How much rates vary
Facilitymedian $3,090 · 10th to 90th $676 to $9,550Professionalmedian $257 · 10th to 90th $141 to $2,754
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 $2,818.38 Median $7,762.47 Typical High $9,549.93 | Facility | None | $2,818.38 | $7,762.47 | $9,549.93 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $37.15 Median $112.20 Typical High $134.90 | Facility | 26 · Professional part | $37.15 | $112.20 | $134.90 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $3,467.37 Median $7,762.47 Typical High $12,022.64 | Facility | TC · Technical part | $3,467.37 | $7,762.47 | $12,022.64 |
Aetna Setting Professional Modifier None (both parts) Typical Low $870.96 Median $2,818.38 Typical High $7,762.47 | Professional | None (both parts) | $870.96 | $2,818.38 | $7,762.47 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $37.15 Typical High $144.54 | Professional | 26 · Professional part | $37.15 | $37.15 | $144.54 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $2,630.27 Median $2,818.38 Typical High $7,762.47 | Professional | TC · Technical part | $2,630.27 | $2,818.38 | $7,762.47 |
Anthem BCBS Setting Facility Modifier None Typical Low $6,760.83 Median $7,762.47 Typical High $9,120.11 | Facility | None | $6,760.83 | $7,762.47 | $9,120.11 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $194.98 Median $208.93 Typical High $1,174.90 | Professional | None (both parts) | $194.98 | $208.93 | $1,174.90 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $43.65 Typical High $72.44 | Professional | 26 · Professional part | $39.81 | $43.65 | $72.44 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $151.36 Median $169.82 Typical High $1,318.26 | Professional | TC · Technical part | $151.36 | $169.82 | $1,318.26 |
Cigna Setting Facility Modifier None Typical Low $616.60 Median $1,047.13 Typical High $6,025.60 | Facility | None | $616.60 | $1,047.13 | $6,025.60 |
Cigna Setting Professional Modifier None (both parts) Typical Low $223.87 Median $275.42 Typical High $524.81 | Professional | None (both parts) | $223.87 | $275.42 | $524.81 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $44.67 Typical High $81.28 | Professional | 26 · Professional part | $36.31 | $44.67 | $81.28 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $194.98 Median $234.42 Typical High $446.68 | Professional | TC · Technical part | $194.98 | $234.42 | $446.68 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $676.08 Median $1,819.70 Typical High $10,964.78 | Facility | None | $676.08 | $1,819.70 | $10,964.78 |
Medical Mutual of Ohio Setting Professional Modifier None (both parts) Typical Low $234.42 Median $269.15 Typical High $512.86 | Professional | None (both parts) | $234.42 | $269.15 | $512.86 |
Medical Mutual of Ohio Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $42.66 Typical High $79.43 | Professional | 26 · Professional part | $37.15 | $42.66 | $79.43 |
Medical Mutual of Ohio Setting Professional Modifier TC · Technical part Typical Low $199.53 Median $223.87 Typical High $436.52 | Professional | TC · Technical part | $199.53 | $223.87 | $436.52 |
Molina Setting Professional Modifier None (both parts) Typical Low $30.20 Median $44.67 Typical High $173.78 | Professional | None (both parts) | $30.20 | $44.67 | $173.78 |
SummaCare Setting Professional Modifier None (both parts) Typical Low $234.42 Median $257.04 Typical High $354.81 | Professional | None (both parts) | $234.42 | $257.04 | $354.81 |
SummaCare Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $42.66 Typical High $58.88 | Professional | 26 · Professional part | $38.90 | $42.66 | $58.88 |
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 $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 $213.80 Median $1,122.02 Typical High $3,801.89 | Professional | None (both parts) | $213.80 | $1,122.02 | $3,801.89 |
United Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $41.69 Typical High $75.86 | Professional | 26 · Professional part | $26.92 | $41.69 | $75.86 |
United Setting Professional Modifier TC · Technical part Typical Low $181.97 Median $1,230.27 Typical High $3,715.35 | Professional | TC · Technical part | $181.97 | $1,230.27 | $3,715.35 |
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 $1,412.54 Median $3,890.45 Typical High $5,888.44 | Facility | 52 · Reduced service | $1,412.54 | $3,890.45 | $5,888.44 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $562.34 Median $1,548.82 Typical High $2,398.83 | Facility | 53 · Discontinued | $562.34 | $1,548.82 | $2,398.83 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $2,818.38 Median $6,309.57 Typical High $9,549.93 | Facility | FX · Film X-ray | $2,818.38 | $6,309.57 | $9,549.93 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $436.52 Median $1,412.54 Typical High $1,995.26 | Professional | 52 · Reduced service | $436.52 | $1,412.54 | $1,995.26 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $177.83 Median $562.34 Typical High $812.83 | Professional | 53 · Discontinued | $177.83 | $562.34 | $812.83 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $2,238.72 Median $2,238.72 Typical High $2,691.53 | Professional | FX · Film X-ray | $2,238.72 | $2,238.72 | $2,691.53 |
Where Ohio sits
The same service costs 15.1 times more in Colorado 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
CO $3,715NJ $245
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.