How much rates vary
Facilitymedian $1,023 · 10th to 90th $631 to $1,905Professionalmedian $372 · 10th to 90th $123 to $617
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 $630.96 Median $1,023.29 Typical High $1,995.26 | Facility | None | $630.96 | $1,023.29 | $1,995.26 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $104.71 Median $245.47 Typical High $295.12 | Facility | 26 · Professional part | $104.71 | $245.47 | $295.12 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $338.84 Median $707.95 Typical High $1,047.13 | Facility | TC · Technical part | $338.84 | $707.95 | $1,047.13 |
Aetna Setting Professional Modifier None (both parts) Typical Low $346.74 Median $478.63 Typical High $1,548.82 | Professional | None (both parts) | $346.74 | $478.63 | $1,548.82 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $87.10 Median $112.20 Typical High $295.12 | Professional | 26 · Professional part | $87.10 | $112.20 | $295.12 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $257.04 Median $302.00 Typical High $776.25 | Professional | TC · Technical part | $257.04 | $302.00 | $776.25 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $100.00 Median $100.00 Typical High $100.00 | Professional | 26 · Professional part | $100.00 | $100.00 | $100.00 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $371.54 Median $380.19 Typical High $645.65 | Professional | None (both parts) | $371.54 | $380.19 | $645.65 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $89.13 Median $93.33 Typical High $154.88 | Professional | 26 · Professional part | $89.13 | $93.33 | $154.88 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $263.03 Median $281.84 Typical High $512.86 | Professional | TC · Technical part | $263.03 | $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 |
Cigna Setting Facility Modifier None Typical Low $724.44 Median $933.25 Typical High $1,348.96 | Facility | None | $724.44 | $933.25 | $1,348.96 |
Cigna Setting Professional Modifier None (both parts) Typical Low $346.74 Median $416.87 Typical High $1,023.29 | Professional | None (both parts) | $346.74 | $416.87 | $1,023.29 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $100.00 Typical High $186.21 | Professional | 26 · Professional part | $79.43 | $100.00 | $186.21 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $257.04 Median $309.03 Typical High $794.33 | Professional | TC · Technical part | $257.04 | $309.03 | $794.33 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $794.33 Median $1,122.02 Typical High $1,348.96 | Facility | None | $794.33 | $1,122.02 | $1,348.96 |
Medical Mutual of Ohio Setting Professional Modifier None (both parts) Typical Low $346.74 Median $416.87 Typical High $1,023.29 | Professional | None (both parts) | $346.74 | $416.87 | $1,023.29 |
Medical Mutual of Ohio Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $104.71 Typical High $251.19 | Professional | 26 · Professional part | $83.18 | $104.71 | $251.19 |
Medical Mutual of Ohio Setting Professional Modifier TC · Technical part Typical Low $257.04 Median $309.03 Typical High $794.33 | Professional | TC · Technical part | $257.04 | $309.03 | $794.33 |
Molina Setting Professional Modifier None (both parts) Typical Low $97.72 Median $275.42 Typical High $467.74 | Professional | None (both parts) | $97.72 | $275.42 | $467.74 |
SummaCare Setting Professional Modifier None (both parts) Typical Low $204.17 Median $323.59 Typical High $446.68 | Professional | None (both parts) | $204.17 | $323.59 | $446.68 |
SummaCare Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $89.13 Typical High $131.83 | Professional | 26 · Professional part | $81.28 | $89.13 | $131.83 |
SummaCare Setting Professional Modifier TC · Technical part Typical Low $120.23 Median $131.83 Typical High $269.15 | Professional | TC · Technical part | $120.23 | $131.83 | $269.15 |
United Setting Professional Modifier None (both parts) Typical Low $323.59 Median $436.52 Typical High $741.31 | Professional | None (both parts) | $323.59 | $436.52 | $741.31 |
United Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $89.13 Typical High $173.78 | Professional | 26 · Professional part | $60.26 | $89.13 | $173.78 |
United Setting Professional Modifier TC · Technical part Typical Low $239.88 Median $346.74 Typical High $616.60 | Professional | TC · Technical part | $239.88 | $346.74 | $616.60 |
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 $223.87 Median $389.05 Typical High $549.54 | Facility | 52 · Reduced service | $223.87 | $389.05 | $549.54 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $91.20 Median $154.88 Typical High $218.78 | Facility | 53 · Discontinued | $91.20 | $154.88 | $218.78 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $275.42 Median $616.60 Typical High $870.96 | Facility | FX · Film X-ray | $275.42 | $616.60 | $870.96 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $173.78 Median $173.78 Typical High $831.76 | Professional | 52 · Reduced service | $173.78 | $173.78 | $831.76 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $69.18 Median $69.18 Typical High $331.13 | Professional | 53 · Discontinued | $69.18 | $69.18 | $331.13 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $275.42 Median $275.42 Typical High $446.68 | Professional | FX · Film X-ray | $275.42 | $275.42 | $446.68 |
Where Ohio sits
The same service costs 5.2 times more in Wyoming 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· 47th of 51
$372
WY $1,349TX $257
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.