How much rates vary
Facilitymedian $457 · 10th to 90th $245 to $11,482Professionalmedian $166 · 10th to 90th $91 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 $245.47 Median $457.09 Typical High $602.56 | Facility | None | $245.47 | $457.09 | $602.56 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $57.54 Median $138.04 Typical High $186.21 | Facility | 26 · Professional part | $57.54 | $138.04 | $186.21 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $154.88 Median $234.42 Typical High $346.74 | Facility | TC · Technical part | $154.88 | $234.42 | $346.74 |
Aetna Setting Professional Modifier None (both parts) Typical Low $134.90 Median $169.82 Typical High $575.44 | Professional | None (both parts) | $134.90 | $169.82 | $575.44 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $50.12 Typical High $186.21 | Professional | 26 · Professional part | $48.98 | $50.12 | $186.21 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $87.10 Typical High $281.84 | Professional | TC · Technical part | $83.18 | $87.10 | $281.84 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $181.97 Median $281.84 Typical High $457.09 | Professional | None (both parts) | $181.97 | $281.84 | $457.09 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $61.66 Typical High $102.33 | Professional | 26 · Professional part | $56.23 | $61.66 | $102.33 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $109.65 Median $218.78 Typical High $338.84 | Professional | TC · Technical part | $109.65 | $218.78 | $338.84 |
Cigna Setting Facility Modifier None Typical Low $263.03 Median $457.09 Typical High $19,054.61 | Facility | None | $263.03 | $457.09 | $19,054.61 |
Cigna Setting Professional Modifier None (both parts) Typical Low $131.83 Median $169.82 Typical High $478.63 | Professional | None (both parts) | $131.83 | $169.82 | $478.63 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $58.88 Typical High $109.65 | Professional | 26 · Professional part | $48.98 | $58.88 | $109.65 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $107.15 Typical High $389.05 | Professional | TC · Technical part | $81.28 | $107.15 | $389.05 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $288.40 Median $501.19 Typical High $19,054.61 | Facility | None | $288.40 | $501.19 | $19,054.61 |
Medical Mutual of Ohio Setting Professional Modifier None (both parts) Typical Low $131.83 Median $158.49 Typical High $489.78 | Professional | None (both parts) | $131.83 | $158.49 | $489.78 |
Medical Mutual of Ohio Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $57.54 Typical High $114.82 | Professional | 26 · Professional part | $50.12 | $57.54 | $114.82 |
Medical Mutual of Ohio Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $102.33 Typical High $316.23 | Professional | TC · Technical part | $83.18 | $102.33 | $316.23 |
Molina Setting Professional Modifier None (both parts) Typical Low $44.67 Median $128.82 Typical High $199.53 | Professional | None (both parts) | $44.67 | $128.82 | $199.53 |
SummaCare Setting Professional Modifier None (both parts) Typical Low $141.25 Median $154.88 Typical High $309.03 | Professional | None (both parts) | $141.25 | $154.88 | $309.03 |
SummaCare Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $56.23 Typical High $87.10 | Professional | 26 · Professional part | $51.29 | $56.23 | $87.10 |
SummaCare Setting Professional Modifier TC · Technical part Typical Low $89.13 Median $97.72 Typical High $199.53 | Professional | TC · Technical part | $89.13 | $97.72 | $199.53 |
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 $131.83 Median $199.53 Typical High $501.19 | Professional | None (both parts) | $131.83 | $199.53 | $501.19 |
United Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $56.23 Typical High $102.33 | Professional | 26 · Professional part | $38.90 | $56.23 | $102.33 |
United Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $134.90 Typical High $398.11 | Professional | TC · Technical part | $79.43 | $134.90 | $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 $74.13 Median $169.82 Typical High $302.00 | Facility | 52 · Reduced service | $74.13 | $169.82 | $302.00 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $29.51 Median $69.18 Typical High $120.23 | Facility | 53 · Discontinued | $29.51 | $69.18 | $120.23 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $107.15 Median $275.42 Typical High $436.52 | Facility | FX · Film X-ray | $107.15 | $275.42 | $436.52 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $67.61 Median $67.61 Typical High $467.74 | Professional | 52 · Reduced service | $67.61 | $67.61 | $467.74 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $26.92 Median $26.92 Typical High $186.21 | Professional | 53 · Discontinued | $26.92 | $26.92 | $186.21 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $107.15 Median $107.15 Typical High $131.83 | Professional | FX · Film X-ray | $107.15 | $107.15 | $131.83 |
Where Ohio sits
The same service costs 4.2 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· 41st of 51
$170
AK $437UT $105
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.