How much rates vary
Facilitymedian $380 · 10th to 90th $200 to $2,884Professionalmedian $129 · 10th to 90th $62 to $363
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 $309.03 Median $380.19 Typical High $478.63 | Facility | None | $309.03 | $380.19 | $478.63 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $51.29 Median $154.88 Typical High $190.55 | Facility | 26 · Professional part | $51.29 | $154.88 | $190.55 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $104.71 Median $181.97 Typical High $245.47 | Facility | TC · Technical part | $104.71 | $181.97 | $245.47 |
Aetna Setting Professional Modifier None (both parts) Typical Low $112.20 Median $114.82 Typical High $575.44 | Professional | None (both parts) | $112.20 | $114.82 | $575.44 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $51.29 Typical High $269.15 | Professional | 26 · Professional part | $47.86 | $51.29 | $269.15 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $60.26 Typical High $199.53 | Professional | TC · Technical part | $60.26 | $60.26 | $199.53 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $91.20 Median $91.20 Typical High $91.20 | Professional | None (both parts) | $91.20 | $91.20 | $91.20 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $43.65 Typical High $43.65 | Professional | 26 · Professional part | $43.65 | $43.65 | $43.65 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $144.54 Median $257.04 Typical High $407.38 | Professional | None (both parts) | $144.54 | $257.04 | $407.38 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $61.66 Typical High $100.00 | Professional | 26 · Professional part | $57.54 | $61.66 | $100.00 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $199.53 Typical High $309.03 | Professional | TC · Technical part | $79.43 | $199.53 | $309.03 |
Cigna Setting Facility Modifier None Typical Low $181.97 Median $316.23 Typical High $2,951.21 | Facility | None | $181.97 | $316.23 | $2,951.21 |
Cigna Setting Professional Modifier None (both parts) Typical Low $114.82 Median $141.25 Typical High $457.09 | Professional | None (both parts) | $114.82 | $141.25 | $457.09 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $60.26 Typical High $109.65 | Professional | 26 · Professional part | $51.29 | $60.26 | $109.65 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $77.62 Typical High $380.19 | Professional | TC · Technical part | $63.10 | $77.62 | $380.19 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $199.53 Median $389.05 Typical High $5,495.41 | Facility | None | $199.53 | $389.05 | $5,495.41 |
Medical Mutual of Ohio Setting Professional Modifier None (both parts) Typical Low $114.82 Median $134.90 Typical High $478.63 | Professional | None (both parts) | $114.82 | $134.90 | $478.63 |
Medical Mutual of Ohio Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $60.26 Typical High $109.65 | Professional | 26 · Professional part | $51.29 | $60.26 | $109.65 |
Medical Mutual of Ohio Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $72.44 Typical High $288.40 | Professional | TC · Technical part | $63.10 | $72.44 | $288.40 |
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 $117.49 Median $128.82 Typical High $263.03 | Professional | None (both parts) | $117.49 | $128.82 | $263.03 |
SummaCare Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $60.26 Typical High $87.10 | Professional | 26 · Professional part | $54.95 | $60.26 | $87.10 |
SummaCare Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $69.18 Typical High $141.25 | Professional | TC · Technical part | $63.10 | $69.18 | $141.25 |
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 $112.20 Median $173.78 Typical High $489.78 | Professional | None (both parts) | $112.20 | $173.78 | $489.78 |
United Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $57.54 Typical High $104.71 | Professional | 26 · Professional part | $37.15 | $57.54 | $104.71 |
United Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $97.72 Typical High $371.54 | Professional | TC · Technical part | $60.26 | $97.72 | $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 $56.23 Median $123.03 Typical High $239.88 | Facility | 52 · Reduced service | $56.23 | $123.03 | $239.88 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $22.39 Median $48.98 Typical High $95.50 | Facility | 53 · Discontinued | $22.39 | $48.98 | $95.50 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $89.13 Median $194.98 Typical High $346.74 | Facility | FX · Film X-ray | $89.13 | $194.98 | $346.74 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $56.23 Median $56.23 Typical High $316.23 | Professional | 52 · Reduced service | $56.23 | $56.23 | $316.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $22.39 Median $22.39 Typical High $125.89 | Professional | 53 · Discontinued | $22.39 | $22.39 | $125.89 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $89.13 Median $89.13 Typical High $104.71 | Professional | FX · Film X-ray | $89.13 | $89.13 | $104.71 |
Where Ohio sits
The same service costs 4.8 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· 44th of 51
$132
AK $363UT $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.