How much rates vary
Facilitymedian $1,096 · 10th to 90th $513 to $2,692Professionalmedian $339 · 10th to 90th $126 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 $426.58 Median $1,096.48 Typical High $2,951.21 | Facility | None | $426.58 | $1,096.48 | $2,951.21 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $81.28 Median $147.91 Typical High $275.42 | Facility | 26 · Professional part | $81.28 | $147.91 | $275.42 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $281.84 Median $645.65 Typical High $891.25 | Facility | TC · Technical part | $281.84 | $645.65 | $891.25 |
Aetna Setting Professional Modifier None (both parts) Typical Low $323.59 Median $478.63 Typical High $1,584.89 | Professional | None (both parts) | $323.59 | $478.63 | $1,584.89 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $97.72 Typical High $275.42 | Professional | 26 · Professional part | $81.28 | $97.72 | $275.42 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $239.88 Median $281.84 Typical High $758.58 | Professional | TC · Technical part | $239.88 | $281.84 | $758.58 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $213.80 Median $245.47 Typical High $257.04 | Professional | None (both parts) | $213.80 | $245.47 | $257.04 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $123.03 Typical High $123.03 | Professional | 26 · Professional part | $58.88 | $123.03 | $123.03 |
Ambetter Setting Professional Modifier TC · Technical part Typical Low $186.21 Median $186.21 Typical High $186.21 | Professional | TC · Technical part | $186.21 | $186.21 | $186.21 |
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 $245.47 Median $257.04 Typical High $467.74 | Professional | TC · Technical part | $245.47 | $257.04 | $467.74 |
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 $380.19 Median $588.84 Typical High $588.84 | Professional | None (both parts) | $380.19 | $588.84 | $588.84 |
CareSource Setting Professional Modifier None (both parts) Typical Low $72.44 Median $223.87 Typical High $363.08 | Professional | None (both parts) | $72.44 | $223.87 | $363.08 |
Cigna Setting Facility Modifier None Typical Low $676.08 Median $891.25 Typical High $1,348.96 | Facility | None | $676.08 | $891.25 | $1,348.96 |
Cigna Setting Professional Modifier None (both parts) Typical Low $316.23 Median $389.05 Typical High $1,000.00 | Professional | None (both parts) | $316.23 | $389.05 | $1,000.00 |
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 $239.88 Median $295.12 Typical High $758.58 | Professional | TC · Technical part | $239.88 | $295.12 | $758.58 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $741.31 Median $1,288.25 Typical High $2,041.74 | Facility | None | $741.31 | $1,288.25 | $2,041.74 |
Medical Mutual of Ohio Setting Professional Modifier None (both parts) Typical Low $316.23 Median $389.05 Typical High $1,000.00 | Professional | None (both parts) | $316.23 | $389.05 | $1,000.00 |
Medical Mutual of Ohio Setting Professional Modifier 26 · Professional part Typical Low $77.62 Median $100.00 Typical High $229.09 | Professional | 26 · Professional part | $77.62 | $100.00 | $229.09 |
Medical Mutual of Ohio Setting Professional Modifier TC · Technical part Typical Low $239.88 Median $295.12 Typical High $758.58 | Professional | TC · Technical part | $239.88 | $295.12 | $758.58 |
Molina Setting Professional Modifier None (both parts) Typical Low $104.71 Median $269.15 Typical High $467.74 | Professional | None (both parts) | $104.71 | $269.15 | $467.74 |
SummaCare Setting Professional Modifier None (both parts) Typical Low $186.21 Median $218.78 Typical High $457.09 | Professional | None (both parts) | $186.21 | $218.78 | $457.09 |
SummaCare Setting Professional Modifier 26 · Professional part Typical Low $72.44 Median $85.11 Typical High $138.04 | Professional | 26 · Professional part | $72.44 | $85.11 | $138.04 |
SummaCare Setting Professional Modifier TC · Technical part Typical Low $114.82 Median $134.90 Typical High $331.13 | Professional | TC · Technical part | $114.82 | $134.90 | $331.13 |
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 $309.03 Median $416.87 Typical High $741.31 | Professional | None (both parts) | $309.03 | $416.87 | $741.31 |
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 $229.09 Median $354.81 Typical High $630.96 | Professional | TC · Technical part | $229.09 | $354.81 | $630.96 |
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 $213.80 Median $489.78 Typical High $1,778.28 | Facility | 52 · Reduced service | $213.80 | $489.78 | $1,778.28 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $85.11 Median $199.53 Typical High $707.95 | Facility | 53 · Discontinued | $85.11 | $199.53 | $707.95 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $257.04 Median $794.33 Typical High $2,630.27 | Facility | FX · Film X-ray | $257.04 | $794.33 | $2,630.27 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $162.18 Median $162.18 Typical High $812.83 | Professional | 52 · Reduced service | $162.18 | $162.18 | $812.83 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $64.57 Median $64.57 Typical High $323.59 | Professional | 53 · Discontinued | $64.57 | $64.57 | $323.59 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $257.04 Median $257.04 Typical High $426.58 | Professional | FX · Film X-ray | $257.04 | $257.04 | $426.58 |
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 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· 48th of 51
$339
WY $1,259TX $234
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.