How much rates vary
Facilitymedian $851 · 10th to 90th $417 to $1,445Professionalmedian $309 · 10th to 90th $126 to $617
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 $371.54 Median $776.25 Typical High $1,288.25 | Facility | None | $371.54 | $776.25 | $1,288.25 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $120.23 Median $208.93 Typical High $398.11 | Facility | 26 · Professional part | $120.23 | $208.93 | $398.11 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $204.17 Median $457.09 Typical High $616.60 | Facility | TC · Technical part | $204.17 | $457.09 | $616.60 |
Aetna Setting Professional Modifier None (both parts) Typical Low $281.84 Median $416.87 Typical High $1,258.93 | Professional | None (both parts) | $281.84 | $416.87 | $1,258.93 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $112.20 Median $114.82 Typical High $380.19 | Professional | 26 · Professional part | $112.20 | $114.82 | $380.19 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $169.82 Median $213.80 Typical High $575.44 | Professional | TC · Technical part | $169.82 | $213.80 | $575.44 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $269.15 Median $331.13 Typical High $371.54 | Professional | None (both parts) | $269.15 | $331.13 | $371.54 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $177.83 Typical High $199.53 | Professional | 26 · Professional part | $85.11 | $177.83 | $199.53 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $281.84 Median $309.03 Typical High $537.03 | Professional | None (both parts) | $281.84 | $309.03 | $537.03 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $93.33 Median $123.03 Typical High $194.98 | Professional | 26 · Professional part | $93.33 | $123.03 | $194.98 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $190.55 Median $190.55 Typical High $354.81 | Professional | TC · Technical part | $190.55 | $190.55 | $354.81 |
Aultcare Setting Facility Modifier None Typical Low $831.76 Median $831.76 Typical High $831.76 | Facility | None | $831.76 | $831.76 | $831.76 |
Aultcare Setting Professional Modifier None (both parts) Typical Low $316.23 Median $331.13 Typical High $549.54 | Professional | None (both parts) | $316.23 | $331.13 | $549.54 |
CareSource Setting Professional Modifier None (both parts) Typical Low $104.71 Median $288.40 Typical High $478.63 | Professional | None (both parts) | $104.71 | $288.40 | $478.63 |
Cigna Setting Facility Modifier None Typical Low $851.14 Median $933.25 Typical High $1,479.11 | Facility | None | $851.14 | $933.25 | $1,479.11 |
Cigna Setting Professional Modifier None (both parts) Typical Low $380.19 Median $467.74 Typical High $1,174.90 | Professional | None (both parts) | $380.19 | $467.74 | $1,174.90 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $97.72 Median $131.83 Typical High $239.88 | Professional | 26 · Professional part | $97.72 | $131.83 | $239.88 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $275.42 Median $338.84 Typical High $912.01 | Professional | TC · Technical part | $275.42 | $338.84 | $912.01 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $645.65 Median $933.25 Typical High $1,445.44 | Facility | None | $645.65 | $933.25 | $1,445.44 |
Medical Mutual of Ohio Setting Professional Modifier None (both parts) Typical Low $398.11 Median $467.74 Typical High $1,230.27 | Professional | None (both parts) | $398.11 | $467.74 | $1,230.27 |
Medical Mutual of Ohio Setting Professional Modifier 26 · Professional part Typical Low $112.20 Median $158.49 Typical High $309.03 | Professional | 26 · Professional part | $112.20 | $158.49 | $309.03 |
Medical Mutual of Ohio Setting Professional Modifier TC · Technical part Typical Low $281.84 Median $338.84 Typical High $933.25 | Professional | TC · Technical part | $281.84 | $338.84 | $933.25 |
Molina Setting Professional Modifier None (both parts) Typical Low $104.71 Median $199.53 Typical High $371.54 | Professional | None (both parts) | $104.71 | $199.53 | $371.54 |
SummaCare Setting Professional Modifier None (both parts) Typical Low $251.19 Median $295.12 Typical High $524.81 | Professional | None (both parts) | $251.19 | $295.12 | $524.81 |
SummaCare Setting Professional Modifier 26 · Professional part Typical Low $107.15 Median $117.49 Typical High $177.83 | Professional | 26 · Professional part | $107.15 | $117.49 | $177.83 |
SummaCare Setting Professional Modifier TC · Technical part Typical Low $144.54 Median $158.49 Typical High $281.84 | Professional | TC · Technical part | $144.54 | $158.49 | $281.84 |
United Setting Facility Modifier None Typical Low $363.08 Median $416.87 Typical High $602.56 | Facility | None | $363.08 | $416.87 | $602.56 |
United Setting Professional Modifier None (both parts) Typical Low $380.19 Median $501.19 Typical High $851.14 | Professional | None (both parts) | $380.19 | $501.19 | $851.14 |
United Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $120.23 Typical High $229.09 | Professional | 26 · Professional part | $81.28 | $120.23 | $229.09 |
United Setting Professional Modifier TC · Technical part Typical Low $269.15 Median $371.54 Typical High $645.65 | Professional | TC · Technical part | $269.15 | $371.54 | $645.65 |
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 $147.91 Median $338.84 Typical High $446.68 | Facility | 52 · Reduced service | $147.91 | $338.84 | $446.68 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $60.26 Median $134.90 Typical High $177.83 | Facility | 53 · Discontinued | $60.26 | $134.90 | $177.83 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $229.09 Median $537.03 Typical High $660.69 | Facility | FX · Film X-ray | $229.09 | $537.03 | $660.69 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $141.25 Median $141.25 Typical High $741.31 | Professional | 52 · Reduced service | $141.25 | $141.25 | $741.31 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $56.23 Median $56.23 Typical High $302.00 | Professional | 53 · Discontinued | $56.23 | $56.23 | $302.00 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $229.09 Median $229.09 Typical High $281.84 | Professional | FX · Film X-ray | $229.09 | $229.09 | $281.84 |
Where Ohio sits
The same service costs 6.8 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· 47th of 51
$309
AK $1,148UT $170
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.