How much rates vary
Facilitymedian $1,122 · 10th to 90th $562 to $1,950Professionalmedian $372 · 10th to 90th $126 to $794
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 $478.63 Median $1,122.02 Typical High $2,089.30 | Facility | None | $478.63 | $1,122.02 | $2,089.30 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $104.71 Median $162.18 Typical High $302.00 | Facility | 26 · Professional part | $104.71 | $162.18 | $302.00 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $331.13 Median $741.31 Typical High $1,047.13 | Facility | TC · Technical part | $331.13 | $741.31 | $1,047.13 |
Aetna Setting Professional Modifier None (both parts) Typical Low $354.81 Median $478.63 Typical High $1,862.09 | Professional | None (both parts) | $354.81 | $478.63 | $1,862.09 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $89.13 Median $117.49 Typical High $302.00 | Professional | 26 · Professional part | $89.13 | $117.49 | $302.00 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $269.15 Median $331.13 Typical High $891.25 | Professional | TC · Technical part | $269.15 | $331.13 | $891.25 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $234.42 Median $234.42 Typical High $316.23 | Professional | None (both parts) | $234.42 | $234.42 | $316.23 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $371.54 Median $371.54 Typical High $676.08 | Professional | None (both parts) | $371.54 | $371.54 | $676.08 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $87.10 Median $91.20 Typical High $154.88 | Professional | 26 · Professional part | $87.10 | $91.20 | $154.88 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $275.42 Median $288.40 Typical High $524.81 | Professional | TC · Technical part | $275.42 | $288.40 | $524.81 |
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 $371.54 Median $389.05 Typical High $645.65 | Professional | None (both parts) | $371.54 | $389.05 | $645.65 |
Cigna Setting Facility Modifier None Typical Low $741.31 Median $954.99 Typical High $1,348.96 | Facility | None | $741.31 | $954.99 | $1,348.96 |
Cigna Setting Professional Modifier None (both parts) Typical Low $346.74 Median $426.58 Typical High $1,288.25 | Professional | None (both parts) | $346.74 | $426.58 | $1,288.25 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $102.33 Typical High $194.98 | Professional | 26 · Professional part | $79.43 | $102.33 | $194.98 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $263.03 Median $316.23 Typical High $1,096.48 | Professional | TC · Technical part | $263.03 | $316.23 | $1,096.48 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $812.83 Median $1,288.25 Typical High $1,584.89 | Facility | None | $812.83 | $1,288.25 | $1,584.89 |
Medical Mutual of Ohio Setting Professional Modifier None (both parts) Typical Low $346.74 Median $416.87 Typical High $1,288.25 | Professional | None (both parts) | $346.74 | $416.87 | $1,288.25 |
Medical Mutual of Ohio Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $117.49 Typical High $245.47 | Professional | 26 · Professional part | $85.11 | $117.49 | $245.47 |
Medical Mutual of Ohio Setting Professional Modifier TC · Technical part Typical Low $263.03 Median $309.03 Typical High $1,096.48 | Professional | TC · Technical part | $263.03 | $309.03 | $1,096.48 |
Molina Setting Professional Modifier None (both parts) Typical Low $104.71 Median $295.12 Typical High $478.63 | Professional | None (both parts) | $104.71 | $295.12 | $478.63 |
SummaCare Setting Professional Modifier None (both parts) Typical Low $204.17 Median $239.88 Typical High $602.56 | Professional | None (both parts) | $204.17 | $239.88 | $602.56 |
SummaCare Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $89.13 Typical High $131.83 | Professional | 26 · Professional part | $81.28 | $89.13 | $131.83 |
SummaCare Setting Professional Modifier TC · Technical part Typical Low $125.89 Median $138.04 Typical High $275.42 | Professional | TC · Technical part | $125.89 | $138.04 | $275.42 |
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 $338.84 Median $562.34 Typical High $1,000.00 | Professional | None (both parts) | $338.84 | $562.34 | $1,000.00 |
United Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $91.20 Typical High $173.78 | Professional | 26 · Professional part | $60.26 | $91.20 | $173.78 |
United Setting Professional Modifier TC · Technical part Typical Low $245.47 Median $467.74 Typical High $891.25 | Professional | TC · Technical part | $245.47 | $467.74 | $891.25 |
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 $234.42 Median $549.54 Typical High $912.01 | Facility | 52 · Reduced service | $234.42 | $549.54 | $912.01 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $93.33 Median $218.78 Typical High $371.54 | Facility | 53 · Discontinued | $93.33 | $218.78 | $371.54 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $281.84 Median $870.96 Typical High $1,348.96 | Facility | FX · Film X-ray | $281.84 | $870.96 | $1,348.96 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $177.83 Median $177.83 Typical High $1,122.02 | Professional | 52 · Reduced service | $177.83 | $177.83 | $1,122.02 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $70.79 Median $70.79 Typical High $446.68 | Professional | 53 · Discontinued | $70.79 | $70.79 | $446.68 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $281.84 Median $281.84 Typical High $457.09 | Professional | FX · Film X-ray | $281.84 | $281.84 | $457.09 |
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· 48th of 51
$372
WY $1,380UT $245
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.