How much rates vary
Facilitymedian $120 · 10th to 90th $110 to $145Professionalmedian $129 · 10th to 90th $74 to $191
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 $109.65 Median $134.90 Typical High $398.11 | Facility | None | $109.65 | $134.90 | $398.11 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $89.13 Median $239.88 Typical High $371.54 | Facility | TC · Technical part | $89.13 | $239.88 | $371.54 |
Aetna Setting Professional Modifier None (both parts) Typical Low $123.03 Median $123.03 Typical High $158.49 | Professional | None (both parts) | $123.03 | $123.03 | $158.49 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $34.67 Typical High $42.66 | Professional | 26 · Professional part | $34.67 | $34.67 | $42.66 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $89.13 Median $89.13 Typical High $89.13 | Professional | TC · Technical part | $89.13 | $89.13 | $89.13 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $93.33 Median $128.82 Typical High $181.97 | Professional | None (both parts) | $93.33 | $128.82 | $181.97 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $40.74 Typical High $57.54 | Professional | 26 · Professional part | $38.02 | $40.74 | $57.54 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $87.10 Typical High $131.83 | Professional | TC · Technical part | $74.13 | $87.10 | $131.83 |
CareSource Setting Facility Modifier None Typical Low $44.67 Median $141.25 Typical High $181.97 | Facility | None | $44.67 | $141.25 | $181.97 |
CareSource Setting Professional Modifier None (both parts) Typical Low $38.02 Median $38.02 Typical High $42.66 | Professional | None (both parts) | $38.02 | $38.02 | $42.66 |
Cigna Setting Facility Modifier None Typical Low $112.20 Median $120.23 Typical High $120.23 | Facility | None | $112.20 | $120.23 | $120.23 |
Cigna Setting Professional Modifier None (both parts) Typical Low $123.03 Median $128.82 Typical High $251.19 | Professional | None (both parts) | $123.03 | $128.82 | $251.19 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $36.31 Typical High $69.18 | Professional | 26 · Professional part | $34.67 | $36.31 | $69.18 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $89.13 Median $93.33 Typical High $181.97 | Professional | TC · Technical part | $89.13 | $93.33 | $181.97 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $112.20 Median $120.23 Typical High $120.23 | Facility | None | $112.20 | $120.23 | $120.23 |
Medical Mutual of Ohio Setting Professional Modifier None (both parts) Typical Low $123.03 Median $128.82 Typical High $245.47 | Professional | None (both parts) | $123.03 | $128.82 | $245.47 |
Medical Mutual of Ohio Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $36.31 Typical High $69.18 | Professional | 26 · Professional part | $34.67 | $36.31 | $69.18 |
Medical Mutual of Ohio Setting Professional Modifier TC · Technical part Typical Low $89.13 Median $93.33 Typical High $173.78 | Professional | TC · Technical part | $89.13 | $93.33 | $173.78 |
Molina Setting Professional Modifier None (both parts) Typical Low $28.18 Median $33.11 Typical High $109.65 | Professional | None (both parts) | $28.18 | $33.11 | $109.65 |
SummaCare Setting Professional Modifier None (both parts) Typical Low $147.91 Median $147.91 Typical High $173.78 | Professional | None (both parts) | $147.91 | $147.91 | $173.78 |
SummaCare Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $36.31 Typical High $42.66 | Professional | 26 · Professional part | $36.31 | $36.31 | $42.66 |
SummaCare Setting Professional Modifier TC · Technical part Typical Low $112.20 Median $112.20 Typical High $131.83 | Professional | TC · Technical part | $112.20 | $112.20 | $131.83 |
United Setting Professional Modifier None (both parts) Typical Low $93.33 Median $134.90 Typical High $186.21 | Professional | None (both parts) | $93.33 | $134.90 | $186.21 |
United Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $36.31 Typical High $46.77 | Professional | 26 · Professional part | $25.12 | $36.31 | $46.77 |
United Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $100.00 Typical High $138.04 | Professional | TC · Technical part | $69.18 | $100.00 | $138.04 |
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 $54.95 Median $102.33 Typical High $186.21 | Facility | 52 · Reduced service | $54.95 | $102.33 | $186.21 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $21.88 Median $40.74 Typical High $74.13 | Facility | 53 · Discontinued | $21.88 | $40.74 | $74.13 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $87.10 Median $162.18 Typical High $295.12 | Facility | FX · Film X-ray | $87.10 | $162.18 | $295.12 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $61.66 Median $61.66 Typical High $97.72 | Professional | 52 · Reduced service | $61.66 | $61.66 | $97.72 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $24.55 Median $24.55 Typical High $38.90 | Professional | 53 · Discontinued | $24.55 | $24.55 | $38.90 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $97.72 Median $97.72 Typical High $97.72 | Professional | FX · Film X-ray | $97.72 | $97.72 | $97.72 |
Where Ohio sits
The same service costs 4.5 times more in Alaska than in Washington, DC. 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· 44th of 51
$129
AK $389DC $87.10
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.