How much rates vary
Facilitymedian $372 · 10th to 90th $275 to $3,090Professionalmedian $513 · 10th to 90th $162 to $1,202
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 $275.42 Median $933.25 Typical High $3,090.30 | Facility | None | $275.42 | $933.25 | $3,090.30 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $69.18 Median $199.53 Typical High $239.88 | Facility | 26 · Professional part | $69.18 | $199.53 | $239.88 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $1,000.00 Median $2,344.23 Typical High $3,630.78 | Facility | TC · Technical part | $1,000.00 | $2,344.23 | $3,630.78 |
Aetna Setting Professional Modifier None (both parts) Typical Low $870.96 Median $933.25 Typical High $2,398.83 | Professional | None (both parts) | $870.96 | $933.25 | $2,398.83 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $69.18 Typical High $234.42 | Professional | 26 · Professional part | $69.18 | $69.18 | $234.42 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $851.14 Median $851.14 Typical High $2,344.23 | Professional | TC · Technical part | $851.14 | $851.14 | $2,344.23 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $407.38 Median $512.86 Typical High $812.83 | Professional | None (both parts) | $407.38 | $512.86 | $812.83 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $70.79 Typical High $158.49 | Professional | 26 · Professional part | $66.07 | $70.79 | $158.49 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $234.42 Median $436.52 Typical High $691.83 | Professional | TC · Technical part | $234.42 | $436.52 | $691.83 |
CareSource Setting Facility Modifier None Typical Low $89.13 Median $1,096.48 Typical High $1,230.27 | Facility | None | $89.13 | $1,096.48 | $1,230.27 |
Cigna Setting Facility Modifier None Typical Low $281.84 Median $302.00 Typical High $302.00 | Facility | None | $281.84 | $302.00 | $302.00 |
Cigna Setting Professional Modifier None (both parts) Typical Low $354.81 Median $933.25 Typical High $2,089.30 | Professional | None (both parts) | $354.81 | $933.25 | $2,089.30 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $95.50 Typical High $177.83 | Professional | 26 · Professional part | $66.07 | $95.50 | $177.83 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $208.93 Median $851.14 Typical High $1,905.46 | Professional | TC · Technical part | $208.93 | $851.14 | $1,905.46 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $281.84 Median $302.00 Typical High $1,737.80 | Facility | None | $281.84 | $302.00 | $1,737.80 |
Medical Mutual of Ohio Setting Professional Modifier None (both parts) Typical Low $338.84 Median $933.25 Typical High $2,089.30 | Professional | None (both parts) | $338.84 | $933.25 | $2,089.30 |
Medical Mutual of Ohio Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $95.50 Typical High $177.83 | Professional | 26 · Professional part | $66.07 | $95.50 | $177.83 |
Medical Mutual of Ohio Setting Professional Modifier TC · Technical part Typical Low $204.17 Median $851.14 Typical High $1,949.84 | Professional | TC · Technical part | $204.17 | $851.14 | $1,949.84 |
Molina Setting Professional Modifier None (both parts) Typical Low $100.00 Median $245.47 Typical High $524.81 | Professional | None (both parts) | $100.00 | $245.47 | $524.81 |
SummaCare Setting Professional Modifier None (both parts) Typical Low $309.03 Median $323.59 Typical High $588.84 | Professional | None (both parts) | $309.03 | $323.59 | $588.84 |
SummaCare Setting Professional Modifier 26 · Professional part Typical Low $131.83 Median $138.04 Typical High $223.87 | Professional | 26 · Professional part | $131.83 | $138.04 | $223.87 |
SummaCare Setting Professional Modifier TC · Technical part Typical Low $181.97 Median $190.55 Typical High $346.74 | Professional | TC · Technical part | $181.97 | $190.55 | $346.74 |
United Setting Professional Modifier None (both parts) Typical Low $537.03 Median $776.25 Typical High $1,230.27 | Professional | None (both parts) | $537.03 | $776.25 | $1,230.27 |
United Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $70.79 Typical High $134.90 | Professional | 26 · Professional part | $47.86 | $70.79 | $134.90 |
United Setting Professional Modifier TC · Technical part Typical Low $478.63 Median $691.83 Typical High $1,148.15 | Professional | TC · Technical part | $478.63 | $691.83 | $1,148.15 |
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 $138.04 Median $977.24 Typical High $1,819.70 | Facility | 52 · Reduced service | $138.04 | $977.24 | $1,819.70 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $54.95 Median $389.05 Typical High $724.44 | Facility | 53 · Discontinued | $54.95 | $389.05 | $724.44 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $223.87 Median $1,584.89 Typical High $2,884.03 | Facility | FX · Film X-ray | $223.87 | $1,584.89 | $2,884.03 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $457.09 Median $457.09 Typical High $933.25 | Professional | 52 · Reduced service | $457.09 | $457.09 | $933.25 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $186.21 Median $186.21 Typical High $371.54 | Professional | 53 · Discontinued | $186.21 | $186.21 | $371.54 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $741.31 Median $741.31 Typical High $741.31 | Professional | FX · Film X-ray | $741.31 | $741.31 | $741.31 |
Where Ohio sits
The same service costs 20.4 times more in Alaska than in Oregon. 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· 46th of 51
$513
AK $2,754OR $135
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.