How much rates vary
Facilitymedian $3,467 · 10th to 90th $138 to $9,550Professionalmedian $191 · 10th to 90th $112 to $1,905
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 $2,818.38 Median $3,801.89 Typical High $9,549.93 | Facility | None | $2,818.38 | $3,801.89 | $9,549.93 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $87.10 Median $245.47 Typical High $302.00 | Facility | 26 · Professional part | $87.10 | $245.47 | $302.00 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $3,467.37 Median $7,762.47 Typical High $12,022.64 | Facility | TC · Technical part | $3,467.37 | $7,762.47 | $12,022.64 |
Aetna Setting Professional Modifier None (both parts) Typical Low $371.54 Median $2,818.38 Typical High $7,244.36 | Professional | None (both parts) | $371.54 | $2,818.38 | $7,244.36 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $87.10 Typical High $302.00 | Professional | 26 · Professional part | $85.11 | $87.10 | $302.00 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $213.80 Median $2,818.38 Typical High $7,762.47 | Professional | TC · Technical part | $213.80 | $2,818.38 | $7,762.47 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $83.18 Typical High $83.18 | Professional | 26 · Professional part | $83.18 | $83.18 | $83.18 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $128.82 Median $177.83 Typical High $398.11 | Professional | None (both parts) | $128.82 | $177.83 | $398.11 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $89.13 Typical High $158.49 | Professional | 26 · Professional part | $83.18 | $89.13 | $158.49 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $46.77 Median $89.13 Typical High $257.04 | Professional | TC · Technical part | $46.77 | $89.13 | $257.04 |
Cigna Setting Facility Modifier None Typical Low $125.89 Median $213.80 Typical High $6,025.60 | Facility | None | $125.89 | $213.80 | $6,025.60 |
Cigna Setting Professional Modifier None (both parts) Typical Low $117.49 Median $165.96 Typical High $380.19 | Professional | None (both parts) | $117.49 | $165.96 | $380.19 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $109.65 Typical High $190.55 | Professional | 26 · Professional part | $79.43 | $109.65 | $190.55 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $38.02 Median $52.48 Typical High $190.55 | Professional | TC · Technical part | $38.02 | $52.48 | $190.55 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $138.04 Median $1,698.24 Typical High $10,964.78 | Facility | None | $138.04 | $1,698.24 | $10,964.78 |
Medical Mutual of Ohio Setting Professional Modifier None (both parts) Typical Low $120.23 Median $165.96 Typical High $398.11 | Professional | None (both parts) | $120.23 | $165.96 | $398.11 |
Medical Mutual of Ohio Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $112.20 Typical High $204.17 | Professional | 26 · Professional part | $83.18 | $112.20 | $204.17 |
Medical Mutual of Ohio Setting Professional Modifier TC · Technical part Typical Low $38.90 Median $52.48 Typical High $190.55 | Professional | TC · Technical part | $38.90 | $52.48 | $190.55 |
Molina Setting Professional Modifier None (both parts) Typical Low $87.10 Median $181.97 Typical High $389.05 | Professional | None (both parts) | $87.10 | $181.97 | $389.05 |
SummaCare Setting Professional Modifier None (both parts) Typical Low $269.15 Median $295.12 Typical High $457.09 | Professional | None (both parts) | $269.15 | $295.12 | $457.09 |
SummaCare Setting Professional Modifier 26 · Professional part Typical Low $109.65 Median $120.23 Typical High $186.21 | Professional | 26 · Professional part | $109.65 | $120.23 | $186.21 |
SummaCare Setting Professional Modifier TC · Technical part Typical Low $158.49 Median $173.78 Typical High $275.42 | Professional | TC · Technical part | $158.49 | $173.78 | $275.42 |
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 $93.33 Median $1,174.90 Typical High $3,801.89 | Professional | None (both parts) | $93.33 | $1,174.90 | $3,801.89 |
United Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $91.20 Typical High $173.78 | Professional | 26 · Professional part | $60.26 | $91.20 | $173.78 |
United Setting Professional Modifier TC · Technical part Typical Low $31.62 Median $1,230.27 Typical High $3,715.35 | Professional | TC · Technical part | $31.62 | $1,230.27 | $3,715.35 |
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 $1,412.54 Median $3,162.28 Typical High $5,888.44 | Facility | 52 · Reduced service | $1,412.54 | $3,162.28 | $5,888.44 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $575.44 Median $1,288.25 Typical High $2,398.83 | Facility | 53 · Discontinued | $575.44 | $1,288.25 | $2,398.83 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $2,511.89 Median $5,128.61 Typical High $9,549.93 | Facility | FX · Film X-ray | $2,511.89 | $5,128.61 | $9,549.93 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $380.19 Median $1,412.54 Typical High $1,862.09 | Professional | 52 · Reduced service | $380.19 | $1,412.54 | $1,862.09 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $154.88 Median $575.44 Typical High $741.31 | Professional | 53 · Discontinued | $154.88 | $575.44 | $741.31 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $2,290.87 Median $2,290.87 Typical High $2,511.89 | Professional | FX · Film X-ray | $2,290.87 | $2,290.87 | $2,511.89 |
Where Ohio sits
The same service costs 26.3 times more in Colorado than in New Mexico. 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
$191
CO $3,467NM $132
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.