How much rates vary
Facilitymedian $871 · 10th to 90th $339 to $2,138Professionalmedian $209 · 10th to 90th $89 to $525
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 $234.42 Median $676.08 Typical High $1,778.28 | Facility | None | $234.42 | $676.08 | $1,778.28 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $74.13 Median $134.90 Typical High $251.19 | Facility | 26 · Professional part | $74.13 | $134.90 | $251.19 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $138.04 Median $295.12 Typical High $457.09 | Facility | TC · Technical part | $138.04 | $295.12 | $457.09 |
Aetna Setting Professional Modifier None (both parts) Typical Low $199.53 Median $354.81 Typical High $1,071.52 | Professional | None (both parts) | $199.53 | $354.81 | $1,071.52 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $74.13 Median $109.65 Typical High $245.47 | Professional | 26 · Professional part | $74.13 | $109.65 | $245.47 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $125.89 Median $186.21 Typical High $426.58 | Professional | TC · Technical part | $125.89 | $186.21 | $426.58 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $144.54 Median $151.36 Typical High $208.93 | Professional | None (both parts) | $144.54 | $151.36 | $208.93 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $69.18 Typical High $112.20 | Professional | 26 · Professional part | $53.70 | $69.18 | $112.20 |
Ambetter Setting Professional Modifier TC · Technical part Typical Low $67.61 Median $95.50 Typical High $100.00 | Professional | TC · Technical part | $67.61 | $95.50 | $100.00 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $251.19 Median $363.08 Typical High $616.60 | Professional | None (both parts) | $251.19 | $363.08 | $616.60 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $74.13 Median $75.86 Typical High $128.82 | Professional | 26 · Professional part | $74.13 | $75.86 | $128.82 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $151.36 Median $281.84 Typical High $446.68 | Professional | TC · Technical part | $151.36 | $281.84 | $446.68 |
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 $208.93 Median $208.93 Typical High $363.08 | Professional | None (both parts) | $208.93 | $208.93 | $363.08 |
CareSource Setting Professional Modifier None (both parts) Typical Low $66.07 Median $117.49 Typical High $223.87 | Professional | None (both parts) | $66.07 | $117.49 | $223.87 |
Cigna Setting Facility Modifier None Typical Low $346.74 Median $478.63 Typical High $1,348.96 | Facility | None | $346.74 | $478.63 | $1,348.96 |
Cigna Setting Professional Modifier None (both parts) Typical Low $194.98 Median $239.88 Typical High $676.08 | Professional | None (both parts) | $194.98 | $239.88 | $676.08 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $83.18 Typical High $151.36 | Professional | 26 · Professional part | $66.07 | $83.18 | $151.36 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $123.03 Median $147.91 Typical High $562.34 | Professional | TC · Technical part | $123.03 | $147.91 | $562.34 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $426.58 Median $1,258.93 Typical High $2,630.27 | Facility | None | $426.58 | $1,258.93 | $2,630.27 |
Medical Mutual of Ohio Setting Professional Modifier None (both parts) Typical Low $162.18 Median $239.88 Typical High $645.65 | Professional | None (both parts) | $162.18 | $239.88 | $645.65 |
Medical Mutual of Ohio Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $123.03 Typical High $223.87 | Professional | 26 · Professional part | $61.66 | $123.03 | $223.87 |
Medical Mutual of Ohio Setting Professional Modifier TC · Technical part Typical Low $123.03 Median $147.91 Typical High $549.54 | Professional | TC · Technical part | $123.03 | $147.91 | $549.54 |
Molina Setting Professional Modifier None (both parts) Typical Low $67.61 Median $144.54 Typical High $239.88 | Professional | None (both parts) | $67.61 | $144.54 | $239.88 |
SummaCare Setting Professional Modifier None (both parts) Typical Low $125.89 Median $158.49 Typical High $295.12 | Professional | None (both parts) | $125.89 | $158.49 | $295.12 |
SummaCare Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $77.62 Typical High $117.49 | Professional | 26 · Professional part | $66.07 | $77.62 | $117.49 |
SummaCare Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $74.13 Typical High $186.21 | Professional | TC · Technical part | $58.88 | $74.13 | $186.21 |
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 $181.97 Median $288.40 Typical High $575.44 | Professional | None (both parts) | $181.97 | $288.40 | $575.44 |
United Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $75.86 Typical High $144.54 | Professional | 26 · Professional part | $48.98 | $75.86 | $144.54 |
United Setting Professional Modifier TC · Technical part Typical Low $114.82 Median $199.53 Typical High $467.74 | Professional | TC · Technical part | $114.82 | $199.53 | $467.74 |
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 $109.65 Median $257.04 Typical High $575.44 | Facility | 52 · Reduced service | $109.65 | $257.04 | $575.44 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $43.65 Median $102.33 Typical High $229.09 | Facility | 53 · Discontinued | $43.65 | $102.33 | $229.09 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $158.49 Median $407.38 Typical High $851.14 | Facility | FX · Film X-ray | $158.49 | $407.38 | $851.14 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $100.00 Median $100.00 Typical High $575.44 | Professional | 52 · Reduced service | $100.00 | $100.00 | $575.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $39.81 Median $39.81 Typical High $234.42 | Professional | 53 · Discontinued | $39.81 | $39.81 | $234.42 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $158.49 Median $158.49 Typical High $302.00 | Professional | FX · Film X-ray | $158.49 | $158.49 | $302.00 |
Where Ohio sits
The same service costs 24.0 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
$219
VT $2,951UT $123
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.