) | $309.03 | $363.08 | $602.56 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $81.28 Typical High $131.83 | Professional | 26 · Professional part | $58.88 | $81.28 | $131.83 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $223.87 Median $281.84 Typical High $478.63 | Professional | TC · Technical part | $223.87 | $281.84 | $478.63 |
Cigna Setting Facility Modifier None Typical Low $549.54 Median $758.58 Typical High $1,348.96 | Facility | None | $549.54 | $758.58 | $1,348.96 |
Cigna Setting Professional Modifier None (both parts) Typical Low $275.42 Median $331.13 Typical High $870.96 | Professional | None (both parts) | $275.42 | $331.13 | $870.96 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $91.20 Typical High $158.49 | Professional | 26 · Professional part | $70.79 | $91.20 | $158.49 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $194.98 Median $239.88 Typical High $676.08 | Professional | TC · Technical part | $194.98 | $239.88 | $676.08 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $602.56 Median $933.25 Typical High $1,348.96 | Facility | None | $602.56 | $933.25 | $1,348.96 |
Medical Mutual of Ohio Setting Professional Modifier None (both parts) Typical Low $275.42 Median $331.13 Typical High $912.01 | Professional | None (both parts) | $275.42 | $331.13 | $912.01 |
Medical Mutual of Ohio Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $91.20 Typical High $158.49 | Professional | 26 · Professional part | $75.86 | $91.20 | $158.49 |
Medical Mutual of Ohio Setting Professional Modifier TC · Technical part Typical Low $194.98 Median $239.88 Typical High $691.83 | Professional | TC · Technical part | $194.98 | $239.88 | $691.83 |
Molina Setting Professional Modifier None (both parts) Typical Low $104.71 Median $223.87 Typical High $380.19 | Professional | None (both parts) | $104.71 | $223.87 | $380.19 |
SummaCare Setting Professional Modifier None (both parts) Typical Low $165.96 Median $181.97 Typical High $363.08 | Professional | None (both parts) | $165.96 | $181.97 | $363.08 |
SummaCare Setting Professional Modifier 26 · Professional part Typical Low $72.44 Median $79.43 Typical High $117.49 | Professional | 26 · Professional part | $72.44 | $79.43 | $117.49 |
SummaCare Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $100.00 Typical High $204.17 | Professional | TC · Technical part | $91.20 | $100.00 | $204.17 |
United Setting Facility Modifier None Typical Low $724.44 Median $831.76 Typical High $1,202.26 | Facility | None | $724.44 | $831.76 | $1,202.26 |
United Setting Professional Modifier None (both parts) Typical Low $257.04 Median $407.38 Typical High $741.31 | Professional | None (both parts) | $257.04 | $407.38 | $741.31 |
United Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $83.18 Typical High $158.49 | Professional | 26 · Professional part | $53.70 | $83.18 | $158.49 |
United Setting Professional Modifier TC · Technical part Typical Low $186.21 Median $316.23 Typical High $549.54 | Professional | TC · Technical part | $186.21 | $316.23 | $549.54 |
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 $173.78 Median $398.11 Typical High $912.01 | Facility | 52 · Reduced service | $173.78 | $398.11 | $912.01 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $69.18 Median $162.18 Typical High $371.54 | Facility | 53 · Discontinued | $69.18 | $162.18 | $371.54 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $223.87 Median $645.65 Typical High $1,348.96 | Facility | FX · Film X-ray | $223.87 | $645.65 | $1,348.96 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $138.04 Median $138.04 Typical High $851.14 | Professional | 52 · Reduced service | $138.04 | $138.04 | $851.14 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $54.95 Median $54.95 Typical High $338.84 | Professional | 53 · Discontinued | $54.95 | $54.95 | $338.84 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $223.87 Median $223.87 Typical High $363.08 | Professional | FX · Film X-ray | $223.87 | $223.87 | $363.08 |
Where Ohio sits
The same service costs 5.6 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
$309
WY $1,072UT $191
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.