How much rates vary
Facilitymedian $229 · 10th to 90th $170 to $1,288Professionalmedian $389 · 10th to 90th $110 to $776
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 $169.82 Median $380.19 Typical High $1,288.25 | Facility | None | $169.82 | $380.19 | $1,288.25 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $36.31 Median $109.65 Typical High $131.83 | Facility | 26 · Professional part | $36.31 | $109.65 | $131.83 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $389.05 Median $954.99 Typical High $1,445.44 | Facility | TC · Technical part | $389.05 | $954.99 | $1,445.44 |
Aetna Setting Professional Modifier None (both parts) Typical Low $363.08 Median $380.19 Typical High $1,698.24 | Professional | None (both parts) | $363.08 | $380.19 | $1,698.24 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $36.31 Typical High $173.78 | Professional | 26 · Professional part | $36.31 | $36.31 | $173.78 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $338.84 Median $338.84 Typical High $1,148.15 | Professional | TC · Technical part | $338.84 | $338.84 | $1,148.15 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $51.29 Typical High $51.29 | Professional | 26 · Professional part | $51.29 | $51.29 | $51.29 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $165.96 Median $371.54 Typical High $588.84 | Professional | None (both parts) | $165.96 | $371.54 | $588.84 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $45.71 Typical High $69.18 | Professional | 26 · Professional part | $38.90 | $45.71 | $69.18 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $323.59 Typical High $524.81 | Professional | TC · Technical part | $97.72 | $323.59 | $524.81 |
CareSource Setting Facility Modifier None Typical Low $45.71 Median $467.74 Typical High $616.60 | Facility | None | $45.71 | $467.74 | $616.60 |
Cigna Setting Facility Modifier None Typical Low $173.78 Median $186.21 Typical High $186.21 | Facility | None | $173.78 | $186.21 | $186.21 |
Cigna Setting Professional Modifier None (both parts) Typical Low $389.05 Median $467.74 Typical High $912.01 | Professional | None (both parts) | $389.05 | $467.74 | $912.01 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $44.67 Typical High $87.10 | Professional | 26 · Professional part | $37.15 | $44.67 | $87.10 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $346.74 Median $426.58 Typical High $831.76 | Professional | TC · Technical part | $346.74 | $426.58 | $831.76 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $173.78 Median $186.21 Typical High $1,548.82 | Facility | None | $173.78 | $186.21 | $1,548.82 |
Medical Mutual of Ohio Setting Professional Modifier None (both parts) Typical Low $389.05 Median $489.78 Typical High $912.01 | Professional | None (both parts) | $389.05 | $489.78 | $912.01 |
Medical Mutual of Ohio Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $44.67 Typical High $100.00 | Professional | 26 · Professional part | $37.15 | $44.67 | $100.00 |
Medical Mutual of Ohio Setting Professional Modifier TC · Technical part Typical Low $346.74 Median $426.58 Typical High $851.14 | Professional | TC · Technical part | $346.74 | $426.58 | $851.14 |
Molina Setting Professional Modifier None (both parts) Typical Low $40.74 Median $58.88 Typical High $346.74 | Professional | None (both parts) | $40.74 | $58.88 | $346.74 |
SummaCare Setting Professional Modifier None (both parts) Typical Low $457.09 Median $501.19 Typical High $870.96 | Professional | None (both parts) | $457.09 | $501.19 | $870.96 |
United Setting Professional Modifier None (both parts) Typical Low $354.81 Median $489.78 Typical High $851.14 | Professional | None (both parts) | $354.81 | $489.78 | $851.14 |
United Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $43.65 Typical High $72.44 | Professional | 26 · Professional part | $30.90 | $43.65 | $72.44 |
United Setting Professional Modifier TC · Technical part Typical Low $323.59 Median $446.68 Typical High $794.33 | Professional | TC · Technical part | $323.59 | $446.68 | $794.33 |
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 $85.11 Median $389.05 Typical High $724.44 | Facility | 52 · Reduced service | $85.11 | $389.05 | $724.44 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $33.88 Median $158.49 Typical High $288.40 | Facility | 53 · Discontinued | $33.88 | $158.49 | $288.40 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $138.04 Median $630.96 Typical High $1,148.15 | Facility | FX · Film X-ray | $138.04 | $630.96 | $1,148.15 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $181.97 Median $190.55 Typical High $851.14 | Professional | 52 · Reduced service | $181.97 | $190.55 | $851.14 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $72.44 Median $75.86 Typical High $338.84 | Professional | 53 · Discontinued | $72.44 | $75.86 | $338.84 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $302.00 Median $302.00 Typical High $812.83 | Professional | FX · Film X-ray | $302.00 | $302.00 | $812.83 |
Where Ohio sits
The same service costs 16.6 times more in Wisconsin 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· 47th of 51
$389
WI $1,202OR $72.44
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.