How much rates vary
Facilitymedian $3,090 · 10th to 90th $631 to $9,550Professionalmedian $269 · 10th to 90th $155 to $2,818
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 $489.78 Median $6,456.54 Typical High $8,511.38 | Facility | None | $489.78 | $6,456.54 | $8,511.38 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $2,818.38 Median $7,762.47 Typical High $12,022.64 | Facility | TC · Technical part | $2,818.38 | $7,762.47 | $12,022.64 |
Aetna Setting Professional Modifier None (both parts) Typical Low $489.78 Median $2,818.38 Typical High $7,762.47 | Professional | None (both parts) | $489.78 | $2,818.38 | $7,762.47 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $51.29 Typical High $158.49 | Professional | 26 · Professional part | $51.29 | $51.29 | $158.49 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $2,630.27 Median $2,818.38 Typical High $8,317.64 | Professional | TC · Technical part | $2,630.27 | $2,818.38 | $8,317.64 |
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 $208.93 Median $229.09 Typical High $2,754.23 | Professional | None (both parts) | $208.93 | $229.09 | $2,754.23 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $61.66 Typical High $102.33 | Professional | 26 · Professional part | $54.95 | $61.66 | $102.33 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $151.36 Median $169.82 Typical High $3,162.28 | Professional | TC · Technical part | $151.36 | $169.82 | $3,162.28 |
Cigna Setting Facility Modifier None Typical Low $575.44 Median $1,000.00 Typical High $10,964.78 | Facility | None | $575.44 | $1,000.00 | $10,964.78 |
Cigna Setting Professional Modifier None (both parts) Typical Low $239.88 Median $288.40 Typical High $562.34 | Professional | None (both parts) | $239.88 | $288.40 | $562.34 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $60.26 Typical High $114.82 | Professional | 26 · Professional part | $50.12 | $60.26 | $114.82 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $186.21 Median $223.87 Typical High $446.68 | Professional | TC · Technical part | $186.21 | $223.87 | $446.68 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $630.96 Median $2,454.71 Typical High $10,964.78 | Facility | None | $630.96 | $2,454.71 | $10,964.78 |
Medical Mutual of Ohio Setting Professional Modifier None (both parts) Typical Low $239.88 Median $288.40 Typical High $549.54 | Professional | None (both parts) | $239.88 | $288.40 | $549.54 |
Medical Mutual of Ohio Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $57.54 Typical High $112.20 | Professional | 26 · Professional part | $51.29 | $57.54 | $112.20 |
Medical Mutual of Ohio Setting Professional Modifier TC · Technical part Typical Low $190.55 Median $218.78 Typical High $436.52 | Professional | TC · Technical part | $190.55 | $218.78 | $436.52 |
Molina Setting Professional Modifier None (both parts) Typical Low $30.90 Median $54.95 Typical High $173.78 | Professional | None (both parts) | $30.90 | $54.95 | $173.78 |
SummaCare Setting Professional Modifier None (both parts) Typical Low $251.19 Median $275.42 Typical High $380.19 | Professional | None (both parts) | $251.19 | $275.42 | $380.19 |
SummaCare Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $57.54 Typical High $79.43 | Professional | 26 · Professional part | $52.48 | $57.54 | $79.43 |
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 $229.09 Median $2,290.87 Typical High $5,011.87 | Professional | None (both parts) | $229.09 | $2,290.87 | $5,011.87 |
United Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $58.88 Typical High $104.71 | Professional | 26 · Professional part | $38.02 | $58.88 | $104.71 |
United Setting Professional Modifier TC · Technical part Typical Low $181.97 Median $2,344.23 Typical High $5,011.87 | Professional | TC · Technical part | $181.97 | $2,344.23 | $5,011.87 |
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 $245.47 Median $1,412.54 Typical High $1,995.26 | Professional | 52 · Reduced service | $245.47 | $1,412.54 | $1,995.26 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $97.72 Median $562.34 Typical High $812.83 | Professional | 53 · Discontinued | $97.72 | $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· 49th of 51
$275
CO $3,890NJ $257
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.