How much rates vary
Facilitymedian $347 · 10th to 90th $240 to $1,096Professionalmedian $123 · 10th to 90th $85 to $214
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 $117.49 Median $346.74 Typical High $1,096.48 | Facility | None | $117.49 | $346.74 | $1,096.48 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $29.51 Median $81.28 Typical High $100.00 | Facility | 26 · Professional part | $29.51 | $81.28 | $100.00 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $104.71 Median $218.78 Typical High $302.00 | Facility | TC · Technical part | $104.71 | $218.78 | $302.00 |
Aetna Setting Professional Modifier None (both parts) Typical Low $102.33 Median $114.82 Typical High $354.81 | Professional | None (both parts) | $102.33 | $114.82 | $354.81 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $29.51 Typical High $104.71 | Professional | 26 · Professional part | $25.12 | $29.51 | $104.71 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $72.44 Typical High $251.19 | Professional | TC · Technical part | $72.44 | $72.44 | $251.19 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $91.20 Median $91.20 Typical High $91.20 | Professional | None (both parts) | $91.20 | $91.20 | $91.20 |
Anthem BCBS Setting Facility Modifier None Typical Low $870.96 Median $1,000.00 Typical High $1,174.90 | Facility | None | $870.96 | $1,000.00 | $1,174.90 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $104.71 Median $112.20 Typical High $194.98 | Professional | None (both parts) | $104.71 | $112.20 | $194.98 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $29.51 Typical High $50.12 | Professional | 26 · Professional part | $26.92 | $29.51 | $50.12 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $154.88 Median $169.82 Typical High $288.40 | Professional | 50 · Both sides | $154.88 | $169.82 | $288.40 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $77.62 Median $87.10 Typical High $144.54 | Professional | TC · Technical part | $77.62 | $87.10 | $144.54 |
Cigna Setting Facility Modifier None Typical Low $218.78 Median $281.84 Typical High $1,202.26 | Facility | None | $218.78 | $281.84 | $1,202.26 |
Cigna Setting Professional Modifier None (both parts) Typical Low $107.15 Median $125.89 Typical High $245.47 | Professional | None (both parts) | $107.15 | $125.89 | $245.47 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $33.88 Typical High $60.26 | Professional | 26 · Professional part | $26.30 | $33.88 | $60.26 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $95.50 Typical High $190.55 | Professional | TC · Technical part | $81.28 | $95.50 | $190.55 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $239.88 Median $281.84 Typical High $1,202.26 | Facility | None | $239.88 | $281.84 | $1,202.26 |
Medical Mutual of Ohio Setting Professional Modifier None (both parts) Typical Low $107.15 Median $123.03 Typical High $245.47 | Professional | None (both parts) | $107.15 | $123.03 | $245.47 |
Medical Mutual of Ohio Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $33.88 Typical High $61.66 | Professional | 26 · Professional part | $26.30 | $33.88 | $61.66 |
Medical Mutual of Ohio Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $95.50 Typical High $190.55 | Professional | TC · Technical part | $81.28 | $95.50 | $190.55 |
Molina Setting Professional Modifier None (both parts) Typical Low $44.67 Median $128.82 Typical High $199.53 | Professional | None (both parts) | $44.67 | $128.82 | $199.53 |
SummaCare Setting Professional Modifier None (both parts) Typical Low $114.82 Median $125.89 Typical High $199.53 | Professional | None (both parts) | $114.82 | $125.89 | $199.53 |
SummaCare Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $35.48 Typical High $48.98 | Professional | 26 · Professional part | $32.36 | $35.48 | $48.98 |
SummaCare Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $89.13 Typical High $151.36 | Professional | TC · Technical part | $81.28 | $89.13 | $151.36 |
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 $87.10 Median $125.89 Typical High $218.78 | Professional | None (both parts) | $87.10 | $125.89 | $218.78 |
United Setting Professional Modifier 26 · Professional part Typical Low $19.05 Median $29.51 Typical High $56.23 | Professional | 26 · Professional part | $19.05 | $29.51 | $56.23 |
United Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $100.00 Typical High $173.78 | Professional | TC · Technical part | $66.07 | $100.00 | $173.78 |
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 $58.88 Median $147.91 Typical High $549.54 | Facility | 52 · Reduced service | $58.88 | $147.91 | $549.54 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $23.44 Median $60.26 Typical High $218.78 | Facility | 53 · Discontinued | $23.44 | $60.26 | $218.78 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $81.28 Median $239.88 Typical High $812.83 | Facility | FX · Film X-ray | $81.28 | $239.88 | $812.83 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $51.29 Median $51.29 Typical High $169.82 | Professional | 52 · Reduced service | $51.29 | $51.29 | $169.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $20.42 Median $20.42 Typical High $67.61 | Professional | 53 · Discontinued | $20.42 | $20.42 | $67.61 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $81.28 Median $81.28 Typical High $117.49 | Professional | FX · Film X-ray | $81.28 | $81.28 | $117.49 |
Where Ohio sits
The same service costs 3.5 times more in Alaska 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· 44th of 51
$123
AK $355TX $100
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.