How much rates vary
Facilitymedian $1,349 · 10th to 90th $724 to $1,995Professionalmedian $339 · 10th to 90th $126 to $631
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 $691.83 Median $1,445.44 Typical High $2,344.23 | Facility | None | $691.83 | $1,445.44 | $2,344.23 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $263.03 Median $724.44 Typical High $1,096.48 | Facility | TC · Technical part | $263.03 | $724.44 | $1,096.48 |
Aetna Setting Professional Modifier None (both parts) Typical Low $338.84 Median $338.84 Typical High $1,659.59 | Professional | None (both parts) | $338.84 | $338.84 | $1,659.59 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $79.43 Typical High $436.52 | Professional | 26 · Professional part | $79.43 | $79.43 | $436.52 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $263.03 Median $263.03 Typical High $870.96 | Professional | TC · Technical part | $263.03 | $263.03 | $870.96 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $316.23 Median $338.84 Typical High $588.84 | Professional | None (both parts) | $316.23 | $338.84 | $588.84 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $81.28 Typical High $131.83 | Professional | 26 · Professional part | $58.88 | $81.28 | $131.83 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $257.04 Median $263.03 Typical High $467.74 | Professional | TC · Technical part | $257.04 | $263.03 | $467.74 |
Cigna Setting Facility Modifier None Typical Low $724.44 Median $933.25 Typical High $1,348.96 | Facility | None | $724.44 | $933.25 | $1,348.96 |
Cigna Setting Professional Modifier None (both parts) Typical Low $338.84 Median $416.87 Typical High $1,047.13 | Professional | None (both parts) | $338.84 | $416.87 | $1,047.13 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $72.44 Median $93.33 Typical High $158.49 | Professional | 26 · Professional part | $72.44 | $93.33 | $158.49 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $257.04 Median $323.59 Typical High $812.83 | Professional | TC · Technical part | $257.04 | $323.59 | $812.83 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $794.33 Median $1,230.27 Typical High $1,348.96 | Facility | None | $794.33 | $1,230.27 | $1,348.96 |
Medical Mutual of Ohio Setting Professional Modifier None (both parts) Typical Low $338.84 Median $416.87 Typical High $1,047.13 | Professional | None (both parts) | $338.84 | $416.87 | $1,047.13 |
Medical Mutual of Ohio Setting Professional Modifier 26 · Professional part Typical Low $77.62 Median $93.33 Typical High $158.49 | Professional | 26 · Professional part | $77.62 | $93.33 | $158.49 |
Medical Mutual of Ohio Setting Professional Modifier TC · Technical part Typical Low $257.04 Median $323.59 Typical High $812.83 | Professional | TC · Technical part | $257.04 | $323.59 | $812.83 |
Molina Setting Professional Modifier None (both parts) Typical Low $104.71 Median $288.40 Typical High $478.63 | Professional | None (both parts) | $104.71 | $288.40 | $478.63 |
SummaCare Setting Professional Modifier None (both parts) Typical Low $194.98 Median $213.80 Typical High $426.58 | Professional | None (both parts) | $194.98 | $213.80 | $426.58 |
SummaCare Setting Professional Modifier 26 · Professional part Typical Low $72.44 Median $79.43 Typical High $117.49 | Professional | 26 · Professional part | $72.44 | $79.43 | $117.49 |
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 Facility Modifier None Typical Low $724.44 Median $831.76 Typical High $1,202.26 | Facility | None | $724.44 | $831.76 | $1,202.26 |
United Setting Professional Modifier None (both parts) Typical Low $323.59 Median $446.68 Typical High $758.58 | Professional | None (both parts) | $323.59 | $446.68 | $758.58 |
United Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $83.18 Typical High $158.49 | Professional | 26 · Professional part | $53.70 | $83.18 | $158.49 |
United Setting Professional Modifier TC · Technical part Typical Low $245.47 Median $363.08 Typical High $660.69 | Professional | TC · Technical part | $245.47 | $363.08 | $660.69 |
7 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 $229.09 Median $537.03 Typical High $912.01 | Facility | 52 · Reduced service | $229.09 | $537.03 | $912.01 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $91.20 Median $213.80 Typical High $371.54 | Facility | 53 · Discontinued | $91.20 | $213.80 | $371.54 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $275.42 Median $851.14 Typical High $1,348.96 | Facility | FX · Film X-ray | $275.42 | $851.14 | $1,348.96 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $169.82 Median $169.82 Typical High $831.76 | Professional | 52 · Reduced service | $169.82 | $169.82 | $831.76 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $67.61 Median $67.61 Typical High $331.13 | Professional | 53 · Discontinued | $67.61 | $67.61 | $331.13 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $275.42 Median $275.42 Typical High $446.68 | Professional | FX · Film X-ray | $275.42 | $275.42 | $446.68 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $478.63 Median $512.86 Typical High $851.14 | Professional | 50 · Both sides | $478.63 | $512.86 | $851.14 |
Where Ohio sits
The same service costs 5.4 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· 48th of 51
$347
WY $1,318UT $245
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.