How much rates vary
Facilitymedian $525 · 10th to 90th $158 to $832Professionalmedian $158 · 10th to 90th $60 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 $223.87 Median $524.81 Typical High $691.83 | Facility | None | $223.87 | $524.81 | $691.83 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $213.80 Median $588.84 Typical High $912.01 | Facility | TC · Technical part | $213.80 | $588.84 | $912.01 |
Aetna Setting Professional Modifier None (both parts) Typical Low $223.87 Median $223.87 Typical High $275.42 | Professional | None (both parts) | $223.87 | $223.87 | $275.42 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $28.18 Typical High $100.00 | Professional | 26 · Professional part | $28.18 | $28.18 | $100.00 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $208.93 Median $213.80 Typical High $281.84 | Professional | TC · Technical part | $208.93 | $213.80 | $281.84 |
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 $79.43 Median $158.49 Typical High $302.00 | Professional | None (both parts) | $79.43 | $158.49 | $302.00 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $33.88 Typical High $54.95 | Professional | 26 · Professional part | $30.90 | $33.88 | $54.95 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $51.29 Median $125.89 Typical High $275.42 | Professional | TC · Technical part | $51.29 | $125.89 | $275.42 |
Cigna Setting Facility Modifier None Typical Low $147.91 Median $251.19 Typical High $831.76 | Facility | None | $147.91 | $251.19 | $831.76 |
Cigna Setting Professional Modifier None (both parts) Typical Low $75.86 Median $89.13 Typical High $165.96 | Professional | None (both parts) | $75.86 | $89.13 | $165.96 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $33.88 Typical High $61.66 | Professional | 26 · Professional part | $28.18 | $33.88 | $61.66 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $46.77 Median $56.23 Typical High $104.71 | Professional | TC · Technical part | $46.77 | $56.23 | $104.71 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $158.49 Median $436.52 Typical High $831.76 | Facility | None | $158.49 | $436.52 | $831.76 |
Medical Mutual of Ohio Setting Professional Modifier None (both parts) Typical Low $75.86 Median $87.10 Typical High $162.18 | Professional | None (both parts) | $75.86 | $87.10 | $162.18 |
Medical Mutual of Ohio Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $32.36 Typical High $60.26 | Professional | 26 · Professional part | $28.18 | $32.36 | $60.26 |
Medical Mutual of Ohio Setting Professional Modifier TC · Technical part Typical Low $46.77 Median $53.70 Typical High $104.71 | Professional | TC · Technical part | $46.77 | $53.70 | $104.71 |
Molina Setting Professional Modifier None (both parts) Typical Low $30.20 Median $53.70 Typical High $87.10 | Professional | None (both parts) | $30.20 | $53.70 | $87.10 |
SummaCare Setting Professional Modifier None (both parts) Typical Low $190.55 Median $208.93 Typical High $288.40 | Professional | None (both parts) | $190.55 | $208.93 | $288.40 |
SummaCare Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $32.36 Typical High $44.67 | Professional | 26 · Professional part | $29.51 | $32.36 | $44.67 |
SummaCare Setting Professional Modifier TC · Technical part Typical Low $162.18 Median $177.83 Typical High $245.47 | Professional | TC · Technical part | $162.18 | $177.83 | $245.47 |
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 $67.61 Median $234.42 Typical High $478.63 | Professional | None (both parts) | $67.61 | $234.42 | $478.63 |
United Setting Professional Modifier 26 · Professional part Typical Low $20.89 Median $31.62 Typical High $57.54 | Professional | 26 · Professional part | $20.89 | $31.62 | $57.54 |
United Setting Professional Modifier TC · Technical part Typical Low $43.65 Median $208.93 Typical High $416.87 | Professional | TC · Technical part | $43.65 | $208.93 | $416.87 |
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 $131.83 Median $295.12 Typical High $457.09 | Facility | 52 · Reduced service | $131.83 | $295.12 | $457.09 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $52.48 Median $120.23 Typical High $181.97 | Facility | 53 · Discontinued | $52.48 | $120.23 | $181.97 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $213.80 Median $501.19 Typical High $724.44 | Facility | FX · Film X-ray | $213.80 | $501.19 | $724.44 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $112.20 Median $112.20 Typical High $234.42 | Professional | 52 · Reduced service | $112.20 | $112.20 | $234.42 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $44.67 Median $44.67 Typical High $93.33 | Professional | 53 · Discontinued | $44.67 | $44.67 | $93.33 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $177.83 Median $177.83 Typical High $213.80 | Professional | FX · Film X-ray | $177.83 | $177.83 | $213.80 |
Where Ohio sits
The same service costs 5.9 times more in Nebraska than in Hawaii. 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· 33rd of 51
$158
NE $389HI $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.