How much rates vary
Facilitymedian $302 · 10th to 90th $174 to $1,259Professionalmedian $117 · 10th to 90th $62 to $195
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 $371.54 Typical High $1,258.93 | Facility | None | $169.82 | $371.54 | $1,258.93 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $58.88 Median $154.88 Typical High $194.98 | Facility | 26 · Professional part | $58.88 | $154.88 | $194.98 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $100.00 Median $151.36 Typical High $223.87 | Facility | TC · Technical part | $100.00 | $151.36 | $223.87 |
Aetna Setting Professional Modifier None (both parts) Typical Low $109.65 Median $114.82 Typical High $537.03 | Professional | None (both parts) | $109.65 | $114.82 | $537.03 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $56.23 Typical High $194.98 | Professional | 26 · Professional part | $56.23 | $56.23 | $194.98 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $54.95 Median $54.95 Typical High $181.97 | Professional | TC · Technical part | $54.95 | $54.95 | $181.97 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $45.71 Typical High $45.71 | Professional | 26 · Professional part | $45.71 | $45.71 | $45.71 |
Anthem BCBS Setting Facility Modifier None Typical Low $173.78 Median $204.17 Typical High $239.88 | Facility | None | $173.78 | $204.17 | $239.88 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $112.20 Median $128.82 Typical High $199.53 | Professional | None (both parts) | $112.20 | $128.82 | $199.53 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $61.66 Typical High $97.72 | Professional | 26 · Professional part | $58.88 | $61.66 | $97.72 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $69.18 Typical High $114.82 | Professional | TC · Technical part | $63.10 | $69.18 | $114.82 |
CareSource Setting Facility Modifier None Typical Low $64.57 Median $131.83 Typical High $239.88 | Facility | None | $64.57 | $131.83 | $239.88 |
Cigna Setting Facility Modifier None Typical Low $263.03 Median $281.84 Typical High $281.84 | Facility | None | $263.03 | $281.84 | $281.84 |
Cigna Setting Professional Modifier None (both parts) Typical Low $107.15 Median $125.89 Typical High $316.23 | Professional | None (both parts) | $107.15 | $125.89 | $316.23 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $61.66 Typical High $123.03 | Professional | 26 · Professional part | $53.70 | $61.66 | $123.03 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $53.70 Median $61.66 Typical High $173.78 | Professional | TC · Technical part | $53.70 | $61.66 | $173.78 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $263.03 Median $281.84 Typical High $281.84 | Facility | None | $263.03 | $281.84 | $281.84 |
Medical Mutual of Ohio Setting Professional Modifier None (both parts) Typical Low $107.15 Median $123.03 Typical High $316.23 | Professional | None (both parts) | $107.15 | $123.03 | $316.23 |
Medical Mutual of Ohio Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $61.66 Typical High $125.89 | Professional | 26 · Professional part | $53.70 | $61.66 | $125.89 |
Medical Mutual of Ohio Setting Professional Modifier TC · Technical part Typical Low $53.70 Median $61.66 Typical High $173.78 | Professional | TC · Technical part | $53.70 | $61.66 | $173.78 |
Molina Setting Professional Modifier None (both parts) Typical Low $45.71 Median $95.50 Typical High $147.91 | Professional | None (both parts) | $45.71 | $95.50 | $147.91 |
SummaCare Setting Professional Modifier None (both parts) Typical Low $112.20 Median $112.20 Typical High $181.97 | Professional | None (both parts) | $112.20 | $112.20 | $181.97 |
SummaCare Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $56.23 Typical High $85.11 | Professional | 26 · Professional part | $56.23 | $56.23 | $85.11 |
SummaCare Setting Professional Modifier TC · Technical part Typical Low $56.23 Median $56.23 Typical High $102.33 | Professional | TC · Technical part | $56.23 | $56.23 | $102.33 |
United Setting Professional Modifier None (both parts) Typical Low $100.00 Median $125.89 Typical High $218.78 | Professional | None (both parts) | $100.00 | $125.89 | $218.78 |
United Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $58.88 Typical High $104.71 | Professional | 26 · Professional part | $39.81 | $58.88 | $104.71 |
United Setting Professional Modifier TC · Technical part Typical Low $48.98 Median $67.61 Typical High $120.23 | Professional | TC · Technical part | $48.98 | $67.61 | $120.23 |
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 $54.95 Median $83.18 Typical High $114.82 | Facility | 52 · Reduced service | $54.95 | $83.18 | $114.82 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $21.88 Median $33.88 Typical High $45.71 | Facility | 53 · Discontinued | $21.88 | $33.88 | $45.71 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $89.13 Median $134.90 Typical High $186.21 | Facility | FX · Film X-ray | $89.13 | $134.90 | $186.21 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $54.95 Median $54.95 Typical High $234.42 | Professional | 52 · Reduced service | $54.95 | $54.95 | $234.42 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $21.88 Median $21.88 Typical High $93.33 | Professional | 53 · Discontinued | $21.88 | $21.88 | $93.33 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $89.13 Median $89.13 Typical High $131.83 | Professional | FX · Film X-ray | $89.13 | $89.13 | $131.83 |
Where Ohio sits
The same service costs 5.6 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· 45th of 51
$120
AK $447TX $79.43
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.