How much rates vary
Facilitymedian $447 · 10th to 90th $240 to $13,183Professionalmedian $178 · 10th to 90th $83 to $389
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 $295.12 Median $416.87 Typical High $537.03 | Facility | None | $295.12 | $416.87 | $537.03 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $104.71 Median $165.96 Typical High $302.00 | Facility | 26 · Professional part | $104.71 | $165.96 | $302.00 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $128.82 Median $194.98 Typical High $288.40 | Facility | TC · Technical part | $128.82 | $194.98 | $288.40 |
Aetna Setting Professional Modifier None (both parts) Typical Low $162.18 Median $199.53 Typical High $489.78 | Professional | None (both parts) | $162.18 | $199.53 | $489.78 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $91.20 Typical High $251.19 | Professional | 26 · Professional part | $57.54 | $91.20 | $251.19 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $77.62 Typical High $239.88 | Professional | TC · Technical part | $70.79 | $77.62 | $239.88 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $134.90 Median $134.90 Typical High $134.90 | Professional | None (both parts) | $134.90 | $134.90 | $134.90 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $125.89 Median $125.89 Typical High $125.89 | Professional | 26 · Professional part | $125.89 | $125.89 | $125.89 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $199.53 Median $281.84 Typical High $467.74 | Professional | None (both parts) | $199.53 | $281.84 | $467.74 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $61.66 Typical High $123.03 | Professional | 26 · Professional part | $56.23 | $61.66 | $123.03 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $218.78 Typical High $338.84 | Professional | TC · Technical part | $91.20 | $218.78 | $338.84 |
Aultcare Setting Professional Modifier None (both parts) Typical Low $194.98 Median $323.59 Typical High $323.59 | Professional | None (both parts) | $194.98 | $323.59 | $323.59 |
Cigna Setting Facility Modifier None Typical Low $218.78 Median $371.54 Typical High $19,054.61 | Facility | None | $218.78 | $371.54 | $19,054.61 |
Cigna Setting Professional Modifier None (both parts) Typical Low $144.54 Median $190.55 Typical High $537.03 | Professional | None (both parts) | $144.54 | $190.55 | $537.03 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $93.33 Typical High $162.18 | Professional | 26 · Professional part | $66.07 | $93.33 | $162.18 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $91.20 Typical High $389.05 | Professional | TC · Technical part | $72.44 | $91.20 | $389.05 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $239.88 Median $457.09 Typical High $19,054.61 | Facility | None | $239.88 | $457.09 | $19,054.61 |
Medical Mutual of Ohio Setting Professional Modifier None (both parts) Typical Low $151.36 Median $181.97 Typical High $537.03 | Professional | None (both parts) | $151.36 | $181.97 | $537.03 |
Medical Mutual of Ohio Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $100.00 Typical High $275.42 | Professional | 26 · Professional part | $75.86 | $100.00 | $275.42 |
Medical Mutual of Ohio Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $85.11 Typical High $316.23 | Professional | TC · Technical part | $72.44 | $85.11 | $316.23 |
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 $165.96 Median $181.97 Typical High $316.23 | Professional | None (both parts) | $165.96 | $181.97 | $316.23 |
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 $74.13 Median $81.28 Typical High $162.18 | Professional | TC · Technical part | $74.13 | $81.28 | $162.18 |
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 $147.91 Median $223.87 Typical High $501.19 | Professional | None (both parts) | $147.91 | $223.87 | $501.19 |
United Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $83.18 Typical High $173.78 | Professional | 26 · Professional part | $43.65 | $83.18 | $173.78 |
United Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $114.82 Typical High $389.05 | Professional | TC · Technical part | $69.18 | $114.82 | $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 $81.28 Median $144.54 Typical High $275.42 | Facility | 52 · Reduced service | $81.28 | $144.54 | $275.42 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $32.36 Median $57.54 Typical High $109.65 | Facility | 53 · Discontinued | $32.36 | $57.54 | $109.65 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $128.82 Median $229.09 Typical High $407.38 | Facility | FX · Film X-ray | $128.82 | $229.09 | $407.38 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $81.28 Median $81.28 Typical High $186.21 | Professional | 52 · Reduced service | $81.28 | $81.28 | $186.21 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $32.36 Median $32.36 Typical High $74.13 | Professional | 53 · Discontinued | $32.36 | $32.36 | $74.13 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $128.82 Median $128.82 Typical High $141.25 | Professional | FX · Film X-ray | $128.82 | $128.82 | $141.25 |
Where Ohio sits
The same service costs 5.2 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· 44th of 51
$182
AK $525UT $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.