How much rates vary
Facilitymedian $468 · 10th to 90th $209 to $7,586Professionalmedian $186 · 10th to 90th $76 to $407
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 $186.21 Median $446.68 Typical High $616.60 | Facility | None | $186.21 | $446.68 | $616.60 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $104.71 Median $199.53 Typical High $288.40 | Facility | 26 · Professional part | $104.71 | $199.53 | $288.40 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $83.18 Median $173.78 Typical High $257.04 | Facility | TC · Technical part | $83.18 | $173.78 | $257.04 |
Aetna Setting Professional Modifier None (both parts) Typical Low $141.25 Median $199.53 Typical High $537.03 | Professional | None (both parts) | $141.25 | $199.53 | $537.03 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $79.43 Typical High $269.15 | Professional | 26 · Professional part | $57.54 | $79.43 | $269.15 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $83.18 Typical High $213.80 | Professional | TC · Technical part | $63.10 | $83.18 | $213.80 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $114.82 Median $114.82 Typical High $114.82 | Professional | None (both parts) | $114.82 | $114.82 | $114.82 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $81.28 Typical High $112.20 | Professional | 26 · Professional part | $81.28 | $81.28 | $112.20 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $186.21 Median $281.84 Typical High $467.74 | Professional | None (both parts) | $186.21 | $281.84 | $467.74 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $64.57 Typical High $114.82 | Professional | 26 · Professional part | $57.54 | $64.57 | $114.82 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $218.78 Typical High $346.74 | Professional | TC · Technical part | $81.28 | $218.78 | $346.74 |
CareSource Setting Professional Modifier None (both parts) Typical Low $60.26 Median $95.50 Typical High $173.78 | Professional | None (both parts) | $60.26 | $95.50 | $173.78 |
Cigna Setting Facility Modifier None Typical Low $190.55 Median $323.59 Typical High $10,964.78 | Facility | None | $190.55 | $323.59 | $10,964.78 |
Cigna Setting Professional Modifier None (both parts) Typical Low $141.25 Median $173.78 Typical High $501.19 | Professional | None (both parts) | $141.25 | $173.78 | $501.19 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $83.18 Typical High $144.54 | Professional | 26 · Professional part | $64.57 | $83.18 | $144.54 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $81.28 Typical High $389.05 | Professional | TC · Technical part | $64.57 | $81.28 | $389.05 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $208.93 Median $512.86 Typical High $10,964.78 | Facility | None | $208.93 | $512.86 | $10,964.78 |
Medical Mutual of Ohio Setting Professional Modifier None (both parts) Typical Low $144.54 Median $169.82 Typical High $512.86 | Professional | None (both parts) | $144.54 | $169.82 | $512.86 |
Medical Mutual of Ohio Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $83.18 Typical High $131.83 | Professional | 26 · Professional part | $60.26 | $83.18 | $131.83 |
Medical Mutual of Ohio Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $75.86 Typical High $323.59 | Professional | TC · Technical part | $64.57 | $75.86 | $323.59 |
Molina Setting Professional Modifier None (both parts) Typical Low $61.66 Median $107.15 Typical High $239.88 | Professional | None (both parts) | $61.66 | $107.15 | $239.88 |
SummaCare Setting Professional Modifier None (both parts) Typical Low $147.91 Median $173.78 Typical High $281.84 | Professional | None (both parts) | $147.91 | $173.78 | $281.84 |
SummaCare Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $91.20 Typical High $131.83 | Professional | 26 · Professional part | $83.18 | $91.20 | $131.83 |
SummaCare Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $77.62 Typical High $147.91 | Professional | TC · Technical part | $66.07 | $77.62 | $147.91 |
United Setting Facility Modifier None Typical Low $6,456.54 Median $7,585.78 Typical High $10,715.19 | Facility | None | $6,456.54 | $7,585.78 | $10,715.19 |
United Setting Professional Modifier None (both parts) Typical Low $141.25 Median $208.93 Typical High $501.19 | Professional | None (both parts) | $141.25 | $208.93 | $501.19 |
United Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $81.28 Typical High $158.49 | Professional | 26 · Professional part | $44.67 | $81.28 | $158.49 |
United Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $107.15 Typical High $398.11 | Professional | TC · Technical part | $63.10 | $107.15 | $398.11 |
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 $70.79 Median $128.82 Typical High $309.03 | Facility | 52 · Reduced service | $70.79 | $128.82 | $309.03 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $28.84 Median $51.29 Typical High $123.03 | Facility | 53 · Discontinued | $28.84 | $51.29 | $123.03 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $114.82 Median $204.17 Typical High $457.09 | Facility | FX · Film X-ray | $114.82 | $204.17 | $457.09 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $70.79 Median $70.79 Typical High $354.81 | Professional | 52 · Reduced service | $70.79 | $70.79 | $354.81 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $28.84 Median $28.84 Typical High $141.25 | Professional | 53 · Discontinued | $28.84 | $28.84 | $141.25 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $114.82 Median $114.82 Typical High $123.03 | Professional | FX · Film X-ray | $114.82 | $114.82 | $123.03 |
Where Ohio sits
The same service costs 4.1 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· 38th of 51
$191
AK $468TX $115
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.