How much rates vary
Facilitymedian $794 · 10th to 90th $355 to $1,479Professionalmedian $245 · 10th to 90th $85 to $537
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 $309.03 Median $794.33 Typical High $1,905.46 | Facility | None | $309.03 | $794.33 | $1,905.46 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $77.62 Median $131.83 Typical High $245.47 | Facility | 26 · Professional part | $77.62 | $131.83 | $245.47 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $190.55 Median $446.68 Typical High $616.60 | Facility | TC · Technical part | $190.55 | $446.68 | $616.60 |
Aetna Setting Professional Modifier None (both parts) Typical Low $234.42 Median $398.11 Typical High $1,096.48 | Professional | None (both parts) | $234.42 | $398.11 | $1,096.48 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $72.44 Median $100.00 Typical High $245.47 | Professional | 26 · Professional part | $72.44 | $100.00 | $245.47 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $165.96 Median $223.87 Typical High $549.54 | Professional | TC · Technical part | $165.96 | $223.87 | $549.54 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $181.97 Median $181.97 Typical High $181.97 | Professional | None (both parts) | $181.97 | $181.97 | $181.97 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $81.28 Typical High $91.20 | Professional | 26 · Professional part | $52.48 | $81.28 | $91.20 |
Ambetter Setting Professional Modifier TC · Technical part Typical Low $125.89 Median $125.89 Typical High $125.89 | Professional | TC · Technical part | $125.89 | $125.89 | $125.89 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $269.15 Median $354.81 Typical High $602.56 | Professional | None (both parts) | $269.15 | $354.81 | $602.56 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $74.13 Typical High $117.49 | Professional | 26 · Professional part | $53.70 | $74.13 | $117.49 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $199.53 Median $281.84 Typical High $489.78 | Professional | TC · Technical part | $199.53 | $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 $426.58 Median $426.58 Typical High $426.58 | Professional | None (both parts) | $426.58 | $426.58 | $426.58 |
CareSource Setting Professional Modifier None (both parts) Typical Low $64.57 Median $151.36 Typical High $263.03 | Professional | None (both parts) | $64.57 | $151.36 | $263.03 |
Cigna Setting Facility Modifier None Typical Low $457.09 Median $630.96 Typical High $1,348.96 | Facility | None | $457.09 | $630.96 | $1,348.96 |
Cigna Setting Professional Modifier None (both parts) Typical Low $234.42 Median $281.84 Typical High $776.25 | Professional | None (both parts) | $234.42 | $281.84 | $776.25 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $83.18 Typical High $151.36 | Professional | 26 · Professional part | $64.57 | $83.18 | $151.36 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $162.18 Median $199.53 Typical High $588.84 | Professional | TC · Technical part | $162.18 | $199.53 | $588.84 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $501.19 Median $851.14 Typical High $1,445.44 | Facility | None | $501.19 | $851.14 | $1,445.44 |
Medical Mutual of Ohio Setting Professional Modifier None (both parts) Typical Low $234.42 Median $281.84 Typical High $794.33 | Professional | None (both parts) | $234.42 | $281.84 | $794.33 |
Medical Mutual of Ohio Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $102.33 Typical High $218.78 | Professional | 26 · Professional part | $69.18 | $102.33 | $218.78 |
Medical Mutual of Ohio Setting Professional Modifier TC · Technical part Typical Low $162.18 Median $199.53 Typical High $588.84 | Professional | TC · Technical part | $162.18 | $199.53 | $588.84 |
Molina Setting Professional Modifier None (both parts) Typical Low $67.61 Median $177.83 Typical High $288.40 | Professional | None (both parts) | $67.61 | $177.83 | $288.40 |
SummaCare Setting Professional Modifier None (both parts) Typical Low $141.25 Median $154.88 Typical High $338.84 | Professional | None (both parts) | $141.25 | $154.88 | $338.84 |
SummaCare Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $70.79 Typical High $123.03 | Professional | 26 · Professional part | $64.57 | $70.79 | $123.03 |
SummaCare Setting Professional Modifier TC · Technical part Typical Low $77.62 Median $85.11 Typical High $234.42 | Professional | TC · Technical part | $77.62 | $85.11 | $234.42 |
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 $223.87 Median $371.54 Typical High $630.96 | Professional | None (both parts) | $223.87 | $371.54 | $630.96 |
United Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $74.13 Typical High $141.25 | Professional | 26 · Professional part | $47.86 | $74.13 | $141.25 |
United Setting Professional Modifier TC · Technical part Typical Low $154.88 Median $281.84 Typical High $478.63 | Professional | TC · Technical part | $154.88 | $281.84 | $478.63 |
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 $144.54 Median $331.13 Typical High $575.44 | Facility | 52 · Reduced service | $144.54 | $331.13 | $575.44 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $57.54 Median $134.90 Typical High $229.09 | Facility | 53 · Discontinued | $57.54 | $134.90 | $229.09 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $190.55 Median $537.03 Typical High $851.14 | Facility | FX · Film X-ray | $190.55 | $537.03 | $851.14 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $117.49 Median $117.49 Typical High $562.34 | Professional | 52 · Reduced service | $117.49 | $117.49 | $562.34 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $47.86 Median $47.86 Typical High $223.87 | Professional | 53 · Discontinued | $47.86 | $47.86 | $223.87 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $190.55 Median $190.55 Typical High $338.84 | Professional | FX · Film X-ray | $190.55 | $190.55 | $338.84 |
Where Ohio sits
The same service costs 6.0 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· 47th of 51
$251
WY $912UT $151
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.