How much rates vary
Facilitymedian $138 · 10th to 90th $110 to $166Professionalmedian $234 · 10th to 90th $110 to $324
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 $154.88 Typical High $234.42 | Facility | None | $109.65 | $154.88 | $234.42 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $69.18 Median $190.55 Typical High $295.12 | Facility | TC · Technical part | $69.18 | $190.55 | $295.12 |
Aetna Setting Professional Modifier None (both parts) Typical Low $109.65 Median $109.65 Typical High $141.25 | Professional | None (both parts) | $109.65 | $109.65 | $141.25 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $39.81 Typical High $46.77 | Professional | 26 · Professional part | $39.81 | $39.81 | $46.77 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $69.18 Typical High $69.18 | Professional | TC · Technical part | $69.18 | $69.18 | $69.18 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $234.42 Median $234.42 Typical High $354.81 | Professional | None (both parts) | $234.42 | $234.42 | $354.81 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $46.77 Typical High $66.07 | Professional | 26 · Professional part | $43.65 | $46.77 | $66.07 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $190.55 Median $190.55 Typical High $288.40 | Professional | TC · Technical part | $190.55 | $190.55 | $288.40 |
CareSource Setting Facility Modifier None Typical Low $48.98 Median $131.83 Typical High $354.81 | Facility | None | $48.98 | $131.83 | $354.81 |
CareSource Setting Professional Modifier None (both parts) Typical Low $41.69 Median $41.69 Typical High $46.77 | Professional | None (both parts) | $41.69 | $41.69 | $46.77 |
Cigna Setting Facility Modifier None Typical Low $128.82 Median $138.04 Typical High $138.04 | Facility | None | $128.82 | $138.04 | $138.04 |
Cigna Setting Professional Modifier None (both parts) Typical Low $109.65 Median $114.82 Typical High $234.42 | Professional | None (both parts) | $109.65 | $114.82 | $234.42 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $41.69 Typical High $81.28 | Professional | 26 · Professional part | $39.81 | $41.69 | $81.28 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $72.44 Typical High $154.88 | Professional | TC · Technical part | $69.18 | $72.44 | $154.88 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $128.82 Median $138.04 Typical High $138.04 | Facility | None | $128.82 | $138.04 | $138.04 |
Medical Mutual of Ohio Setting Professional Modifier None (both parts) Typical Low $109.65 Median $114.82 Typical High $234.42 | Professional | None (both parts) | $109.65 | $114.82 | $234.42 |
Medical Mutual of Ohio Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $41.69 Typical High $81.28 | Professional | 26 · Professional part | $39.81 | $41.69 | $81.28 |
Medical Mutual of Ohio Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $72.44 Typical High $144.54 | Professional | TC · Technical part | $69.18 | $72.44 | $144.54 |
Molina Setting Professional Modifier None (both parts) Typical Low $30.20 Median $57.54 Typical High $218.78 | Professional | None (both parts) | $30.20 | $57.54 | $218.78 |
SummaCare Setting Professional Modifier None (both parts) Typical Low $281.84 Median $281.84 Typical High $331.13 | Professional | None (both parts) | $281.84 | $281.84 | $331.13 |
SummaCare Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $39.81 Typical High $46.77 | Professional | 26 · Professional part | $39.81 | $39.81 | $46.77 |
SummaCare Setting Professional Modifier TC · Technical part Typical Low $245.47 Median $245.47 Typical High $281.84 | Professional | TC · Technical part | $245.47 | $245.47 | $281.84 |
United Setting Professional Modifier None (both parts) Typical Low $190.55 Median $257.04 Typical High $338.84 | Professional | None (both parts) | $190.55 | $257.04 | $338.84 |
United Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $41.69 Typical High $53.70 | Professional | 26 · Professional part | $28.84 | $41.69 | $53.70 |
United Setting Professional Modifier TC · Technical part Typical Low $162.18 Median $213.80 Typical High $288.40 | Professional | TC · Technical part | $162.18 | $213.80 | $288.40 |
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 $60.26 Median $83.18 Typical High $147.91 | Facility | 52 · Reduced service | $60.26 | $83.18 | $147.91 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $23.99 Median $33.11 Typical High $58.88 | Facility | 53 · Discontinued | $23.99 | $33.11 | $58.88 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $87.10 Median $125.89 Typical High $234.42 | Facility | FX · Film X-ray | $87.10 | $125.89 | $234.42 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $54.95 Median $54.95 Typical High $83.18 | Professional | 52 · Reduced service | $54.95 | $54.95 | $83.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $21.88 Median $21.88 Typical High $33.11 | Professional | 53 · Discontinued | $21.88 | $21.88 | $33.11 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $87.10 Median $87.10 Typical High $87.10 | Professional | FX · Film X-ray | $87.10 | $87.10 | $87.10 |
Where Ohio sits
The same service costs 5.2 times more in North Dakota 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· 14th of 51
$234
ND $457FL $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.