How much rates vary
Facilitymedian $98 · 10th to 90th $78 to $117Professionalmedian $162 · 10th to 90th $68 to $282
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 $77.62 Median $107.15 Typical High $309.03 | Facility | None | $77.62 | $107.15 | $309.03 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $48.98 Median $134.90 Typical High $208.93 | Facility | TC · Technical part | $48.98 | $134.90 | $208.93 |
Aetna Setting Professional Modifier None (both parts) Typical Low $77.62 Median $77.62 Typical High $338.84 | Professional | None (both parts) | $77.62 | $77.62 | $338.84 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $28.18 Typical High $104.71 | Professional | 26 · Professional part | $28.18 | $28.18 | $104.71 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $48.98 Median $48.98 Typical High $63.10 | Professional | TC · Technical part | $48.98 | $48.98 | $63.10 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $147.91 Median $186.21 Typical High $309.03 | Professional | None (both parts) | $147.91 | $186.21 | $309.03 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $32.36 Typical High $53.70 | Professional | 26 · Professional part | $30.90 | $32.36 | $53.70 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $117.49 Median $151.36 Typical High $251.19 | Professional | TC · Technical part | $117.49 | $151.36 | $251.19 |
Cigna Setting Facility Modifier None Typical Low $97.72 Median $97.72 Typical High $97.72 | Facility | None | $97.72 | $97.72 | $97.72 |
Cigna Setting Professional Modifier None (both parts) Typical Low $74.13 Median $91.20 Typical High $181.97 | Professional | None (both parts) | $74.13 | $91.20 | $181.97 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $33.11 Typical High $60.26 | Professional | 26 · Professional part | $27.54 | $33.11 | $60.26 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $47.86 Median $57.54 Typical High $125.89 | Professional | TC · Technical part | $47.86 | $57.54 | $125.89 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $91.20 Median $97.72 Typical High $97.72 | Facility | None | $91.20 | $97.72 | $97.72 |
Medical Mutual of Ohio Setting Professional Modifier None (both parts) Typical Low $75.86 Median $87.10 Typical High $186.21 | Professional | None (both parts) | $75.86 | $87.10 | $186.21 |
Medical Mutual of Ohio Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $31.62 Typical High $58.88 | Professional | 26 · Professional part | $27.54 | $31.62 | $58.88 |
Medical Mutual of Ohio Setting Professional Modifier TC · Technical part Typical Low $48.98 Median $54.95 Typical High $120.23 | Professional | TC · Technical part | $48.98 | $54.95 | $120.23 |
Molina Setting Professional Modifier None (both parts) Typical Low $26.30 Median $44.67 Typical High $104.71 | Professional | None (both parts) | $26.30 | $44.67 | $104.71 |
SummaCare Setting Professional Modifier None (both parts) Typical Low $223.87 Median $245.47 Typical High $346.74 | Professional | None (both parts) | $223.87 | $245.47 | $346.74 |
SummaCare Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $31.62 Typical High $43.65 | Professional | 26 · Professional part | $28.84 | $31.62 | $43.65 |
SummaCare Setting Professional Modifier TC · Technical part Typical Low $199.53 Median $218.78 Typical High $302.00 | Professional | TC · Technical part | $199.53 | $218.78 | $302.00 |
United Setting Professional Modifier None (both parts) Typical Low $117.49 Median $194.98 Typical High $354.81 | Professional | None (both parts) | $117.49 | $194.98 | $354.81 |
United Setting Professional Modifier 26 · Professional part Typical Low $20.42 Median $31.62 Typical High $57.54 | Professional | 26 · Professional part | $20.42 | $31.62 | $57.54 |
United Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $165.96 Typical High $309.03 | Professional | TC · Technical part | $95.50 | $165.96 | $309.03 |
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 $58.88 Typical High $102.33 | Facility | 52 · Reduced service | $42.66 | $58.88 | $102.33 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $16.98 Median $23.44 Typical High $41.69 | Facility | 53 · Discontinued | $16.98 | $23.44 | $41.69 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $61.66 Median $89.13 Typical High $165.96 | Facility | FX · Film X-ray | $61.66 | $89.13 | $165.96 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $38.02 Median $38.02 Typical High $169.82 | Professional | 52 · Reduced service | $38.02 | $38.02 | $169.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $15.49 Median $15.49 Typical High $67.61 | Professional | 53 · Discontinued | $15.49 | $15.49 | $67.61 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $61.66 Median $61.66 Typical High $69.18 | Professional | FX · Film X-ray | $61.66 | $61.66 | $69.18 |
Where Ohio sits
The same service costs 4.4 times more in Alaska 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· 14th of 51
$162
AK $331TX $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.