How much rates vary
Facilitymedian $1,148 · 10th to 90th $525 to $2,239Professionalmedian $372 · 10th to 90th $129 to $776
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 $416.87 Median $1,023.29 Typical High $1,905.46 | Facility | None | $416.87 | $1,023.29 | $1,905.46 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $107.15 Median $199.53 Typical High $371.54 | Facility | 26 · Professional part | $107.15 | $199.53 | $371.54 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $275.42 Median $575.44 Typical High $891.25 | Facility | TC · Technical part | $275.42 | $575.44 | $891.25 |
Aetna Setting Professional Modifier None (both parts) Typical Low $346.74 Median $478.63 Typical High $1,258.93 | Professional | None (both parts) | $346.74 | $478.63 | $1,258.93 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $107.15 Median $141.25 Typical High $363.08 | Professional | 26 · Professional part | $107.15 | $141.25 | $363.08 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $239.88 Median $302.00 Typical High $812.83 | Professional | TC · Technical part | $239.88 | $302.00 | $812.83 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $269.15 Median $269.15 Typical High $269.15 | Professional | None (both parts) | $269.15 | $269.15 | $269.15 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $165.96 Typical High $181.97 | Professional | 26 · Professional part | $79.43 | $165.96 | $181.97 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $371.54 Median $398.11 Typical High $691.83 | Professional | None (both parts) | $371.54 | $398.11 | $691.83 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $114.82 Typical High $181.97 | Professional | 26 · Professional part | $83.18 | $114.82 | $181.97 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $257.04 Median $281.84 Typical High $512.86 | Professional | TC · Technical part | $257.04 | $281.84 | $512.86 |
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 $363.08 Median $389.05 Typical High $630.96 | Professional | None (both parts) | $363.08 | $389.05 | $630.96 |
CareSource Setting Professional Modifier None (both parts) Typical Low $97.72 Median $223.87 Typical High $389.05 | Professional | None (both parts) | $97.72 | $223.87 | $389.05 |
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 $346.74 Median $416.87 Typical High $1,202.26 | Professional | None (both parts) | $346.74 | $416.87 | $1,202.26 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $100.00 Median $123.03 Typical High $223.87 | Professional | 26 · Professional part | $100.00 | $123.03 | $223.87 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $234.42 Median $295.12 Typical High $1,000.00 | Professional | TC · Technical part | $234.42 | $295.12 | $1,000.00 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $741.31 Median $1,348.96 Typical High $3,162.28 | Facility | None | $741.31 | $1,348.96 | $3,162.28 |
Medical Mutual of Ohio Setting Professional Modifier None (both parts) Typical Low $346.74 Median $457.09 Typical High $1,174.90 | Professional | None (both parts) | $346.74 | $457.09 | $1,174.90 |
Medical Mutual of Ohio Setting Professional Modifier 26 · Professional part Typical Low $102.33 Median $199.53 Typical High $323.59 | Professional | 26 · Professional part | $102.33 | $199.53 | $323.59 |
Medical Mutual of Ohio Setting Professional Modifier TC · Technical part Typical Low $245.47 Median $309.03 Typical High $933.25 | Professional | TC · Technical part | $245.47 | $309.03 | $933.25 |
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 $213.80 Median $239.88 Typical High $478.63 | Professional | None (both parts) | $213.80 | $239.88 | $478.63 |
SummaCare Setting Professional Modifier 26 · Professional part Typical Low $100.00 Median $114.82 Typical High $190.55 | Professional | 26 · Professional part | $100.00 | $114.82 | $190.55 |
SummaCare Setting Professional Modifier TC · Technical part Typical Low $112.20 Median $131.83 Typical High $389.05 | Professional | TC · Technical part | $112.20 | $131.83 | $389.05 |
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 $331.13 Median $524.81 Typical High $1,023.29 | Professional | None (both parts) | $331.13 | $524.81 | $1,023.29 |
United Setting Professional Modifier 26 · Professional part Typical Low $74.13 Median $112.20 Typical High $213.80 | Professional | 26 · Professional part | $74.13 | $112.20 | $213.80 |
United Setting Professional Modifier TC · Technical part Typical Low $229.09 Median $407.38 Typical High $870.96 | Professional | TC · Technical part | $229.09 | $407.38 | $870.96 |
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 $208.93 Median $489.78 Typical High $912.01 | Facility | 52 · Reduced service | $208.93 | $489.78 | $912.01 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $85.11 Median $194.98 Typical High $371.54 | Facility | 53 · Discontinued | $85.11 | $194.98 | $371.54 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $281.84 Median $776.25 Typical High $1,348.96 | Facility | FX · Film X-ray | $281.84 | $776.25 | $1,348.96 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $173.78 Median $173.78 Typical High $691.83 | Professional | 52 · Reduced service | $173.78 | $173.78 | $691.83 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $69.18 Median $69.18 Typical High $275.42 | Professional | 53 · Discontinued | $69.18 | $69.18 | $275.42 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $281.84 Median $281.84 Typical High $436.52 | Professional | FX · Film X-ray | $281.84 | $281.84 | $436.52 |
Where Ohio sits
The same service costs 5.8 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· 47th of 51
$380
WY $1,349UT $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.