How much rates vary
Facilitymedian $398 · 10th to 90th $200 to $3,236Professionalmedian $117 · 10th to 90th $62 to $204
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 $229.09 Median $380.19 Typical High $489.78 | Facility | None | $229.09 | $380.19 | $489.78 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $75.86 Median $141.25 Typical High $223.87 | Facility | 26 · Professional part | $75.86 | $141.25 | $223.87 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $109.65 Median $165.96 Typical High $245.47 | Facility | TC · Technical part | $109.65 | $165.96 | $245.47 |
Aetna Setting Professional Modifier None (both parts) Typical Low $125.89 Median $138.04 Typical High $426.58 | Professional | None (both parts) | $125.89 | $138.04 | $426.58 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $66.07 Typical High $223.87 | Professional | 26 · Professional part | $52.48 | $66.07 | $223.87 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $61.66 Typical High $199.53 | Professional | TC · Technical part | $60.26 | $61.66 | $199.53 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $102.33 Median $102.33 Typical High $125.89 | Professional | None (both parts) | $102.33 | $102.33 | $125.89 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $97.72 Median $117.49 Typical High $204.17 | Professional | None (both parts) | $97.72 | $117.49 | $204.17 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $56.23 Typical High $102.33 | Professional | 26 · Professional part | $52.48 | $56.23 | $102.33 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $54.95 Median $61.66 Typical High $104.71 | Professional | TC · Technical part | $54.95 | $61.66 | $104.71 |
Cigna Setting Facility Modifier None Typical Low $181.97 Median $316.23 Typical High $5,128.61 | Facility | None | $181.97 | $316.23 | $5,128.61 |
Cigna Setting Professional Modifier None (both parts) Typical Low $109.65 Median $144.54 Typical High $288.40 | Professional | None (both parts) | $109.65 | $144.54 | $288.40 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $69.18 Typical High $123.03 | Professional | 26 · Professional part | $47.86 | $69.18 | $123.03 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $72.44 Typical High $165.96 | Professional | TC · Technical part | $58.88 | $72.44 | $165.96 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $199.53 Median $436.52 Typical High $5,495.41 | Facility | None | $199.53 | $436.52 | $5,495.41 |
Medical Mutual of Ohio Setting Professional Modifier None (both parts) Typical Low $109.65 Median $138.04 Typical High $288.40 | Professional | None (both parts) | $109.65 | $138.04 | $288.40 |
Medical Mutual of Ohio Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $69.18 Typical High $125.89 | Professional | 26 · Professional part | $47.86 | $69.18 | $125.89 |
Medical Mutual of Ohio Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $70.79 Typical High $165.96 | Professional | TC · Technical part | $63.10 | $70.79 | $165.96 |
Molina Setting Professional Modifier None (both parts) Typical Low $44.67 Median $91.20 Typical High $144.54 | Professional | None (both parts) | $44.67 | $91.20 | $144.54 |
SummaCare Setting Professional Modifier None (both parts) Typical Low $131.83 Median $144.54 Typical High $234.42 | Professional | None (both parts) | $131.83 | $144.54 | $234.42 |
SummaCare Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $75.86 Typical High $104.71 | Professional | 26 · Professional part | $69.18 | $75.86 | $104.71 |
SummaCare Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $69.18 Typical High $134.90 | Professional | TC · Technical part | $63.10 | $69.18 | $134.90 |
United Setting Facility Modifier None Typical Low $3,235.94 Median $3,801.89 Typical High $5,370.32 | Facility | None | $3,235.94 | $3,801.89 | $5,370.32 |
United Setting Professional Modifier None (both parts) Typical Low $93.33 Median $131.83 Typical High $245.47 | Professional | None (both parts) | $93.33 | $131.83 | $245.47 |
United Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $56.23 Typical High $107.15 | Professional | 26 · Professional part | $35.48 | $56.23 | $107.15 |
United Setting Professional Modifier TC · Technical part Typical Low $54.95 Median $75.86 Typical High $134.90 | Professional | TC · Technical part | $54.95 | $75.86 | $134.90 |
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 $63.10 Median $123.03 Typical High $263.03 | Facility | 52 · Reduced service | $63.10 | $123.03 | $263.03 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $25.12 Median $48.98 Typical High $104.71 | Facility | 53 · Discontinued | $25.12 | $48.98 | $104.71 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $100.00 Median $194.98 Typical High $389.05 | Facility | FX · Film X-ray | $100.00 | $194.98 | $389.05 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $63.10 Median $63.10 Typical High $213.80 | Professional | 52 · Reduced service | $63.10 | $63.10 | $213.80 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $25.12 Median $25.12 Typical High $85.11 | Professional | 53 · Discontinued | $25.12 | $25.12 | $85.11 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $100.00 Median $100.00 Typical High $109.65 | Professional | FX · Film X-ray | $100.00 | $100.00 | $109.65 |
Where Ohio sits
The same service costs 5.2 times more in Alaska than in Utah. 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· 48th of 51
$117
AK $398UT $75.86
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.