How much rates vary
Facilitymedian $1,122 · 10th to 90th $479 to $2,455Professionalmedian $347 · 10th to 90th $135 to $741
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 $954.99 Typical High $1,905.46 | Facility | None | $389.05 | $954.99 | $1,905.46 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $112.20 Median $208.93 Typical High $380.19 | Facility | 26 · Professional part | $112.20 | $208.93 | $380.19 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $239.88 Median $512.86 Typical High $794.33 | Facility | TC · Technical part | $239.88 | $512.86 | $794.33 |
Aetna Setting Professional Modifier None (both parts) Typical Low $331.13 Median $478.63 Typical High $1,174.90 | Professional | None (both parts) | $331.13 | $478.63 | $1,174.90 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $112.20 Median $141.25 Typical High $380.19 | Professional | 26 · Professional part | $112.20 | $141.25 | $380.19 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $218.78 Median $295.12 Typical High $724.44 | Professional | TC · Technical part | $218.78 | $295.12 | $724.44 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $234.42 Median $251.19 Typical High $371.54 | Professional | None (both parts) | $234.42 | $251.19 | $371.54 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $131.83 Typical High $181.97 | Professional | 26 · Professional part | $85.11 | $131.83 | $181.97 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $354.81 Median $407.38 Typical High $691.83 | Professional | None (both parts) | $354.81 | $407.38 | $691.83 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $117.49 Median $123.03 Typical High $204.17 | Professional | 26 · Professional part | $117.49 | $123.03 | $204.17 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $234.42 Median $281.84 Typical High $489.78 | Professional | TC · Technical part | $234.42 | $281.84 | $489.78 |
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 $346.74 Median $363.08 Typical High $602.56 | Professional | None (both parts) | $346.74 | $363.08 | $602.56 |
CareSource Setting Professional Modifier None (both parts) Typical Low $102.33 Median $204.17 Typical High $371.54 | Professional | None (both parts) | $102.33 | $204.17 | $371.54 |
Cigna Setting Facility Modifier None Typical Low $602.56 Median $831.76 Typical High $1,348.96 | Facility | None | $602.56 | $831.76 | $1,348.96 |
Cigna Setting Professional Modifier None (both parts) Typical Low $323.59 Median $398.11 Typical High $1,148.15 | Professional | None (both parts) | $323.59 | $398.11 | $1,148.15 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $102.33 Median $128.82 Typical High $229.09 | Professional | 26 · Professional part | $102.33 | $128.82 | $229.09 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $213.80 Median $263.03 Typical High $977.24 | Professional | TC · Technical part | $213.80 | $263.03 | $977.24 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $645.65 Median $1,348.96 Typical High $3,388.44 | Facility | None | $645.65 | $1,348.96 | $3,388.44 |
Medical Mutual of Ohio Setting Professional Modifier None (both parts) Typical Low $245.47 Median $389.05 Typical High $1,071.52 | Professional | None (both parts) | $245.47 | $389.05 | $1,071.52 |
Medical Mutual of Ohio Setting Professional Modifier 26 · Professional part Typical Low $107.15 Median $208.93 Typical High $346.74 | Professional | 26 · Professional part | $107.15 | $208.93 | $346.74 |
Medical Mutual of Ohio Setting Professional Modifier TC · Technical part Typical Low $213.80 Median $263.03 Typical High $977.24 | Professional | TC · Technical part | $213.80 | $263.03 | $977.24 |
Molina Setting Professional Modifier None (both parts) Typical Low $104.71 Median $234.42 Typical High $416.87 | Professional | None (both parts) | $104.71 | $234.42 | $416.87 |
SummaCare Setting Professional Modifier None (both parts) Typical Low $204.17 Median $239.88 Typical High $457.09 | Professional | None (both parts) | $204.17 | $239.88 | $457.09 |
SummaCare Setting Professional Modifier 26 · Professional part Typical Low $102.33 Median $120.23 Typical High $204.17 | Professional | 26 · Professional part | $102.33 | $120.23 | $204.17 |
SummaCare Setting Professional Modifier TC · Technical part Typical Low $102.33 Median $120.23 Typical High $302.00 | Professional | TC · Technical part | $102.33 | $120.23 | $302.00 |
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 $309.03 Median $478.63 Typical High $1,000.00 | Professional | None (both parts) | $309.03 | $478.63 | $1,000.00 |
United Setting Professional Modifier 26 · Professional part Typical Low $77.62 Median $117.49 Typical High $223.87 | Professional | 26 · Professional part | $77.62 | $117.49 | $223.87 |
United Setting Professional Modifier TC · Technical part Typical Low $199.53 Median $346.74 Typical High $851.14 | Professional | TC · Technical part | $199.53 | $346.74 | $851.14 |
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 $190.55 Median $446.68 Typical High $912.01 | Facility | 52 · Reduced service | $190.55 | $446.68 | $912.01 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $75.86 Median $177.83 Typical High $371.54 | Facility | 53 · Discontinued | $75.86 | $177.83 | $371.54 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $263.03 Median $707.95 Typical High $1,348.96 | Facility | FX · Film X-ray | $263.03 | $707.95 | $1,348.96 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $165.96 Median $165.96 Typical High $691.83 | Professional | 52 · Reduced service | $165.96 | $165.96 | $691.83 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $66.07 Median $66.07 Typical High $275.42 | Professional | 53 · Discontinued | $66.07 | $66.07 | $275.42 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $263.03 Median $263.03 Typical High $426.58 | Professional | FX · Film X-ray | $263.03 | $263.03 | $426.58 |
Where Ohio sits
The same service costs 6.6 times more in Vermont 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
$355
VT $1,349UT $204
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.