How much rates vary
Facilitymedian $525 · 10th to 90th $302 to $9,550Professionalmedian $195 · 10th to 90th $91 to $427
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 $154.88 Median $575.44 Typical High $630.96 | Facility | None | $154.88 | $575.44 | $630.96 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $102.33 Median $281.84 Typical High $426.58 | Facility | TC · Technical part | $102.33 | $281.84 | $426.58 |
Aetna Setting Professional Modifier None (both parts) Typical Low $154.88 Median $154.88 Typical High $575.44 | Professional | None (both parts) | $154.88 | $154.88 | $575.44 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $52.48 Typical High $213.80 | Professional | 26 · Professional part | $52.48 | $52.48 | $213.80 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $102.33 Median $102.33 Typical High $338.84 | Professional | TC · Technical part | $102.33 | $102.33 | $338.84 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $204.17 Median $288.40 Typical High $478.63 | Professional | None (both parts) | $204.17 | $288.40 | $478.63 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $66.07 Typical High $104.71 | Professional | 26 · Professional part | $60.26 | $66.07 | $104.71 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $131.83 Median $223.87 Typical High $346.74 | Professional | TC · Technical part | $131.83 | $223.87 | $346.74 |
Cigna Setting Facility Modifier None Typical Low $302.00 Median $512.86 Typical High $10,964.78 | Facility | None | $302.00 | $512.86 | $10,964.78 |
Cigna Setting Professional Modifier None (both parts) Typical Low $144.54 Median $186.21 Typical High $512.86 | Professional | None (both parts) | $144.54 | $186.21 | $512.86 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $63.10 Typical High $117.49 | Professional | 26 · Professional part | $51.29 | $63.10 | $117.49 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $125.89 Typical High $389.05 | Professional | TC · Technical part | $91.20 | $125.89 | $389.05 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $331.13 Median $524.81 Typical High $10,964.78 | Facility | None | $331.13 | $524.81 | $10,964.78 |
Medical Mutual of Ohio Setting Professional Modifier None (both parts) Typical Low $144.54 Median $181.97 Typical High $512.86 | Professional | None (both parts) | $144.54 | $181.97 | $512.86 |
Medical Mutual of Ohio Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $61.66 Typical High $117.49 | Professional | 26 · Professional part | $51.29 | $61.66 | $117.49 |
Medical Mutual of Ohio Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $120.23 Typical High $338.84 | Professional | TC · Technical part | $91.20 | $120.23 | $338.84 |
Molina Setting Professional Modifier None (both parts) Typical Low $45.71 Median $141.25 Typical High $239.88 | Professional | None (both parts) | $45.71 | $141.25 | $239.88 |
SummaCare Setting Professional Modifier None (both parts) Typical Low $165.96 Median $181.97 Typical High $323.59 | Professional | None (both parts) | $165.96 | $181.97 | $323.59 |
SummaCare Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $61.66 Typical High $100.00 | Professional | 26 · Professional part | $56.23 | $61.66 | $100.00 |
SummaCare Setting Professional Modifier TC · Technical part Typical Low $109.65 Median $120.23 Typical High $234.42 | Professional | TC · Technical part | $109.65 | $120.23 | $234.42 |
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 $144.54 Median $208.93 Typical High $501.19 | Professional | None (both parts) | $144.54 | $208.93 | $501.19 |
United Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $58.88 Typical High $107.15 | Professional | 26 · Professional part | $40.74 | $58.88 | $107.15 |
United Setting Professional Modifier TC · Technical part Typical Low $93.33 Median $147.91 Typical High $398.11 | Professional | TC · Technical part | $93.33 | $147.91 | $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 $87.10 Median $208.93 Typical High $316.23 | Facility | 52 · Reduced service | $87.10 | $208.93 | $316.23 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $35.48 Median $83.18 Typical High $125.89 | Facility | 53 · Discontinued | $35.48 | $83.18 | $125.89 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $123.03 Median $331.13 Typical High $467.74 | Facility | FX · Film X-ray | $123.03 | $331.13 | $467.74 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $77.62 Median $77.62 Typical High $295.12 | Professional | 52 · Reduced service | $77.62 | $77.62 | $295.12 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $30.90 Median $30.90 Typical High $117.49 | Professional | 53 · Discontinued | $30.90 | $30.90 | $117.49 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $123.03 Median $123.03 Typical High $144.54 | Professional | FX · Film X-ray | $123.03 | $123.03 | $144.54 |
Where Ohio sits
The same service costs 4.0 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· 39th of 51
$195
AK $479TX $120
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.