How much rates vary
Facilitymedian $1,023 · 10th to 90th $603 to $1,905Professionalmedian $316 · 10th to 90th $132 to $617
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 $691.83 Median $1,122.02 Typical High $2,089.30 | Facility | None | $691.83 | $1,122.02 | $2,089.30 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $89.13 Median $245.47 Typical High $302.00 | Facility | 26 · Professional part | $89.13 | $245.47 | $302.00 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $257.04 Median $588.84 Typical High $794.33 | Facility | TC · Technical part | $257.04 | $588.84 | $794.33 |
Aetna Setting Professional Modifier None (both parts) Typical Low $281.84 Median $457.09 Typical High $1,698.24 | Professional | None (both parts) | $281.84 | $457.09 | $1,698.24 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $89.13 Median $95.50 Typical High $588.84 | Professional | 26 · Professional part | $89.13 | $95.50 | $588.84 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $194.98 Median $208.93 Typical High $660.69 | Professional | TC · Technical part | $194.98 | $208.93 | $660.69 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $79.43 Typical High $100.00 | Professional | 26 · Professional part | $79.43 | $79.43 | $100.00 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $316.23 Median $380.19 Typical High $645.65 | Professional | None (both parts) | $316.23 | $380.19 | $645.65 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $93.33 Median $100.00 Typical High $162.18 | Professional | 26 · Professional part | $93.33 | $100.00 | $162.18 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $218.78 Median $281.84 Typical High $478.63 | Professional | TC · Technical part | $218.78 | $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 |
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 $281.84 Median $338.84 Typical High $912.01 | Professional | None (both parts) | $281.84 | $338.84 | $912.01 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $100.00 Typical High $186.21 | Professional | 26 · Professional part | $81.28 | $100.00 | $186.21 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $190.55 Median $234.42 Typical High $676.08 | Professional | TC · Technical part | $190.55 | $234.42 | $676.08 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $602.56 Median $977.24 Typical High $1,621.81 | Facility | None | $602.56 | $977.24 | $1,621.81 |
Medical Mutual of Ohio Setting Professional Modifier None (both parts) Typical Low $281.84 Median $338.84 Typical High $933.25 | Professional | None (both parts) | $281.84 | $338.84 | $933.25 |
Medical Mutual of Ohio Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $100.00 Typical High $186.21 | Professional | 26 · Professional part | $85.11 | $100.00 | $186.21 |
Medical Mutual of Ohio Setting Professional Modifier TC · Technical part Typical Low $190.55 Median $234.42 Typical High $691.83 | Professional | TC · Technical part | $190.55 | $234.42 | $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 $173.78 Median $223.87 Typical High $331.13 | Professional | None (both parts) | $173.78 | $223.87 | $331.13 |
SummaCare Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $89.13 Typical High $141.25 | Professional | 26 · Professional part | $81.28 | $89.13 | $141.25 |
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 $263.03 Median $398.11 Typical High $758.58 | Professional | None (both parts) | $263.03 | $398.11 | $758.58 |
United Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $91.20 Typical High $173.78 | Professional | 26 · Professional part | $63.10 | $91.20 | $173.78 |
United Setting Professional Modifier TC · Technical part Typical Low $181.97 Median $309.03 Typical High $549.54 | Professional | TC · Technical part | $181.97 | $309.03 | $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 $169.82 Median $398.11 Typical High $912.01 | Facility | 52 · Reduced service | $169.82 | $398.11 | $912.01 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $69.18 Median $158.49 Typical High $371.54 | Facility | 53 · Discontinued | $69.18 | $158.49 | $371.54 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $229.09 Median $630.96 Typical High $1,348.96 | Facility | FX · Film X-ray | $229.09 | $630.96 | $1,348.96 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $141.25 Median $141.25 Typical High $870.96 | Professional | 52 · Reduced service | $141.25 | $141.25 | $870.96 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $57.54 Median $57.54 Typical High $346.74 | Professional | 53 · Discontinued | $57.54 | $57.54 | $346.74 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $229.09 Median $229.09 Typical High $371.54 | Professional | FX · Film X-ray | $229.09 | $229.09 | $371.54 |
Where Ohio sits
The same service costs 5.9 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· 45th of 51
$324
WY $1,122UT $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.