How much rates vary
Facilitymedian $1,259 · 10th to 90th $589 to $2,188Professionalmedian $251 · 10th to 90th $145 to $724
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 $562.34 Median $1,230.27 Typical High $1,621.81 | Facility | None | $562.34 | $1,230.27 | $1,621.81 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $549.54 Median $1,513.56 Typical High $2,344.23 | Facility | TC · Technical part | $549.54 | $1,513.56 | $2,344.23 |
Aetna Setting Professional Modifier None (both parts) Typical Low $549.54 Median $562.34 Typical High $1,584.89 | Professional | None (both parts) | $549.54 | $562.34 | $1,584.89 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $40.74 Typical High $151.36 | Professional | 26 · Professional part | $40.74 | $40.74 | $151.36 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $537.03 Median $549.54 Typical High $1,513.56 | Professional | TC · Technical part | $537.03 | $549.54 | $1,513.56 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,258.93 Median $1,479.11 Typical High $1,737.80 | Facility | None | $1,258.93 | $1,479.11 | $1,737.80 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $194.98 Median $213.80 Typical High $660.69 | Professional | None (both parts) | $194.98 | $213.80 | $660.69 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $45.71 Typical High $74.13 | Professional | 26 · Professional part | $41.69 | $45.71 | $74.13 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $151.36 Median $169.82 Typical High $724.44 | Professional | TC · Technical part | $151.36 | $169.82 | $724.44 |
Cigna Setting Facility Modifier None Typical Low $588.84 Median $1,000.00 Typical High $2,187.76 | Facility | None | $588.84 | $1,000.00 | $2,187.76 |
Cigna Setting Professional Modifier None (both parts) Typical Low $218.78 Median $275.42 Typical High $501.19 | Professional | None (both parts) | $218.78 | $275.42 | $501.19 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $47.86 Typical High $89.13 | Professional | 26 · Professional part | $39.81 | $47.86 | $89.13 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $181.97 Median $223.87 Typical High $426.58 | Professional | TC · Technical part | $181.97 | $223.87 | $426.58 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $645.65 Median $1,230.27 Typical High $2,187.76 | Facility | None | $645.65 | $1,230.27 | $2,187.76 |
Medical Mutual of Ohio Setting Professional Modifier None (both parts) Typical Low $218.78 Median $263.03 Typical High $489.78 | Professional | None (both parts) | $218.78 | $263.03 | $489.78 |
Medical Mutual of Ohio Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $46.77 Typical High $89.13 | Professional | 26 · Professional part | $39.81 | $46.77 | $89.13 |
Medical Mutual of Ohio Setting Professional Modifier TC · Technical part Typical Low $181.97 Median $218.78 Typical High $407.38 | Professional | TC · Technical part | $181.97 | $218.78 | $407.38 |
Molina Setting Professional Modifier None (both parts) Typical Low $30.20 Median $44.67 Typical High $154.88 | Professional | None (both parts) | $30.20 | $44.67 | $154.88 |
SummaCare Setting Professional Modifier None (both parts) Typical Low $239.88 Median $263.03 Typical High $363.08 | Professional | None (both parts) | $239.88 | $263.03 | $363.08 |
SummaCare Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $48.98 Typical High $67.61 | Professional | 26 · Professional part | $44.67 | $48.98 | $67.61 |
SummaCare Setting Professional Modifier TC · Technical part Typical Low $199.53 Median $218.78 Typical High $302.00 | Professional | TC · Technical part | $199.53 | $218.78 | $302.00 |
United Setting Facility Modifier None Typical Low $1,288.25 Median $1,513.56 Typical High $2,137.96 | Facility | None | $1,288.25 | $1,513.56 | $2,137.96 |
United Setting Professional Modifier None (both parts) Typical Low $194.98 Median $562.34 Typical High $1,174.90 | Professional | None (both parts) | $194.98 | $562.34 | $1,174.90 |
United Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $44.67 Typical High $81.28 | Professional | 26 · Professional part | $28.84 | $44.67 | $81.28 |
United Setting Professional Modifier TC · Technical part Typical Low $162.18 Median $549.54 Typical High $1,096.48 | Professional | TC · Technical part | $162.18 | $549.54 | $1,096.48 |
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 $346.74 Median $741.31 Typical High $1,174.90 | Facility | 52 · Reduced service | $346.74 | $741.31 | $1,174.90 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $138.04 Median $295.12 Typical High $467.74 | Facility | 53 · Discontinued | $138.04 | $295.12 | $467.74 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $549.54 Median $1,202.26 Typical High $1,862.09 | Facility | FX · Film X-ray | $549.54 | $1,202.26 | $1,862.09 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $275.42 Median $281.84 Typical High $616.60 | Professional | 52 · Reduced service | $275.42 | $281.84 | $616.60 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $112.20 Median $114.82 Typical High $245.47 | Professional | 53 · Discontinued | $112.20 | $114.82 | $245.47 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $457.09 Median $457.09 Typical High $537.03 | Professional | FX · Film X-ray | $457.09 | $457.09 | $537.03 |
Where Ohio sits
The same service costs 4.8 times more in Alaska than in New Jersey. 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· 50th of 51
$257
AK $1,000NJ $209
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.