How much rates vary
Facilitymedian $295 · 10th to 90th $174 to $741Professionalmedian $95 · 10th to 90th $68 to $170
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 $158.49 Median $263.03 Typical High $630.96 | Facility | None | $158.49 | $263.03 | $630.96 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $17.38 Median $41.69 Typical High $54.95 | Facility | 26 · Professional part | $17.38 | $41.69 | $54.95 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $138.04 Median $218.78 Typical High $331.13 | Facility | TC · Technical part | $138.04 | $218.78 | $331.13 |
Aetna Setting Professional Modifier None (both parts) Typical Low $93.33 Median $95.50 Typical High $302.00 | Professional | None (both parts) | $93.33 | $95.50 | $302.00 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $14.45 Median $15.14 Typical High $54.95 | Professional | 26 · Professional part | $14.45 | $15.14 | $54.95 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $77.62 Median $81.28 Typical High $229.09 | Professional | TC · Technical part | $77.62 | $81.28 | $229.09 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $69.18 Median $69.18 Typical High $69.18 | Professional | None (both parts) | $69.18 | $69.18 | $69.18 |
Anthem BCBS Setting Facility Modifier None Typical Low $537.03 Median $630.96 Typical High $741.31 | Facility | None | $537.03 | $630.96 | $741.31 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $63.10 Median $75.86 Typical High $138.04 | Professional | None (both parts) | $63.10 | $75.86 | $138.04 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $16.98 Median $18.20 Typical High $29.51 | Professional | 26 · Professional part | $16.98 | $18.20 | $29.51 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $46.77 Median $57.54 Typical High $114.82 | Professional | TC · Technical part | $46.77 | $57.54 | $114.82 |
Aultcare Setting Professional Modifier None (both parts) Typical Low $112.20 Median $112.20 Typical High $125.89 | Professional | None (both parts) | $112.20 | $112.20 | $125.89 |
Cigna Setting Facility Modifier None Typical Low $194.98 Median $281.84 Typical High $831.76 | Facility | None | $194.98 | $281.84 | $831.76 |
Cigna Setting Professional Modifier None (both parts) Typical Low $79.43 Median $104.71 Typical High $190.55 | Professional | None (both parts) | $79.43 | $104.71 | $190.55 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $14.79 Median $18.20 Typical High $33.11 | Professional | 26 · Professional part | $14.79 | $18.20 | $33.11 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $67.61 Median $87.10 Typical High $154.88 | Professional | TC · Technical part | $67.61 | $87.10 | $154.88 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $194.98 Median $354.81 Typical High $870.96 | Facility | None | $194.98 | $354.81 | $870.96 |
Medical Mutual of Ohio Setting Professional Modifier None (both parts) Typical Low $81.28 Median $102.33 Typical High $186.21 | Professional | None (both parts) | $81.28 | $102.33 | $186.21 |
Medical Mutual of Ohio Setting Professional Modifier 26 · Professional part Typical Low $14.79 Median $19.05 Typical High $45.71 | Professional | 26 · Professional part | $14.79 | $19.05 | $45.71 |
Medical Mutual of Ohio Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $87.10 Typical High $158.49 | Professional | TC · Technical part | $69.18 | $87.10 | $158.49 |
Molina Setting Professional Modifier None (both parts) Typical Low $77.62 Median $114.82 Typical High $165.96 | Professional | None (both parts) | $77.62 | $114.82 | $165.96 |
SummaCare Setting Professional Modifier None (both parts) Typical Low $102.33 Median $112.20 Typical High $154.88 | Professional | None (both parts) | $102.33 | $112.20 | $154.88 |
SummaCare Setting Professional Modifier 26 · Professional part Typical Low $16.22 Median $17.78 Typical High $25.12 | Professional | 26 · Professional part | $16.22 | $17.78 | $25.12 |
SummaCare Setting Professional Modifier TC · Technical part Typical Low $87.10 Median $93.33 Typical High $131.83 | Professional | TC · Technical part | $87.10 | $93.33 | $131.83 |
United Setting Facility Modifier None Typical Low $489.78 Median $575.44 Typical High $812.83 | Facility | None | $489.78 | $575.44 | $812.83 |
United Setting Professional Modifier None (both parts) Typical Low $64.57 Median $93.33 Typical High $169.82 | Professional | None (both parts) | $64.57 | $93.33 | $169.82 |
United Setting Professional Modifier 26 · Professional part Typical Low $11.22 Median $16.60 Typical High $30.90 | Professional | 26 · Professional part | $11.22 | $16.60 | $30.90 |
United Setting Professional Modifier TC · Technical part Typical Low $50.12 Median $75.86 Typical High $147.91 | Professional | TC · Technical part | $50.12 | $75.86 | $147.91 |
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 $151.36 Typical High $346.74 | Facility | 52 · Reduced service | $54.95 | $151.36 | $346.74 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $21.88 Median $60.26 Typical High $138.04 | Facility | 53 · Discontinued | $21.88 | $60.26 | $138.04 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $81.28 Median $263.03 Typical High $501.19 | Facility | FX · Film X-ray | $81.28 | $263.03 | $501.19 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $47.86 Median $47.86 Typical High $158.49 | Professional | 52 · Reduced service | $47.86 | $47.86 | $158.49 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.05 Median $19.05 Typical High $63.10 | Professional | 53 · Discontinued | $19.05 | $19.05 | $63.10 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $75.86 Median $75.86 Typical High $85.11 | Professional | FX · Film X-ray | $75.86 | $75.86 | $85.11 |
Where Ohio sits
The same service costs 3.8 times more in Alaska than in New York. 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· 42nd of 51
$97.72
AK $288NY $75.86
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.