How much rates vary
Facilitymedian $550 · 10th to 90th $229 to $1,096Professionalmedian $135 · 10th to 90th $56 to $219
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 $229.09 Median $346.74 Typical High $1,096.48 | Facility | None | $229.09 | $346.74 | $1,096.48 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $26.92 Median $47.86 Typical High $77.62 | Facility | 26 · Professional part | $26.92 | $47.86 | $77.62 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $177.83 Median $281.84 Typical High $416.87 | Facility | TC · Technical part | $177.83 | $281.84 | $416.87 |
Aetna Setting Professional Modifier None (both parts) Typical Low $125.89 Median $125.89 Typical High $354.81 | Professional | None (both parts) | $125.89 | $125.89 | $354.81 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $18.20 Median $22.91 Typical High $74.13 | Professional | 26 · Professional part | $18.20 | $22.91 | $74.13 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $102.33 Median $102.33 Typical High $281.84 | Professional | TC · Technical part | $102.33 | $102.33 | $281.84 |
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 $72.44 Median $144.54 Typical High $245.47 | Professional | None (both parts) | $72.44 | $144.54 | $245.47 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $18.20 Median $19.50 Typical High $35.48 | Professional | 26 · Professional part | $18.20 | $19.50 | $35.48 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $46.77 Median $125.89 Typical High $218.78 | Professional | TC · Technical part | $46.77 | $125.89 | $218.78 |
Cigna Setting Facility Modifier None Typical Low $309.03 Median $524.81 Typical High $1,202.26 | Facility | None | $309.03 | $524.81 | $1,202.26 |
Cigna Setting Professional Modifier None (both parts) Typical Low $75.86 Median $117.49 Typical High $204.17 | Professional | None (both parts) | $75.86 | $117.49 | $204.17 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $19.50 Median $24.55 Typical High $42.66 | Professional | 26 · Professional part | $19.50 | $24.55 | $42.66 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $93.33 Typical High $165.96 | Professional | TC · Technical part | $61.66 | $93.33 | $165.96 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $338.84 Median $741.31 Typical High $1,202.26 | Facility | None | $338.84 | $741.31 | $1,202.26 |
Medical Mutual of Ohio Setting Professional Modifier None (both parts) Typical Low $75.86 Median $117.49 Typical High $199.53 | Professional | None (both parts) | $75.86 | $117.49 | $199.53 |
Medical Mutual of Ohio Setting Professional Modifier 26 · Professional part Typical Low $19.95 Median $24.55 Typical High $43.65 | Professional | 26 · Professional part | $19.95 | $24.55 | $43.65 |
Medical Mutual of Ohio Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $93.33 Typical High $162.18 | Professional | TC · Technical part | $64.57 | $93.33 | $162.18 |
Molina Setting Professional Modifier None (both parts) Typical Low $42.66 Median $125.89 Typical High $199.53 | Professional | None (both parts) | $42.66 | $125.89 | $199.53 |
SummaCare Setting Professional Modifier None (both parts) Typical Low $128.82 Median $141.25 Typical High $245.47 | Professional | None (both parts) | $128.82 | $141.25 | $245.47 |
SummaCare Setting Professional Modifier 26 · Professional part Typical Low $24.55 Median $26.92 Typical High $38.90 | Professional | 26 · Professional part | $24.55 | $26.92 | $38.90 |
SummaCare Setting Professional Modifier TC · Technical part Typical Low $104.71 Median $114.82 Typical High $199.53 | Professional | TC · Technical part | $104.71 | $114.82 | $199.53 |
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 $53.70 Median $131.83 Typical High $363.08 | Professional | None (both parts) | $53.70 | $131.83 | $363.08 |
United Setting Professional Modifier 26 · Professional part Typical Low $13.80 Median $22.39 Typical High $44.67 | Professional | 26 · Professional part | $13.80 | $22.39 | $44.67 |
United Setting Professional Modifier TC · Technical part Typical Low $39.81 Median $107.15 Typical High $295.12 | Professional | TC · Technical part | $39.81 | $107.15 | $295.12 |
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 $72.44 Median $169.82 Typical High $549.54 | Facility | 52 · Reduced service | $72.44 | $169.82 | $549.54 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $28.84 Median $67.61 Typical High $218.78 | Facility | 53 · Discontinued | $28.84 | $67.61 | $218.78 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $102.33 Median $331.13 Typical High $812.83 | Facility | FX · Film X-ray | $102.33 | $331.13 | $812.83 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $63.10 Median $63.10 Typical High $177.83 | Professional | 52 · Reduced service | $63.10 | $63.10 | $177.83 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $25.12 Median $25.12 Typical High $70.79 | Professional | 53 · Discontinued | $25.12 | $25.12 | $70.79 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $100.00 Median $100.00 Typical High $120.23 | Professional | FX · Film X-ray | $100.00 | $100.00 | $120.23 |
Where Ohio sits
The same service costs 4.1 times more in Alaska than in Utah. 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· 32nd of 51
$138
AK $398UT $97.72
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.