How much rates vary
Facilitymedian $490 · 10th to 90th $191 to $2,512Professionalmedian $120 · 10th to 90th $60 to $219
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 $104.71 Median $1,621.81 Typical High $2,137.96 | Facility | None | $104.71 | $1,621.81 | $2,137.96 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $63.10 Median $173.78 Typical High $263.03 | Facility | TC · Technical part | $63.10 | $173.78 | $263.03 |
Aetna Setting Professional Modifier None (both parts) Typical Low $104.71 Median $104.71 Typical High $575.44 | Professional | None (both parts) | $104.71 | $104.71 | $575.44 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $41.69 Typical High $275.42 | Professional | 26 · Professional part | $41.69 | $41.69 | $275.42 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $63.10 Typical High $85.11 | Professional | TC · Technical part | $63.10 | $63.10 | $85.11 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,659.59 Median $1,949.84 Typical High $2,290.87 | Facility | None | $1,659.59 | $1,949.84 | $2,290.87 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $131.83 Median $154.88 Typical High $263.03 | Professional | None (both parts) | $131.83 | $154.88 | $263.03 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $47.86 Typical High $79.43 | Professional | 26 · Professional part | $44.67 | $47.86 | $79.43 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $77.62 Median $107.15 Typical High $173.78 | Professional | TC · Technical part | $77.62 | $107.15 | $173.78 |
Cigna Setting Facility Modifier None Typical Low $190.55 Median $245.47 Typical High $2,691.53 | Facility | None | $190.55 | $245.47 | $2,691.53 |
Cigna Setting Professional Modifier None (both parts) Typical Low $95.50 Median $125.89 Typical High $309.03 | Professional | None (both parts) | $95.50 | $125.89 | $309.03 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $48.98 Typical High $89.13 | Professional | 26 · Professional part | $41.69 | $48.98 | $89.13 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $54.95 Median $75.86 Typical High $204.17 | Professional | TC · Technical part | $54.95 | $75.86 | $204.17 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $208.93 Median $245.47 Typical High $2,691.53 | Facility | None | $208.93 | $245.47 | $2,691.53 |
Medical Mutual of Ohio Setting Professional Modifier None (both parts) Typical Low $97.72 Median $120.23 Typical High $323.59 | Professional | None (both parts) | $97.72 | $120.23 | $323.59 |
Medical Mutual of Ohio Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $48.98 Typical High $87.10 | Professional | 26 · Professional part | $41.69 | $48.98 | $87.10 |
Medical Mutual of Ohio Setting Professional Modifier TC · Technical part Typical Low $56.23 Median $72.44 Typical High $199.53 | Professional | TC · Technical part | $56.23 | $72.44 | $199.53 |
Molina Setting Professional Modifier None (both parts) Typical Low $43.65 Median $89.13 Typical High $144.54 | Professional | None (both parts) | $43.65 | $89.13 | $144.54 |
SummaCare Setting Professional Modifier None (both parts) Typical Low $109.65 Median $120.23 Typical High $208.93 | Professional | None (both parts) | $109.65 | $120.23 | $208.93 |
SummaCare Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $48.98 Typical High $69.18 | Professional | 26 · Professional part | $44.67 | $48.98 | $69.18 |
SummaCare Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $72.44 Typical High $131.83 | Professional | TC · Technical part | $66.07 | $72.44 | $131.83 |
United Setting Facility Modifier None Typical Low $1,621.81 Median $1,862.09 Typical High $2,691.53 | Facility | None | $1,621.81 | $1,862.09 | $2,691.53 |
United Setting Professional Modifier None (both parts) Typical Low $93.33 Median $128.82 Typical High $257.04 | Professional | None (both parts) | $93.33 | $128.82 | $257.04 |
United Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $46.77 Typical High $87.10 | Professional | 26 · Professional part | $30.20 | $46.77 | $87.10 |
United Setting Professional Modifier TC · Technical part Typical Low $52.48 Median $89.13 Typical High $181.97 | Professional | TC · Technical part | $52.48 | $89.13 | $181.97 |
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 $54.95 Median $128.82 Typical High $1,071.52 | Facility | 52 · Reduced service | $54.95 | $128.82 | $1,071.52 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $21.88 Median $51.29 Typical High $426.58 | Facility | 53 · Discontinued | $21.88 | $51.29 | $426.58 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $83.18 Median $204.17 Typical High $1,584.89 | Facility | FX · Film X-ray | $83.18 | $204.17 | $1,584.89 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $52.48 Median $52.48 Typical High $288.40 | Professional | 52 · Reduced service | $52.48 | $52.48 | $288.40 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $20.89 Median $20.89 Typical High $117.49 | Professional | 53 · Discontinued | $20.89 | $20.89 | $117.49 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $83.18 Median $83.18 Typical High $95.50 | Professional | FX · Film X-ray | $83.18 | $83.18 | $95.50 |
Where Ohio sits
The same service costs 4.6 times more in Alaska 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· 43rd of 51
$120
AK $347UT $75.86
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.