How much rates vary
Facilitymedian $380 · 10th to 90th $209 to $13,183Professionalmedian $132 · 10th to 90th $62 to $372
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 $316.23 Median $380.19 Typical High $489.78 | Facility | None | $316.23 | $380.19 | $489.78 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $51.29 Median $151.36 Typical High $186.21 | Facility | 26 · Professional part | $51.29 | $151.36 | $186.21 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $109.65 Median $186.21 Typical High $257.04 | Facility | TC · Technical part | $109.65 | $186.21 | $257.04 |
Aetna Setting Professional Modifier None (both parts) Typical Low $114.82 Median $114.82 Typical High $524.81 | Professional | None (both parts) | $114.82 | $114.82 | $524.81 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $51.29 Typical High $288.40 | Professional | 26 · Professional part | $51.29 | $51.29 | $288.40 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $61.66 Typical High $208.93 | Professional | TC · Technical part | $61.66 | $61.66 | $208.93 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $154.88 Median $269.15 Typical High $426.58 | Professional | None (both parts) | $154.88 | $269.15 | $426.58 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $63.10 Typical High $102.33 | Professional | 26 · Professional part | $57.54 | $63.10 | $102.33 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $208.93 Typical High $323.59 | Professional | TC · Technical part | $81.28 | $208.93 | $323.59 |
Cigna Setting Facility Modifier None Typical Low $190.55 Median $331.13 Typical High $19,054.61 | Facility | None | $190.55 | $331.13 | $19,054.61 |
Cigna Setting Professional Modifier None (both parts) Typical Low $112.20 Median $141.25 Typical High $467.74 | Professional | None (both parts) | $112.20 | $141.25 | $467.74 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $61.66 Typical High $114.82 | Professional | 26 · Professional part | $50.12 | $61.66 | $114.82 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $79.43 Typical High $389.05 | Professional | TC · Technical part | $63.10 | $79.43 | $389.05 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $208.93 Median $407.38 Typical High $19,054.61 | Facility | None | $208.93 | $407.38 | $19,054.61 |
Medical Mutual of Ohio Setting Professional Modifier None (both parts) Typical Low $114.82 Median $138.04 Typical High $478.63 | Professional | None (both parts) | $114.82 | $138.04 | $478.63 |
Medical Mutual of Ohio Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $58.88 Typical High $112.20 | Professional | 26 · Professional part | $50.12 | $58.88 | $112.20 |
Medical Mutual of Ohio Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $75.86 Typical High $302.00 | Professional | TC · Technical part | $63.10 | $75.86 | $302.00 |
Molina Setting Professional Modifier None (both parts) Typical Low $44.67 Median $91.20 Typical High $144.54 | Professional | None (both parts) | $44.67 | $91.20 | $144.54 |
SummaCare Setting Professional Modifier None (both parts) Typical Low $120.23 Median $131.83 Typical High $263.03 | Professional | None (both parts) | $120.23 | $131.83 | $263.03 |
SummaCare Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $58.88 Typical High $89.13 | Professional | 26 · Professional part | $53.70 | $58.88 | $89.13 |
SummaCare Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $72.44 Typical High $147.91 | Professional | TC · Technical part | $66.07 | $72.44 | $147.91 |
United Setting Facility Modifier None Typical Low $11,481.54 Median $13,182.57 Typical High $19,054.61 | Facility | None | $11,481.54 | $13,182.57 | $19,054.61 |
United Setting Professional Modifier None (both parts) Typical Low $112.20 Median $173.78 Typical High $501.19 | Professional | None (both parts) | $112.20 | $173.78 | $501.19 |
United Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $56.23 Typical High $104.71 | Professional | 26 · Professional part | $38.90 | $56.23 | $104.71 |
United Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $100.00 Typical High $389.05 | Professional | TC · Technical part | $61.66 | $100.00 | $389.05 |
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 $56.23 Median $125.89 Typical High $245.47 | Facility | 52 · Reduced service | $56.23 | $125.89 | $245.47 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $22.91 Median $51.29 Typical High $97.72 | Facility | 53 · Discontinued | $22.91 | $51.29 | $97.72 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $91.20 Median $204.17 Typical High $363.08 | Facility | FX · Film X-ray | $91.20 | $204.17 | $363.08 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $56.23 Median $56.23 Typical High $288.40 | Professional | 52 · Reduced service | $56.23 | $56.23 | $288.40 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $22.91 Median $22.91 Typical High $114.82 | Professional | 53 · Discontinued | $22.91 | $22.91 | $114.82 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $91.20 Median $91.20 Typical High $109.65 | Professional | FX · Film X-ray | $91.20 | $91.20 | $109.65 |
Where Ohio sits
The same service costs 4.9 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· 42nd of 51
$132
AK $372UT $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.