How much rates vary
Facilitymedian $525 · 10th to 90th $219 to $7,244Professionalmedian $178 · 10th to 90th $83 to $437
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 $177.83 Median $467.74 Typical High $676.08 | Facility | None | $177.83 | $467.74 | $676.08 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $91.20 Median $245.47 Typical High $323.59 | Facility | 26 · Professional part | $91.20 | $245.47 | $323.59 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $81.28 Median $181.97 Typical High $269.15 | Facility | TC · Technical part | $81.28 | $181.97 | $269.15 |
Aetna Setting Professional Modifier None (both parts) Typical Low $154.88 Median $194.98 Typical High $575.44 | Professional | None (both parts) | $154.88 | $194.98 | $575.44 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $89.13 Typical High $302.00 | Professional | 26 · Professional part | $66.07 | $89.13 | $302.00 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $77.62 Typical High $218.78 | Professional | TC · Technical part | $66.07 | $77.62 | $218.78 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $125.89 Median $125.89 Typical High $125.89 | Professional | None (both parts) | $125.89 | $125.89 | $125.89 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $91.20 Median $91.20 Typical High $138.04 | Professional | 26 · Professional part | $91.20 | $91.20 | $138.04 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $194.98 Median $316.23 Typical High $524.81 | Professional | None (both parts) | $194.98 | $316.23 | $524.81 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $72.44 Typical High $131.83 | Professional | 26 · Professional part | $66.07 | $72.44 | $131.83 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $239.88 Typical High $371.54 | Professional | TC · Technical part | $91.20 | $239.88 | $371.54 |
Cigna Setting Facility Modifier None Typical Low $199.53 Median $346.74 Typical High $10,964.78 | Facility | None | $199.53 | $346.74 | $10,964.78 |
Cigna Setting Professional Modifier None (both parts) Typical Low $154.88 Median $194.98 Typical High $537.03 | Professional | None (both parts) | $154.88 | $194.98 | $537.03 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $72.44 Median $91.20 Typical High $162.18 | Professional | 26 · Professional part | $72.44 | $91.20 | $162.18 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $83.18 Typical High $389.05 | Professional | TC · Technical part | $66.07 | $83.18 | $389.05 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $218.78 Median $616.60 Typical High $10,964.78 | Facility | None | $218.78 | $616.60 | $10,964.78 |
Medical Mutual of Ohio Setting Professional Modifier None (both parts) Typical Low $154.88 Median $186.21 Typical High $537.03 | Professional | None (both parts) | $154.88 | $186.21 | $537.03 |
Medical Mutual of Ohio Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $91.20 Typical High $162.18 | Professional | 26 · Professional part | $75.86 | $91.20 | $162.18 |
Medical Mutual of Ohio Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $79.43 Typical High $354.81 | Professional | TC · Technical part | $66.07 | $79.43 | $354.81 |
Molina Setting Professional Modifier None (both parts) Typical Low $67.61 Median $123.03 Typical High $234.42 | Professional | None (both parts) | $67.61 | $123.03 | $234.42 |
SummaCare Setting Professional Modifier None (both parts) Typical Low $162.18 Median $190.55 Typical High $436.52 | Professional | None (both parts) | $162.18 | $190.55 | $436.52 |
SummaCare Setting Professional Modifier 26 · Professional part Typical Low $93.33 Median $102.33 Typical High $141.25 | Professional | 26 · Professional part | $93.33 | $102.33 | $141.25 |
SummaCare Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $81.28 Typical High $302.00 | Professional | TC · Technical part | $69.18 | $81.28 | $302.00 |
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 $151.36 Median $234.42 Typical High $501.19 | Professional | None (both parts) | $151.36 | $234.42 | $501.19 |
United Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $91.20 Typical High $173.78 | Professional | 26 · Professional part | $50.12 | $91.20 | $173.78 |
United Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $114.82 Typical High $416.87 | Professional | TC · Technical part | $66.07 | $114.82 | $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 $75.86 Median $134.90 Typical High $371.54 | Facility | 52 · Reduced service | $75.86 | $134.90 | $371.54 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $30.20 Median $53.70 Typical High $147.91 | Facility | 53 · Discontinued | $30.20 | $53.70 | $147.91 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $120.23 Median $213.80 Typical High $549.54 | Facility | FX · Film X-ray | $120.23 | $213.80 | $549.54 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $77.62 Median $77.62 Typical High $309.03 | Professional | 52 · Reduced service | $77.62 | $77.62 | $309.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $30.90 Median $30.90 Typical High $123.03 | Professional | 53 · Discontinued | $30.90 | $30.90 | $123.03 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $123.03 Median $123.03 Typical High $134.90 | Professional | FX · Film X-ray | $123.03 | $123.03 | $134.90 |
Where Ohio sits
The same service costs 5.1 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
$182
AK $513UT $100
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.