How much rates vary
Facilitymedian $490 · 10th to 90th $162 to $5,888Professionalmedian $135 · 10th to 90th $59 to $251
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 $3,981.07 Typical High $5,248.07 | Facility | None | $104.71 | $3,981.07 | $5,248.07 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $66.07 Median $181.97 Typical High $275.42 | Facility | TC · Technical part | $66.07 | $181.97 | $275.42 |
Aetna Setting Professional Modifier None (both parts) Typical Low $104.71 Median $104.71 Typical High $630.96 | Professional | None (both parts) | $104.71 | $104.71 | $630.96 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $38.02 Typical High $234.42 | Professional | 26 · Professional part | $38.02 | $38.02 | $234.42 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $66.07 Typical High $194.98 | Professional | TC · Technical part | $66.07 | $66.07 | $194.98 |
Anthem BCBS Setting Facility Modifier None Typical Low $4,073.80 Median $4,786.30 Typical High $5,623.41 | Facility | None | $4,073.80 | $4,786.30 | $5,623.41 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $125.89 Median $158.49 Typical High $269.15 | Professional | None (both parts) | $125.89 | $158.49 | $269.15 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $45.71 Typical High $74.13 | Professional | 26 · Professional part | $42.66 | $45.71 | $74.13 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $114.82 Typical High $186.21 | Professional | TC · Technical part | $81.28 | $114.82 | $186.21 |
Cigna Setting Facility Modifier None Typical Low $162.18 Median $234.42 Typical High $6,760.83 | Facility | None | $162.18 | $234.42 | $6,760.83 |
Cigna Setting Professional Modifier None (both parts) Typical Low $93.33 Median $131.83 Typical High $331.13 | Professional | None (both parts) | $93.33 | $131.83 | $331.13 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $45.71 Typical High $85.11 | Professional | 26 · Professional part | $37.15 | $45.71 | $85.11 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $54.95 Median $85.11 Typical High $229.09 | Professional | TC · Technical part | $54.95 | $85.11 | $229.09 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $162.18 Median $245.47 Typical High $6,760.83 | Facility | None | $162.18 | $245.47 | $6,760.83 |
Medical Mutual of Ohio Setting Professional Modifier None (both parts) Typical Low $93.33 Median $125.89 Typical High $338.84 | Professional | None (both parts) | $93.33 | $125.89 | $338.84 |
Medical Mutual of Ohio Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $44.67 Typical High $81.28 | Professional | 26 · Professional part | $38.90 | $44.67 | $81.28 |
Medical Mutual of Ohio Setting Professional Modifier TC · Technical part Typical Low $54.95 Median $81.28 Typical High $213.80 | Professional | TC · Technical part | $54.95 | $81.28 | $213.80 |
Molina Setting Professional Modifier None (both parts) Typical Low $43.65 Median $97.72 Typical High $190.55 | Professional | None (both parts) | $43.65 | $97.72 | $190.55 |
SummaCare Setting Professional Modifier None (both parts) Typical Low $120.23 Median $131.83 Typical High $194.98 | Professional | None (both parts) | $120.23 | $131.83 | $194.98 |
SummaCare Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $45.71 Typical High $64.57 | Professional | 26 · Professional part | $41.69 | $45.71 | $64.57 |
SummaCare Setting Professional Modifier TC · Technical part Typical Low $77.62 Median $85.11 Typical High $131.83 | Professional | TC · Technical part | $77.62 | $85.11 | $131.83 |
United Setting Facility Modifier None Typical Low $3,981.07 Median $4,677.35 Typical High $6,606.93 | Facility | None | $3,981.07 | $4,677.35 | $6,606.93 |
United Setting Professional Modifier None (both parts) Typical Low $93.33 Median $134.90 Typical High $316.23 | Professional | None (both parts) | $93.33 | $134.90 | $316.23 |
United Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $43.65 Typical High $79.43 | Professional | 26 · Professional part | $27.54 | $43.65 | $79.43 |
United Setting Professional Modifier TC · Technical part Typical Low $52.48 Median $87.10 Typical High $245.47 | Professional | TC · Technical part | $52.48 | $87.10 | $245.47 |
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 $57.54 Median $134.90 Typical High $2,630.27 | Facility | 52 · Reduced service | $57.54 | $134.90 | $2,630.27 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $22.91 Median $53.70 Typical High $1,047.13 | Facility | 53 · Discontinued | $22.91 | $53.70 | $1,047.13 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $83.18 Median $213.80 Typical High $3,890.45 | Facility | FX · Film X-ray | $83.18 | $213.80 | $3,890.45 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $52.48 Median $52.48 Typical High $316.23 | Professional | 52 · Reduced service | $52.48 | $52.48 | $316.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $20.89 Median $20.89 Typical High $125.89 | Professional | 53 · Discontinued | $20.89 | $20.89 | $125.89 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $83.18 Median $83.18 Typical High $91.20 | Professional | FX · Film X-ray | $83.18 | $83.18 | $91.20 |
Where Ohio sits
The same service costs 4.0 times more in Alaska than in Florida. 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· 34th of 51
$138
AK $339FL $85.11
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.