How much rates vary
Facilitymedian $1,072 · 10th to 90th $575 to $1,862Professionalmedian $347 · 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 $575.44 Median $1,122.02 Typical High $1,995.26 | Facility | None | $575.44 | $1,122.02 | $1,995.26 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $117.49 Median $234.42 Typical High $288.40 | Facility | 26 · Professional part | $117.49 | $234.42 | $288.40 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $338.84 Median $630.96 Typical High $933.25 | Facility | TC · Technical part | $338.84 | $630.96 | $933.25 |
Aetna Setting Professional Modifier None (both parts) Typical Low $309.03 Median $416.87 Typical High $1,621.81 | Professional | None (both parts) | $309.03 | $416.87 | $1,621.81 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $87.10 Typical High $331.13 | Professional | 26 · Professional part | $85.11 | $87.10 | $331.13 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $223.87 Median $229.09 Typical High $758.58 | Professional | TC · Technical part | $223.87 | $229.09 | $758.58 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $61.66 Typical High $134.90 | Professional | 26 · Professional part | $61.66 | $61.66 | $134.90 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $338.84 Median $371.54 Typical High $630.96 | Professional | None (both parts) | $338.84 | $371.54 | $630.96 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $87.10 Typical High $141.25 | Professional | 26 · Professional part | $64.57 | $87.10 | $141.25 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $239.88 Median $281.84 Typical High $501.19 | Professional | TC · Technical part | $239.88 | $281.84 | $501.19 |
Aultcare Setting Professional Modifier None (both parts) Typical Low $323.59 Median $323.59 Typical High $346.74 | Professional | None (both parts) | $323.59 | $323.59 | $346.74 |
Cigna Setting Facility Modifier None Typical Low $630.96 Median $870.96 Typical High $1,348.96 | Facility | None | $630.96 | $870.96 | $1,348.96 |
Cigna Setting Professional Modifier None (both parts) Typical Low $309.03 Median $371.54 Typical High $977.24 | Professional | None (both parts) | $309.03 | $371.54 | $977.24 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $97.72 Typical High $169.82 | Professional | 26 · Professional part | $75.86 | $97.72 | $169.82 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $223.87 Median $275.42 Typical High $776.25 | Professional | TC · Technical part | $223.87 | $275.42 | $776.25 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $691.83 Median $1,071.52 Typical High $1,348.96 | Facility | None | $691.83 | $1,071.52 | $1,348.96 |
Medical Mutual of Ohio Setting Professional Modifier None (both parts) Typical Low $309.03 Median $371.54 Typical High $977.24 | Professional | None (both parts) | $309.03 | $371.54 | $977.24 |
Medical Mutual of Ohio Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $97.72 Typical High $162.18 | Professional | 26 · Professional part | $81.28 | $97.72 | $162.18 |
Medical Mutual of Ohio Setting Professional Modifier TC · Technical part Typical Low $223.87 Median $275.42 Typical High $776.25 | Professional | TC · Technical part | $223.87 | $275.42 | $776.25 |
Molina Setting Professional Modifier None (both parts) Typical Low $104.71 Median $257.04 Typical High $426.58 | Professional | None (both parts) | $104.71 | $257.04 | $426.58 |
SummaCare Setting Professional Modifier None (both parts) Typical Low $181.97 Median $199.53 Typical High $407.38 | Professional | None (both parts) | $181.97 | $199.53 | $407.38 |
SummaCare Setting Professional Modifier 26 · Professional part Typical Low $77.62 Median $85.11 Typical High $125.89 | Professional | 26 · Professional part | $77.62 | $85.11 | $125.89 |
SummaCare Setting Professional Modifier TC · Technical part Typical Low $107.15 Median $114.82 Typical High $234.42 | Professional | TC · Technical part | $107.15 | $114.82 | $234.42 |
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 $295.12 Median $446.68 Typical High $812.83 | Professional | None (both parts) | $295.12 | $446.68 | $812.83 |
United Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $89.13 Typical High $169.82 | Professional | 26 · Professional part | $57.54 | $89.13 | $169.82 |
United Setting Professional Modifier TC · Technical part Typical Low $213.80 Median $371.54 Typical High $602.56 | Professional | TC · Technical part | $213.80 | $371.54 | $602.56 |
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 $199.53 Median $457.09 Typical High $912.01 | Facility | 52 · Reduced service | $199.53 | $457.09 | $912.01 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $79.43 Median $186.21 Typical High $371.54 | Facility | 53 · Discontinued | $79.43 | $186.21 | $371.54 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $251.19 Median $741.31 Typical High $1,348.96 | Facility | FX · Film X-ray | $251.19 | $741.31 | $1,348.96 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $154.88 Median $154.88 Typical High $812.83 | Professional | 52 · Reduced service | $154.88 | $154.88 | $812.83 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $61.66 Median $61.66 Typical High $323.59 | Professional | 53 · Discontinued | $61.66 | $61.66 | $323.59 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $251.19 Median $251.19 Typical High $407.38 | Professional | FX · Film X-ray | $251.19 | $251.19 | $407.38 |
Where Ohio sits
The same service costs 5.6 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 $1,230UT $219
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.