How much rates vary
Facilitymedian $269 · 10th to 90th $123 to $1,096Professionalmedian $102 · 10th to 90th $55 to $195
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 $95.50 Median $199.53 Typical High $1,023.29 | Facility | None | $95.50 | $199.53 | $1,023.29 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $23.44 Median $43.65 Typical High $85.11 | Facility | 26 · Professional part | $23.44 | $43.65 | $85.11 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $64.57 Median $117.49 Typical High $165.96 | Facility | TC · Technical part | $64.57 | $117.49 | $165.96 |
Aetna Setting Professional Modifier None (both parts) Typical Low $72.44 Median $104.71 Typical High $275.42 | Professional | None (both parts) | $72.44 | $104.71 | $275.42 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $18.20 Median $24.55 Typical High $74.13 | Professional | 26 · Professional part | $18.20 | $24.55 | $74.13 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $48.98 Median $67.61 Typical High $165.96 | Professional | TC · Technical part | $48.98 | $67.61 | $165.96 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $19.50 Median $20.42 Typical High $44.67 | Professional | 26 · Professional part | $19.50 | $20.42 | $44.67 |
Anthem BCBS Setting Facility Modifier None Typical Low $870.96 Median $1,000.00 Typical High $1,174.90 | Facility | None | $870.96 | $1,000.00 | $1,174.90 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $97.72 Median $144.54 Typical High $251.19 | Professional | None (both parts) | $97.72 | $144.54 | $251.19 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $18.20 Median $19.50 Typical High $36.31 | Professional | 26 · Professional part | $18.20 | $19.50 | $36.31 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $125.89 Typical High $204.17 | Professional | TC · Technical part | $79.43 | $125.89 | $204.17 |
Aultcare Setting Professional Modifier None (both parts) Typical Low $87.10 Median $93.33 Typical High $151.36 | Professional | None (both parts) | $87.10 | $93.33 | $151.36 |
CareSource Setting Professional Modifier None (both parts) Typical Low $22.91 Median $50.12 Typical High $89.13 | Professional | None (both parts) | $22.91 | $50.12 | $89.13 |
Cigna Setting Facility Modifier None Typical Low $151.36 Median $263.03 Typical High $1,202.26 | Facility | None | $151.36 | $263.03 | $1,202.26 |
Cigna Setting Professional Modifier None (both parts) Typical Low $64.57 Median $95.50 Typical High $218.78 | Professional | None (both parts) | $64.57 | $95.50 | $218.78 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $19.50 Median $24.55 Typical High $43.65 | Professional | 26 · Professional part | $19.50 | $24.55 | $43.65 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $41.69 Median $63.10 Typical High $158.49 | Professional | TC · Technical part | $41.69 | $63.10 | $158.49 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $186.21 Median $741.31 Typical High $1,202.26 | Facility | None | $186.21 | $741.31 | $1,202.26 |
Medical Mutual of Ohio Setting Professional Modifier None (both parts) Typical Low $64.57 Median $91.20 Typical High $218.78 | Professional | None (both parts) | $64.57 | $91.20 | $218.78 |
Medical Mutual of Ohio Setting Professional Modifier 26 · Professional part Typical Low $20.89 Median $27.54 Typical High $72.44 | Professional | 26 · Professional part | $20.89 | $27.54 | $72.44 |
Medical Mutual of Ohio Setting Professional Modifier TC · Technical part Typical Low $41.69 Median $61.66 Typical High $158.49 | Professional | TC · Technical part | $41.69 | $61.66 | $158.49 |
Molina Setting Professional Modifier None (both parts) Typical Low $41.69 Median $89.13 Typical High $144.54 | Professional | None (both parts) | $41.69 | $89.13 | $144.54 |
SummaCare Setting Professional Modifier None (both parts) Typical Low $72.44 Median $79.43 Typical High $104.71 | Professional | None (both parts) | $72.44 | $79.43 | $104.71 |
SummaCare Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $27.54 Typical High $33.11 | Professional | 26 · Professional part | $25.12 | $27.54 | $33.11 |
SummaCare Setting Professional Modifier TC · Technical part Typical Low $45.71 Median $53.70 Typical High $70.79 | Professional | TC · Technical part | $45.71 | $53.70 | $70.79 |
United Setting Facility Modifier None Typical Low $724.44 Median $831.76 Typical High $1,202.26 | Facility | None | $724.44 | $831.76 | $1,202.26 |
United Setting Professional Modifier None (both parts) Typical Low $67.61 Median $93.33 Typical High $208.93 | Professional | None (both parts) | $67.61 | $93.33 | $208.93 |
United Setting Professional Modifier 26 · Professional part Typical Low $13.80 Median $23.44 Typical High $45.71 | Professional | 26 · Professional part | $13.80 | $23.44 | $45.71 |
United Setting Professional Modifier TC · Technical part Typical Low $42.66 Median $69.18 Typical High $151.36 | Professional | TC · Technical part | $42.66 | $69.18 | $151.36 |
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 $42.66 Median $100.00 Typical High $549.54 | Facility | 52 · Reduced service | $42.66 | $100.00 | $549.54 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $16.98 Median $39.81 Typical High $218.78 | Facility | 53 · Discontinued | $16.98 | $39.81 | $218.78 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $57.54 Median $158.49 Typical High $812.83 | Facility | FX · Film X-ray | $57.54 | $158.49 | $812.83 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $36.31 Median $36.31 Typical High $162.18 | Professional | 52 · Reduced service | $36.31 | $36.31 | $162.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $14.45 Median $14.45 Typical High $64.57 | Professional | 53 · Discontinued | $14.45 | $14.45 | $64.57 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $57.54 Median $57.54 Typical High $64.57 | Professional | FX · Film X-ray | $57.54 | $57.54 | $64.57 |
Where Ohio sits
The same service costs 5.4 times more in New York than in Texas. 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· 39th of 51
$105
NY $355TX $66.07
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.