How much rates vary
Facilitymedian $324 · 10th to 90th $158 to $603Professionalmedian $71 · 10th to 90th $45 to $117
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 $77.62 Median $407.38 Typical High $537.03 | Facility | None | $77.62 | $407.38 | $537.03 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $63.10 Median $173.78 Typical High $269.15 | Facility | TC · Technical part | $63.10 | $173.78 | $269.15 |
Aetna Setting Professional Modifier None (both parts) Typical Low $77.62 Median $77.62 Typical High $234.42 | Professional | None (both parts) | $77.62 | $77.62 | $234.42 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $14.79 Median $14.79 Typical High $52.48 | Professional | 26 · Professional part | $14.79 | $14.79 | $52.48 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $63.10 Typical High $114.82 | Professional | TC · Technical part | $63.10 | $63.10 | $114.82 |
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 $35.48 Median $46.77 Typical High $95.50 | Professional | None (both parts) | $35.48 | $46.77 | $95.50 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $14.45 Median $16.98 Typical High $27.54 | Professional | 26 · Professional part | $14.45 | $16.98 | $27.54 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $21.88 Median $30.20 Typical High $77.62 | Professional | TC · Technical part | $21.88 | $30.20 | $77.62 |
Cigna Setting Facility Modifier None Typical Low $158.49 Median $223.87 Typical High $602.56 | Facility | None | $158.49 | $223.87 | $602.56 |
Cigna Setting Professional Modifier None (both parts) Typical Low $64.57 Median $79.43 Typical High $147.91 | Professional | None (both parts) | $64.57 | $79.43 | $147.91 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $14.45 Median $17.38 Typical High $31.62 | Professional | 26 · Professional part | $14.45 | $17.38 | $31.62 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $48.98 Median $63.10 Typical High $125.89 | Professional | TC · Technical part | $48.98 | $63.10 | $125.89 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $158.49 Median $234.42 Typical High $602.56 | Facility | None | $158.49 | $234.42 | $602.56 |
Medical Mutual of Ohio Setting Professional Modifier None (both parts) Typical Low $64.57 Median $75.86 Typical High $147.91 | Professional | None (both parts) | $64.57 | $75.86 | $147.91 |
Medical Mutual of Ohio Setting Professional Modifier 26 · Professional part Typical Low $14.45 Median $16.60 Typical High $30.20 | Professional | 26 · Professional part | $14.45 | $16.60 | $30.20 |
Medical Mutual of Ohio Setting Professional Modifier TC · Technical part Typical Low $53.70 Median $63.10 Typical High $125.89 | Professional | TC · Technical part | $53.70 | $63.10 | $125.89 |
Molina Setting Professional Modifier None (both parts) Typical Low $52.48 Median $77.62 Typical High $109.65 | Professional | None (both parts) | $52.48 | $77.62 | $109.65 |
SummaCare Setting Professional Modifier None (both parts) Typical Low $79.43 Median $87.10 Typical High $120.23 | Professional | None (both parts) | $79.43 | $87.10 | $120.23 |
SummaCare Setting Professional Modifier 26 · Professional part Typical Low $15.14 Median $16.60 Typical High $23.99 | Professional | 26 · Professional part | $15.14 | $16.60 | $23.99 |
SummaCare Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $69.18 Typical High $95.50 | Professional | TC · Technical part | $63.10 | $69.18 | $95.50 |
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 $40.74 Median $77.62 Typical High $138.04 | Professional | None (both parts) | $40.74 | $77.62 | $138.04 |
United Setting Professional Modifier 26 · Professional part Typical Low $10.47 Median $16.22 Typical High $30.20 | Professional | 26 · Professional part | $10.47 | $16.22 | $30.20 |
United Setting Professional Modifier TC · Technical part Typical Low $28.84 Median $60.26 Typical High $120.23 | Professional | TC · Technical part | $28.84 | $60.26 | $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 $44.67 Median $117.49 Typical High $269.15 | Facility | 52 · Reduced service | $44.67 | $117.49 | $269.15 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $18.20 Median $47.86 Typical High $107.15 | Facility | 53 · Discontinued | $18.20 | $47.86 | $107.15 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $63.10 Median $208.93 Typical High $389.05 | Facility | FX · Film X-ray | $63.10 | $208.93 | $389.05 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $38.90 Median $38.90 Typical High $123.03 | Professional | 52 · Reduced service | $38.90 | $38.90 | $123.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $15.85 Median $15.85 Typical High $50.12 | Professional | 53 · Discontinued | $15.85 | $15.85 | $50.12 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $63.10 Median $63.10 Typical High $72.44 | Professional | FX · Film X-ray | $63.10 | $63.10 | $72.44 |
Where Ohio sits
The same service costs 4.3 times more in Alaska than in Kentucky. 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· 45th of 51
$72.44
AK $251KY $58.88
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.