How much rates vary
Facilitymedian $1,122 · 10th to 90th $794 to $1,995Professionalmedian $363 · 10th to 90th $123 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 $794.33 Median $1,122.02 Typical High $2,089.30 | Facility | None | $794.33 | $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 $489.78 Median $794.33 Typical High $1,096.48 | Facility | TC · Technical part | $489.78 | $794.33 | $1,096.48 |
Aetna Setting Professional Modifier None (both parts) Typical Low $354.81 Median $354.81 Typical High $1,318.26 | Professional | None (both parts) | $354.81 | $354.81 | $1,318.26 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $89.13 Median $89.13 Typical High $363.08 | Professional | 26 · Professional part | $89.13 | $89.13 | $363.08 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $269.15 Median $269.15 Typical High $891.25 | Professional | TC · Technical part | $269.15 | $269.15 | $891.25 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $338.84 Median $380.19 Typical High $660.69 | Professional | None (both parts) | $338.84 | $380.19 | $660.69 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $93.33 Typical High $154.88 | Professional | 26 · Professional part | $85.11 | $93.33 | $154.88 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $245.47 Median $281.84 Typical High $501.19 | Professional | TC · Technical part | $245.47 | $281.84 | $501.19 |
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 $1,096.48 | Professional | None (both parts) | $346.74 | $426.58 | $1,096.48 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $102.33 Typical High $186.21 | Professional | 26 · Professional part | $81.28 | $102.33 | $186.21 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $257.04 Median $323.59 Typical High $831.76 | Professional | TC · Technical part | $257.04 | $323.59 | $831.76 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $812.83 Median $1,258.93 Typical High $1,348.96 | Facility | None | $812.83 | $1,258.93 | $1,348.96 |
Medical Mutual of Ohio Setting Professional Modifier None (both parts) Typical Low $346.74 Median $426.58 Typical High $1,096.48 | Professional | None (both parts) | $346.74 | $426.58 | $1,096.48 |
Medical Mutual of Ohio Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $102.33 Typical High $169.82 | Professional | 26 · Professional part | $85.11 | $102.33 | $169.82 |
Medical Mutual of Ohio Setting Professional Modifier TC · Technical part Typical Low $257.04 Median $323.59 Typical High $831.76 | Professional | TC · Technical part | $257.04 | $323.59 | $831.76 |
Molina Setting Professional Modifier None (both parts) Typical Low $97.72 Median $275.42 Typical High $467.74 | Professional | None (both parts) | $97.72 | $275.42 | $467.74 |
SummaCare Setting Professional Modifier None (both parts) Typical Low $204.17 Median $323.59 Typical High $446.68 | Professional | None (both parts) | $204.17 | $323.59 | $446.68 |
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 $123.03 Median $134.90 Typical High $269.15 | Professional | TC · Technical part | $123.03 | $134.90 | $269.15 |
United Setting Professional Modifier None (both parts) Typical Low $331.13 Median $457.09 Typical High $776.25 | Professional | None (both parts) | $331.13 | $457.09 | $776.25 |
United Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $91.20 Typical High $173.78 | Professional | 26 · Professional part | $58.88 | $91.20 | $173.78 |
United Setting Professional Modifier TC · Technical part Typical Low $245.47 Median $354.81 Typical High $630.96 | Professional | TC · Technical part | $245.47 | $354.81 | $630.96 |
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 $398.11 Typical High $562.34 | Facility | 52 · Reduced service | $234.42 | $398.11 | $562.34 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $93.33 Median $158.49 Typical High $223.87 | Facility | 53 · Discontinued | $93.33 | $158.49 | $223.87 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $281.84 Median $645.65 Typical High $912.01 | Facility | FX · Film X-ray | $281.84 | $645.65 | $912.01 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $177.83 Median $177.83 Typical High $645.65 | Professional | 52 · Reduced service | $177.83 | $177.83 | $645.65 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $70.79 Median $70.79 Typical High $257.04 | Professional | 53 · Discontinued | $70.79 | $70.79 | $257.04 |
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 5.4 times more in Wyoming than in Texas. 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
$372
WY $1,380TX $257
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.