How much rates vary
Facilitymedian $263 · 10th to 90th $132 to $562Professionalmedian $89 · 10th to 90th $55 to $155
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 $102.33 Median $251.19 Typical High $489.78 | Facility | None | $102.33 | $251.19 | $489.78 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $28.18 Median $52.48 Typical High $112.20 | Facility | 26 · Professional part | $28.18 | $52.48 | $112.20 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $72.44 Median $158.49 Typical High $213.80 | Facility | TC · Technical part | $72.44 | $158.49 | $213.80 |
Aetna Setting Professional Modifier None (both parts) Typical Low $89.13 Median $95.50 Typical High $257.04 | Professional | None (both parts) | $89.13 | $95.50 | $257.04 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $27.54 Typical High $93.33 | Professional | 26 · Professional part | $23.44 | $27.54 | $93.33 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $63.10 Typical High $186.21 | Professional | TC · Technical part | $61.66 | $63.10 | $186.21 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $128.82 Median $128.82 Typical High $128.82 | Professional | None (both parts) | $128.82 | $128.82 | $128.82 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $38.02 Typical High $50.12 | Professional | 26 · Professional part | $21.88 | $38.02 | $50.12 |
Anthem BCBS Setting Facility Modifier None Typical Low $416.87 Median $489.78 Typical High $575.44 | Facility | None | $416.87 | $489.78 | $575.44 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $58.88 Median $69.18 Typical High $125.89 | Professional | None (both parts) | $58.88 | $69.18 | $125.89 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $24.55 Typical High $43.65 | Professional | 26 · Professional part | $22.91 | $24.55 | $43.65 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $38.02 Median $48.98 Typical High $85.11 | Professional | TC · Technical part | $38.02 | $48.98 | $85.11 |
Aultcare Setting Professional Modifier None (both parts) Typical Low $102.33 Median $102.33 Typical High $177.83 | Professional | None (both parts) | $102.33 | $102.33 | $177.83 |
CareSource Setting Professional Modifier None (both parts) Typical Low $26.92 Median $63.10 Typical High $109.65 | Professional | None (both parts) | $26.92 | $63.10 | $109.65 |
Cigna Setting Facility Modifier None Typical Low $190.55 Median $223.87 Typical High $602.56 | Facility | None | $190.55 | $223.87 | $602.56 |
Cigna Setting Professional Modifier None (both parts) Typical Low $77.62 Median $97.72 Typical High $181.97 | Professional | None (both parts) | $77.62 | $97.72 | $181.97 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $29.51 Typical High $52.48 | Professional | 26 · Professional part | $23.44 | $29.51 | $52.48 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $54.95 Median $67.61 Typical High $128.82 | Professional | TC · Technical part | $54.95 | $67.61 | $128.82 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $199.53 Median $363.08 Typical High $691.83 | Facility | None | $199.53 | $363.08 | $691.83 |
Medical Mutual of Ohio Setting Professional Modifier None (both parts) Typical Low $79.43 Median $95.50 Typical High $181.97 | Professional | None (both parts) | $79.43 | $95.50 | $181.97 |
Medical Mutual of Ohio Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $37.15 Typical High $97.72 | Professional | 26 · Professional part | $26.92 | $37.15 | $97.72 |
Medical Mutual of Ohio Setting Professional Modifier TC · Technical part Typical Low $56.23 Median $66.07 Typical High $128.82 | Professional | TC · Technical part | $56.23 | $66.07 | $128.82 |
Molina Setting Professional Modifier None (both parts) Typical Low $43.65 Median $89.13 Typical High $144.54 | Professional | None (both parts) | $43.65 | $89.13 | $144.54 |
SummaCare Setting Professional Modifier None (both parts) Typical Low $91.20 Median $107.15 Typical High $158.49 | Professional | None (both parts) | $91.20 | $107.15 | $158.49 |
SummaCare Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $31.62 Typical High $48.98 | Professional | 26 · Professional part | $28.18 | $31.62 | $48.98 |
SummaCare Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $74.13 Typical High $109.65 | Professional | TC · Technical part | $63.10 | $74.13 | $109.65 |
United Setting Facility Modifier None Typical Low $363.08 Median $416.87 Typical High $602.56 | Facility | None | $363.08 | $416.87 | $602.56 |
United Setting Professional Modifier None (both parts) Typical Low $63.10 Median $93.33 Typical High $169.82 | Professional | None (both parts) | $63.10 | $93.33 | $169.82 |
United Setting Professional Modifier 26 · Professional part Typical Low $17.78 Median $28.18 Typical High $53.70 | Professional | 26 · Professional part | $17.78 | $28.18 | $53.70 |
United Setting Professional Modifier TC · Technical part Typical Low $39.81 Median $63.10 Typical High $120.23 | Professional | TC · Technical part | $39.81 | $63.10 | $120.23 |
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 $52.48 Median $112.20 Typical High $269.15 | Facility | 52 · Reduced service | $52.48 | $112.20 | $269.15 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $20.89 Median $44.67 Typical High $107.15 | Facility | 53 · Discontinued | $20.89 | $44.67 | $107.15 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $72.44 Median $204.17 Typical High $389.05 | Facility | FX · Film X-ray | $72.44 | $204.17 | $389.05 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $45.71 Median $45.71 Typical High $114.82 | Professional | 52 · Reduced service | $45.71 | $45.71 | $114.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $18.20 Median $18.20 Typical High $46.77 | Professional | 53 · Discontinued | $18.20 | $18.20 | $46.77 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $72.44 Median $72.44 Typical High $83.18 | Professional | FX · Film X-ray | $72.44 | $72.44 | $83.18 |
Where Ohio sits
The same service costs 3.8 times more in Alaska 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· 42nd of 51
$91.20
AK $282UT $74.13
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.