How much rates vary
Facilitymedian $871 · 10th to 90th $355 to $2,188Professionalmedian $234 · 10th to 90th $117 to $550
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 $251.19 Median $707.95 Typical High $1,905.46 | Facility | None | $251.19 | $707.95 | $1,905.46 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $67.61 Median $123.03 Typical High $229.09 | Facility | 26 · Professional part | $67.61 | $123.03 | $229.09 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $154.88 Median $323.59 Typical High $512.86 | Facility | TC · Technical part | $154.88 | $323.59 | $512.86 |
Aetna Setting Professional Modifier None (both parts) Typical Low $208.93 Median $371.54 Typical High $1,023.29 | Professional | None (both parts) | $208.93 | $371.54 | $1,023.29 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $100.00 Typical High $223.87 | Professional | 26 · Professional part | $67.61 | $100.00 | $223.87 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $141.25 Median $208.93 Typical High $478.63 | Professional | TC · Technical part | $141.25 | $208.93 | $478.63 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $151.36 Median $162.18 Typical High $186.21 | Professional | None (both parts) | $151.36 | $162.18 | $186.21 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $79.43 Typical High $107.15 | Professional | 26 · Professional part | $48.98 | $79.43 | $107.15 |
Ambetter Setting Professional Modifier TC · Technical part Typical Low $93.33 Median $107.15 Typical High $109.65 | Professional | TC · Technical part | $93.33 | $107.15 | $109.65 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $239.88 Median $331.13 Typical High $588.84 | Professional | None (both parts) | $239.88 | $331.13 | $588.84 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $69.18 Typical High $117.49 | Professional | 26 · Professional part | $66.07 | $69.18 | $117.49 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $177.83 Median $257.04 Typical High $416.87 | Professional | TC · Technical part | $177.83 | $257.04 | $416.87 |
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 $218.78 Median $234.42 Typical High $389.05 | Professional | None (both parts) | $218.78 | $234.42 | $389.05 |
CareSource Setting Professional Modifier None (both parts) Typical Low $60.26 Median $134.90 Typical High $234.42 | Professional | None (both parts) | $60.26 | $134.90 | $234.42 |
Cigna Setting Facility Modifier None Typical Low $398.11 Median $549.54 Typical High $1,348.96 | Facility | None | $398.11 | $549.54 | $1,348.96 |
Cigna Setting Professional Modifier None (both parts) Typical Low $204.17 Median $251.19 Typical High $676.08 | Professional | None (both parts) | $204.17 | $251.19 | $676.08 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $75.86 Typical High $151.36 | Professional | 26 · Professional part | $60.26 | $75.86 | $151.36 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $141.25 Median $169.82 Typical High $549.54 | Professional | TC · Technical part | $141.25 | $169.82 | $549.54 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $478.63 Median $1,258.93 Typical High $2,691.53 | Facility | None | $478.63 | $1,258.93 | $2,691.53 |
Medical Mutual of Ohio Setting Professional Modifier None (both parts) Typical Low $173.78 Median $251.19 Typical High $660.69 | Professional | None (both parts) | $173.78 | $251.19 | $660.69 |
Medical Mutual of Ohio Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $128.82 Typical High $204.17 | Professional | 26 · Professional part | $63.10 | $128.82 | $204.17 |
Medical Mutual of Ohio Setting Professional Modifier TC · Technical part Typical Low $141.25 Median $169.82 Typical High $549.54 | Professional | TC · Technical part | $141.25 | $169.82 | $549.54 |
Molina Setting Professional Modifier None (both parts) Typical Low $46.77 Median $177.83 Typical High $288.40 | Professional | None (both parts) | $46.77 | $177.83 | $288.40 |
SummaCare Setting Professional Modifier None (both parts) Typical Low $128.82 Median $169.82 Typical High $346.74 | Professional | None (both parts) | $128.82 | $169.82 | $346.74 |
SummaCare Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $75.86 Typical High $109.65 | Professional | 26 · Professional part | $61.66 | $75.86 | $109.65 |
SummaCare Setting Professional Modifier TC · Technical part Typical Low $67.61 Median $89.13 Typical High $223.87 | Professional | TC · Technical part | $67.61 | $89.13 | $223.87 |
United Setting Facility Modifier None Typical Low $489.78 Median $575.44 Typical High $812.83 | Facility | None | $489.78 | $575.44 | $812.83 |
United Setting Professional Modifier None (both parts) Typical Low $194.98 Median $288.40 Typical High $562.34 | Professional | None (both parts) | $194.98 | $288.40 | $562.34 |
United Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $69.18 Typical High $131.83 | Professional | 26 · Professional part | $44.67 | $69.18 | $131.83 |
United Setting Professional Modifier TC · Technical part Typical Low $131.83 Median $223.87 Typical High $457.09 | Professional | TC · Technical part | $131.83 | $223.87 | $457.09 |
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 $123.03 Median $288.40 Typical High $575.44 | Facility | 52 · Reduced service | $123.03 | $288.40 | $575.44 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $50.12 Median $114.82 Typical High $229.09 | Facility | 53 · Discontinued | $50.12 | $114.82 | $229.09 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $165.96 Median $457.09 Typical High $851.14 | Facility | FX · Film X-ray | $165.96 | $457.09 | $851.14 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $104.71 Median $104.71 Typical High $512.86 | Professional | 52 · Reduced service | $104.71 | $104.71 | $512.86 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $41.69 Median $41.69 Typical High $208.93 | Professional | 53 · Discontinued | $41.69 | $41.69 | $208.93 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $165.96 Median $165.96 Typical High $316.23 | Professional | FX · Film X-ray | $165.96 | $165.96 | $316.23 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $363.08 Median $489.78 Typical High $812.83 | Professional | 50 · Both sides | $363.08 | $489.78 | $812.83 |
Where Ohio sits
The same service costs 13.5 times more in Vermont 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· 46th of 51
$245
VT $2,089UT $155
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.