How much rates vary
Facilitymedian $309 · 10th to 90th $166 to $417Professionalmedian $117 · 10th to 90th $58 to $282
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 $165.96 Median $263.03 Typical High $416.87 | Facility | None | $165.96 | $263.03 | $416.87 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $47.86 Median $81.28 Typical High $151.36 | Facility | 26 · Professional part | $47.86 | $81.28 | $151.36 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $85.11 Median $128.82 Typical High $204.17 | Facility | TC · Technical part | $85.11 | $128.82 | $204.17 |
Aetna Setting Professional Modifier None (both parts) Typical Low $91.20 Median $120.23 Typical High $380.19 | Professional | None (both parts) | $91.20 | $120.23 | $380.19 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $44.67 Typical High $123.03 | Professional | 26 · Professional part | $21.88 | $44.67 | $123.03 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $46.77 Median $56.23 Typical High $165.96 | Professional | TC · Technical part | $46.77 | $56.23 | $165.96 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $61.66 Typical High $61.66 | Professional | 26 · Professional part | $61.66 | $61.66 | $61.66 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $117.49 Median $213.80 Typical High $338.84 | Professional | None (both parts) | $117.49 | $213.80 | $338.84 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $18.20 Median $20.42 Typical High $52.48 | Professional | 26 · Professional part | $18.20 | $20.42 | $52.48 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $190.55 Typical High $295.12 | Professional | TC · Technical part | $60.26 | $190.55 | $295.12 |
Aultcare Setting Professional Modifier None (both parts) Typical Low $107.15 Median $107.15 Typical High $181.97 | Professional | None (both parts) | $107.15 | $107.15 | $181.97 |
CareSource Setting Professional Modifier None (both parts) Typical Low $42.66 Median $60.26 Typical High $112.20 | Professional | None (both parts) | $42.66 | $60.26 | $112.20 |
Cigna Setting Facility Modifier None Typical Low $338.84 Median $338.84 Typical High $338.84 | Facility | None | $338.84 | $338.84 | $338.84 |
Cigna Setting Professional Modifier None (both parts) Typical Low $85.11 Median $107.15 Typical High $398.11 | Professional | None (both parts) | $85.11 | $107.15 | $398.11 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $44.67 Typical High $72.44 | Professional | 26 · Professional part | $23.44 | $44.67 | $72.44 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $48.98 Median $58.88 Typical High $371.54 | Professional | TC · Technical part | $48.98 | $58.88 | $371.54 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $338.84 Median $338.84 Typical High $338.84 | Facility | None | $338.84 | $338.84 | $338.84 |
Medical Mutual of Ohio Setting Professional Modifier None (both parts) Typical Low $87.10 Median $102.33 Typical High $407.38 | Professional | None (both parts) | $87.10 | $102.33 | $407.38 |
Medical Mutual of Ohio Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $46.77 Typical High $134.90 | Professional | 26 · Professional part | $25.70 | $46.77 | $134.90 |
Medical Mutual of Ohio Setting Professional Modifier TC · Technical part Typical Low $50.12 Median $56.23 Typical High $281.84 | Professional | TC · Technical part | $50.12 | $56.23 | $281.84 |
Molina Setting Professional Modifier None (both parts) Typical Low $44.67 Median $89.13 Typical High $144.54 | Professional | None (both parts) | $44.67 | $89.13 | $144.54 |
SummaCare Setting Professional Modifier None (both parts) Typical Low $95.50 Median $102.33 Typical High $199.53 | Professional | None (both parts) | $95.50 | $102.33 | $199.53 |
SummaCare Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $50.12 Typical High $69.18 | Professional | 26 · Professional part | $45.71 | $50.12 | $69.18 |
SummaCare Setting Professional Modifier TC · Technical part Typical Low $48.98 Median $53.70 Typical High $107.15 | Professional | TC · Technical part | $48.98 | $53.70 | $107.15 |
United Setting Professional Modifier None (both parts) Typical Low $85.11 Median $134.90 Typical High $457.09 | Professional | None (both parts) | $85.11 | $134.90 | $457.09 |
United Setting Professional Modifier 26 · Professional part Typical Low $14.13 Median $38.02 Typical High $83.18 | Professional | 26 · Professional part | $14.13 | $38.02 | $83.18 |
United Setting Professional Modifier TC · Technical part Typical Low $47.86 Median $77.62 Typical High $371.54 | Professional | TC · Technical part | $47.86 | $77.62 | $371.54 |
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 $45.71 Median $95.50 Typical High $208.93 | Facility | 52 · Reduced service | $45.71 | $95.50 | $208.93 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $18.20 Median $38.02 Typical High $83.18 | Facility | 53 · Discontinued | $18.20 | $38.02 | $83.18 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $72.44 Median $151.36 Typical High $302.00 | Facility | FX · Film X-ray | $72.44 | $151.36 | $302.00 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $45.71 Median $45.71 Typical High $208.93 | Professional | 52 · Reduced service | $45.71 | $45.71 | $208.93 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $18.20 Median $18.20 Typical High $83.18 | Professional | 53 · Discontinued | $18.20 | $18.20 | $83.18 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $72.44 Median $72.44 Typical High $81.28 | Professional | FX · Film X-ray | $72.44 | $72.44 | $81.28 |
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· 36th of 51
$117
AK $295TX $74.13
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.