How much rates vary
Facilitymedian $389 · 10th to 90th $182 to $2,188Professionalmedian $98 · 10th to 90th $46 to $162
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 $100.00 Median $389.05 Typical High $512.86 | Facility | None | $100.00 | $389.05 | $512.86 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $32.36 Median $58.88 Typical High $154.88 | Facility | 26 · Professional part | $32.36 | $58.88 | $154.88 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $79.43 Median $154.88 Typical High $288.40 | Facility | TC · Technical part | $79.43 | $154.88 | $288.40 |
Aetna Setting Professional Modifier None (both parts) Typical Low $100.00 Median $100.00 Typical High $436.52 | Professional | None (both parts) | $100.00 | $100.00 | $436.52 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $32.36 Typical High $165.96 | Professional | 26 · Professional part | $32.36 | $32.36 | $165.96 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $67.61 Median $67.61 Typical High $87.10 | Professional | TC · Technical part | $67.61 | $67.61 | $87.10 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $45.71 Median $83.18 Typical High $141.25 | Professional | None (both parts) | $45.71 | $83.18 | $141.25 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $38.02 Typical High $61.66 | Professional | 26 · Professional part | $34.67 | $38.02 | $61.66 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $35.48 Median $51.29 Typical High $104.71 | Professional | TC · Technical part | $35.48 | $51.29 | $104.71 |
Cigna Setting Facility Modifier None Typical Low $208.93 Median $363.08 Typical High $2,187.76 | Facility | None | $208.93 | $363.08 | $2,187.76 |
Cigna Setting Professional Modifier None (both parts) Typical Low $89.13 Median $114.82 Typical High $245.47 | Professional | None (both parts) | $89.13 | $114.82 | $245.47 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $38.02 Typical High $70.79 | Professional | 26 · Professional part | $31.62 | $38.02 | $70.79 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $75.86 Typical High $181.97 | Professional | TC · Technical part | $58.88 | $75.86 | $181.97 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $229.09 Median $426.58 Typical High $2,187.76 | Facility | None | $229.09 | $426.58 | $2,187.76 |
Medical Mutual of Ohio Setting Professional Modifier None (both parts) Typical Low $95.50 Median $112.20 Typical High $239.88 | Professional | None (both parts) | $95.50 | $112.20 | $239.88 |
Medical Mutual of Ohio Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $36.31 Typical High $69.18 | Professional | 26 · Professional part | $31.62 | $36.31 | $69.18 |
Medical Mutual of Ohio Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $74.13 Typical High $181.97 | Professional | TC · Technical part | $61.66 | $74.13 | $181.97 |
Molina Setting Professional Modifier None (both parts) Typical Low $44.67 Median $89.13 Typical High $144.54 | Professional | None (both parts) | $44.67 | $89.13 | $144.54 |
SummaCare Setting Professional Modifier None (both parts) Typical Low $102.33 Median $112.20 Typical High $229.09 | Professional | None (both parts) | $102.33 | $112.20 | $229.09 |
SummaCare Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $36.31 Typical High $54.95 | Professional | 26 · Professional part | $33.11 | $36.31 | $54.95 |
SummaCare Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $75.86 Typical High $154.88 | Professional | TC · Technical part | $69.18 | $75.86 | $154.88 |
United Setting Facility Modifier None Typical Low $1,288.25 Median $1,513.56 Typical High $2,137.96 | Facility | None | $1,288.25 | $1,513.56 | $2,137.96 |
United Setting Professional Modifier None (both parts) Typical Low $74.13 Median $114.82 Typical High $218.78 | Professional | None (both parts) | $74.13 | $114.82 | $218.78 |
United Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $35.48 Typical High $66.07 | Professional | 26 · Professional part | $23.44 | $35.48 | $66.07 |
United Setting Professional Modifier TC · Technical part Typical Low $50.12 Median $81.28 Typical High $154.88 | Professional | TC · Technical part | $50.12 | $81.28 | $154.88 |
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 $58.88 Median $138.04 Typical High $257.04 | Facility | 52 · Reduced service | $58.88 | $138.04 | $257.04 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $23.44 Median $54.95 Typical High $102.33 | Facility | 53 · Discontinued | $23.44 | $54.95 | $102.33 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $79.43 Median $218.78 Typical High $380.19 | Facility | FX · Film X-ray | $79.43 | $218.78 | $380.19 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $50.12 Median $50.12 Typical High $218.78 | Professional | 52 · Reduced service | $50.12 | $50.12 | $218.78 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.95 Median $19.95 Typical High $89.13 | Professional | 53 · Discontinued | $19.95 | $19.95 | $89.13 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $79.43 Median $79.43 Typical High $97.72 | Professional | FX · Film X-ray | $79.43 | $79.43 | $97.72 |
Where Ohio sits
The same service costs 4.6 times more in Alaska than in Texas. 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
$97.72
AK $324TX $70.79
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.