How much rates vary
Facilitymedian $490 · 10th to 90th $214 to $1,202Professionalmedian $117 · 10th to 90th $78 to $200
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 $831.76 Typical High $1,096.48 | Facility | None | $117.49 | $831.76 | $1,096.48 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $91.20 Median $251.19 Typical High $389.05 | Facility | TC · Technical part | $91.20 | $251.19 | $389.05 |
Aetna Setting Professional Modifier None (both parts) Typical Low $117.49 Median $117.49 Typical High $213.80 | Professional | None (both parts) | $117.49 | $117.49 | $213.80 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $26.30 Typical High $54.95 | Professional | 26 · Professional part | $26.30 | $26.30 | $54.95 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $91.20 Typical High $131.83 | Professional | TC · Technical part | $91.20 | $91.20 | $131.83 |
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 $87.10 Median $95.50 Typical High $177.83 | Professional | None (both parts) | $87.10 | $95.50 | $177.83 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $29.51 Typical High $48.98 | Professional | 26 · Professional part | $26.92 | $29.51 | $48.98 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $131.83 Median $147.91 Typical High $263.03 | Professional | 50 · Both sides | $131.83 | $147.91 | $263.03 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $69.18 Typical High $134.90 | Professional | TC · Technical part | $60.26 | $69.18 | $134.90 |
Cigna Setting Facility Modifier None Typical Low $218.78 Median $323.59 Typical High $1,202.26 | Facility | None | $218.78 | $323.59 | $1,202.26 |
Cigna Setting Professional Modifier None (both parts) Typical Low $102.33 Median $128.82 Typical High $234.42 | Professional | None (both parts) | $102.33 | $128.82 | $234.42 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $30.90 Typical High $56.23 | Professional | 26 · Professional part | $25.70 | $30.90 | $56.23 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $97.72 Typical High $181.97 | Professional | TC · Technical part | $79.43 | $97.72 | $181.97 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $218.78 Median $338.84 Typical High $1,202.26 | Facility | None | $218.78 | $338.84 | $1,202.26 |
Medical Mutual of Ohio Setting Professional Modifier None (both parts) Typical Low $102.33 Median $128.82 Typical High $229.09 | Professional | None (both parts) | $102.33 | $128.82 | $229.09 |
Medical Mutual of Ohio Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $30.20 Typical High $56.23 | Professional | 26 · Professional part | $26.30 | $30.20 | $56.23 |
Medical Mutual of Ohio Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $97.72 Typical High $186.21 | Professional | TC · Technical part | $79.43 | $97.72 | $186.21 |
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 $128.82 Median $141.25 Typical High $194.98 | Professional | None (both parts) | $128.82 | $141.25 | $194.98 |
SummaCare Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $31.62 Typical High $43.65 | Professional | 26 · Professional part | $28.84 | $31.62 | $43.65 |
SummaCare Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $109.65 Typical High $151.36 | Professional | TC · Technical part | $100.00 | $109.65 | $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 $79.43 Median $123.03 Typical High $213.80 | Professional | None (both parts) | $79.43 | $123.03 | $213.80 |
United Setting Professional Modifier 26 · Professional part Typical Low $19.05 Median $29.51 Typical High $53.70 | Professional | 26 · Professional part | $19.05 | $29.51 | $53.70 |
United Setting Professional Modifier TC · Technical part Typical Low $56.23 Median $91.20 Typical High $177.83 | Professional | TC · Technical part | $56.23 | $91.20 | $177.83 |
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 $67.61 Median $138.04 Typical High $549.54 | Facility | 52 · Reduced service | $67.61 | $138.04 | $549.54 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $26.92 Median $54.95 Typical High $218.78 | Facility | 53 · Discontinued | $26.92 | $54.95 | $218.78 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $95.50 Median $302.00 Typical High $812.83 | Facility | FX · Film X-ray | $95.50 | $302.00 | $812.83 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $58.88 Median $58.88 Typical High $120.23 | Professional | 52 · Reduced service | $58.88 | $58.88 | $120.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $23.44 Median $23.44 Typical High $47.86 | Professional | 53 · Discontinued | $23.44 | $23.44 | $47.86 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $95.50 Median $95.50 Typical High $112.20 | Professional | FX · Film X-ray | $95.50 | $95.50 | $112.20 |
Where Ohio sits
The same service costs 3.9 times more in Alaska than in New York. 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· 45th of 51
$117
AK $380NY $97.72
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.