How much rates vary
Facilitymedian $251 · 10th to 90th $91 to $589Professionalmedian $155 · 10th to 90th $91 to $240
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 $91.20 Median $251.19 Typical High $562.34 | Facility | None | $91.20 | $251.19 | $562.34 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $26.30 Median $87.10 Typical High $151.36 | Facility | 26 · Professional part | $26.30 | $87.10 | $151.36 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $75.86 Median $181.97 Typical High $281.84 | Facility | TC · Technical part | $75.86 | $181.97 | $281.84 |
Aetna Setting Professional Modifier None (both parts) Typical Low $91.20 Median $91.20 Typical High $288.40 | Professional | None (both parts) | $91.20 | $91.20 | $288.40 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $26.30 Typical High $87.10 | Professional | 26 · Professional part | $26.30 | $26.30 | $87.10 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $66.07 Typical High $141.25 | Professional | TC · Technical part | $66.07 | $66.07 | $141.25 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $11.75 Median $21.38 Typical High $32.36 | Professional | 26 · Professional part | $11.75 | $21.38 | $32.36 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $134.90 Median $165.96 Typical High $239.88 | Professional | None (both parts) | $134.90 | $165.96 | $239.88 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $47.86 Typical High $66.07 | Professional | 26 · Professional part | $38.90 | $47.86 | $66.07 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $117.49 Typical High $173.78 | Professional | TC · Technical part | $91.20 | $117.49 | $173.78 |
CareSource Setting Facility Modifier None Typical Low $33.11 Median $117.49 Typical High $204.17 | Facility | None | $33.11 | $117.49 | $204.17 |
CareSource Setting Professional Modifier None (both parts) Typical Low $28.18 Median $28.18 Typical High $31.62 | Professional | None (both parts) | $28.18 | $28.18 | $31.62 |
Cigna Setting Professional Modifier None (both parts) Typical Low $109.65 Median $151.36 Typical High $257.04 | Professional | None (both parts) | $109.65 | $151.36 | $257.04 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $42.66 Typical High $79.43 | Professional | 26 · Professional part | $30.90 | $42.66 | $79.43 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $107.15 Typical High $186.21 | Professional | TC · Technical part | $79.43 | $107.15 | $186.21 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $676.08 Median $724.44 Typical High $851.14 | Facility | None | $676.08 | $724.44 | $851.14 |
Medical Mutual of Ohio Setting Professional Modifier None (both parts) Typical Low $109.65 Median $151.36 Typical High $257.04 | Professional | None (both parts) | $109.65 | $151.36 | $257.04 |
Medical Mutual of Ohio Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $42.66 Typical High $79.43 | Professional | 26 · Professional part | $32.36 | $42.66 | $79.43 |
Medical Mutual of Ohio Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $107.15 Typical High $186.21 | Professional | TC · Technical part | $81.28 | $107.15 | $186.21 |
Molina Setting Professional Modifier None (both parts) Typical Low $27.54 Median $37.15 Typical High $128.82 | Professional | None (both parts) | $27.54 | $37.15 | $128.82 |
SummaCare Setting Professional Modifier None (both parts) Typical Low $50.12 Median $70.79 Typical High $70.79 | Professional | None (both parts) | $50.12 | $70.79 | $70.79 |
SummaCare Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $28.18 Typical High $33.11 | Professional | 26 · Professional part | $28.18 | $28.18 | $33.11 |
United Setting Professional Modifier None (both parts) Typical Low $112.20 Median $165.96 Typical High $223.87 | Professional | None (both parts) | $112.20 | $165.96 | $223.87 |
United Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $42.66 Typical High $54.95 | Professional | 26 · Professional part | $29.51 | $42.66 | $54.95 |
United Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $125.89 Typical High $173.78 | Professional | TC · Technical part | $83.18 | $125.89 | $173.78 |
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 $45.71 Median $91.20 Typical High $158.49 | Facility | 52 · Reduced service | $45.71 | $91.20 | $158.49 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $18.20 Median $36.31 Typical High $64.57 | Facility | 53 · Discontinued | $18.20 | $36.31 | $64.57 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $74.13 Median $158.49 Typical High $223.87 | Facility | FX · Film X-ray | $74.13 | $158.49 | $223.87 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $45.71 Median $45.71 Typical High $91.20 | Professional | 52 · Reduced service | $45.71 | $45.71 | $91.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $18.20 Median $18.20 Typical High $36.31 | Professional | 53 · Discontinued | $18.20 | $18.20 | $36.31 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $74.13 Median $74.13 Typical High $74.13 | Professional | FX · Film X-ray | $74.13 | $74.13 | $74.13 |
Where Ohio sits
The same service costs 4.2 times more in Nebraska than in Florida. 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· 38th of 51
$155
NE $380FL $91.20
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.