How much rates vary
Facilitymedian $162 · 10th to 90th $100 to $1,445Professionalmedian $60 · 10th to 90th $35 to $107
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 $102.33 Median $181.97 Typical High $1,318.26 | Facility | None | $102.33 | $181.97 | $1,318.26 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $32.36 Median $66.07 Typical High $87.10 | Facility | 26 · Professional part | $32.36 | $66.07 | $87.10 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $57.54 Median $87.10 Typical High $131.83 | Facility | TC · Technical part | $57.54 | $87.10 | $131.83 |
Aetna Setting Professional Modifier None (both parts) Typical Low $56.23 Median $56.23 Typical High $190.55 | Professional | None (both parts) | $56.23 | $56.23 | $190.55 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $23.99 Typical High $87.10 | Professional | 26 · Professional part | $23.44 | $23.99 | $87.10 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $32.36 Median $32.36 Typical High $95.50 | Professional | TC · Technical part | $32.36 | $32.36 | $95.50 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $33.11 Typical High $33.11 | Professional | 26 · Professional part | $29.51 | $33.11 | $33.11 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,122.02 Median $1,318.26 Typical High $1,548.82 | Facility | None | $1,122.02 | $1,318.26 | $1,548.82 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $37.15 Median $63.10 Typical High $100.00 | Professional | None (both parts) | $37.15 | $63.10 | $100.00 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $32.36 Typical High $63.10 | Professional | 26 · Professional part | $26.92 | $32.36 | $63.10 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $26.92 Median $33.88 Typical High $61.66 | Professional | TC · Technical part | $26.92 | $33.88 | $61.66 |
Aultcare Setting Professional Modifier None (both parts) Typical Low $64.57 Median $64.57 Typical High $67.61 | Professional | None (both parts) | $64.57 | $64.57 | $67.61 |
Cigna Setting Facility Modifier None Typical Low $100.00 Median $117.49 Typical High $1,905.46 | Facility | None | $100.00 | $117.49 | $1,905.46 |
Cigna Setting Professional Modifier None (both parts) Typical Low $51.29 Median $63.10 Typical High $123.03 | Professional | None (both parts) | $51.29 | $63.10 | $123.03 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $28.18 Typical High $52.48 | Professional | 26 · Professional part | $23.44 | $28.18 | $52.48 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $28.18 Median $37.15 Typical High $74.13 | Professional | TC · Technical part | $28.18 | $37.15 | $74.13 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $100.00 Median $123.03 Typical High $1,905.46 | Facility | None | $100.00 | $123.03 | $1,905.46 |
Medical Mutual of Ohio Setting Professional Modifier None (both parts) Typical Low $51.29 Median $63.10 Typical High $123.03 | Professional | None (both parts) | $51.29 | $63.10 | $123.03 |
Medical Mutual of Ohio Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $28.18 Typical High $70.79 | Professional | 26 · Professional part | $23.99 | $28.18 | $70.79 |
Medical Mutual of Ohio Setting Professional Modifier TC · Technical part Typical Low $28.18 Median $36.31 Typical High $74.13 | Professional | TC · Technical part | $28.18 | $36.31 | $74.13 |
Molina Setting Professional Modifier None (both parts) Typical Low $30.90 Median $52.48 Typical High $95.50 | Professional | None (both parts) | $30.90 | $52.48 | $95.50 |
SummaCare Setting Professional Modifier None (both parts) Typical Low $57.54 Median $63.10 Typical High $87.10 | Professional | None (both parts) | $57.54 | $63.10 | $87.10 |
SummaCare Setting Professional Modifier 26 · Professional part Typical Low $24.55 Median $26.92 Typical High $37.15 | Professional | 26 · Professional part | $24.55 | $26.92 | $37.15 |
SummaCare Setting Professional Modifier TC · Technical part Typical Low $33.11 Median $36.31 Typical High $50.12 | Professional | TC · Technical part | $33.11 | $36.31 | $50.12 |
United Setting Facility Modifier None Typical Low $1,122.02 Median $1,318.26 Typical High $1,862.09 | Facility | None | $1,122.02 | $1,318.26 | $1,862.09 |
United Setting Professional Modifier None (both parts) Typical Low $43.65 Median $60.26 Typical High $109.65 | Professional | None (both parts) | $43.65 | $60.26 | $109.65 |
United Setting Professional Modifier 26 · Professional part Typical Low $18.20 Median $26.92 Typical High $48.98 | Professional | 26 · Professional part | $18.20 | $26.92 | $48.98 |
United Setting Professional Modifier TC · Technical part Typical Low $25.70 Median $33.88 Typical High $63.10 | Professional | TC · Technical part | $25.70 | $33.88 | $63.10 |
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 $28.18 Median $66.07 Typical High $724.44 | Facility | 52 · Reduced service | $28.18 | $66.07 | $724.44 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $11.22 Median $26.30 Typical High $288.40 | Facility | 53 · Discontinued | $11.22 | $26.30 | $288.40 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $44.67 Median $104.71 Typical High $1,071.52 | Facility | FX · Film X-ray | $44.67 | $104.71 | $1,071.52 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $28.18 Median $28.18 Typical High $100.00 | Professional | 52 · Reduced service | $28.18 | $28.18 | $100.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $11.22 Median $11.22 Typical High $39.81 | Professional | 53 · Discontinued | $11.22 | $11.22 | $39.81 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $44.67 Median $44.67 Typical High $50.12 | Professional | FX · Film X-ray | $44.67 | $44.67 | $50.12 |
Where Ohio sits
The same service costs 3.8 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· 41st of 51
$61.66
AK $178TX $46.77
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.