How much rates vary
Facilitymedian $372 · 10th to 90th $204 to $7,586Professionalmedian $132 · 10th to 90th $62 to $372
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 $204.17 Median $371.54 Typical High $501.19 | Facility | None | $204.17 | $371.54 | $501.19 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $57.54 Median $138.04 Typical High $186.21 | Facility | 26 · Professional part | $57.54 | $138.04 | $186.21 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $114.82 Median $173.78 Typical High $257.04 | Facility | TC · Technical part | $114.82 | $173.78 | $257.04 |
Aetna Setting Professional Modifier None (both parts) Typical Low $112.20 Median $112.20 Typical High $616.60 | Professional | None (both parts) | $112.20 | $112.20 | $616.60 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $50.12 Typical High $323.59 | Professional | 26 · Professional part | $50.12 | $50.12 | $323.59 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $63.10 Typical High $208.93 | Professional | TC · Technical part | $63.10 | $63.10 | $208.93 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $74.13 Typical High $74.13 | Professional | 26 · Professional part | $51.29 | $74.13 | $74.13 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $147.91 Median $263.03 Typical High $416.87 | Professional | None (both parts) | $147.91 | $263.03 | $416.87 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $61.66 Typical High $100.00 | Professional | 26 · Professional part | $56.23 | $61.66 | $100.00 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $199.53 Typical High $309.03 | Professional | TC · Technical part | $81.28 | $199.53 | $309.03 |
Cigna Setting Facility Modifier None Typical Low $194.98 Median $331.13 Typical High $10,964.78 | Facility | None | $194.98 | $331.13 | $10,964.78 |
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 $50.12 Median $58.88 Typical High $117.49 | Professional | 26 · Professional part | $50.12 | $58.88 | $117.49 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $79.43 Typical High $389.05 | Professional | TC · Technical part | $64.57 | $79.43 | $389.05 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $213.80 Median $407.38 Typical High $10,964.78 | Facility | None | $213.80 | $407.38 | $10,964.78 |
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 $50.12 Median $57.54 Typical High $117.49 | Professional | 26 · Professional part | $50.12 | $57.54 | $117.49 |
Medical Mutual of Ohio Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $75.86 Typical High $288.40 | Professional | TC · Technical part | $64.57 | $75.86 | $288.40 |
Molina Setting Professional Modifier None (both parts) Typical Low $45.71 Median $91.20 Typical High $144.54 | Professional | None (both parts) | $45.71 | $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 $51.29 Median $56.23 Typical High $97.72 | Professional | 26 · Professional part | $51.29 | $56.23 | $97.72 |
SummaCare Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $72.44 Typical High $147.91 | Professional | TC · Technical part | $66.07 | $72.44 | $147.91 |
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 $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 $38.02 Median $56.23 Typical High $102.33 | Professional | 26 · Professional part | $38.02 | $56.23 | $102.33 |
United Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $102.33 Typical High $380.19 | Professional | TC · Technical part | $61.66 | $102.33 | $380.19 |
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 $128.82 Typical High $251.19 | Facility | 52 · Reduced service | $56.23 | $128.82 | $251.19 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $22.39 Median $51.29 Typical High $100.00 | Facility | 53 · Discontinued | $22.39 | $51.29 | $100.00 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $89.13 Median $204.17 Typical High $363.08 | Facility | FX · Film X-ray | $89.13 | $204.17 | $363.08 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $56.23 Median $56.23 Typical High $331.13 | Professional | 52 · Reduced service | $56.23 | $56.23 | $331.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $22.39 Median $22.39 Typical High $131.83 | Professional | 53 · Discontinued | $22.39 | $22.39 | $131.83 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $89.13 Median $89.13 Typical High $109.65 | Professional | FX · Film X-ray | $89.13 | $89.13 | $109.65 |
Where Ohio sits
The same service costs 4.9 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· 42nd of 51
$135
AK $372UT $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.