How much rates vary
Facilitymedian $331 · 10th to 90th $166 to $1,995Professionalmedian $98 · 10th to 90th $26 to $295
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 $165.96 Median $794.33 Typical High $2,089.30 | Facility | None | $165.96 | $794.33 | $2,089.30 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $20.89 Median $38.02 Typical High $70.79 | Facility | 26 · Professional part | $20.89 | $38.02 | $70.79 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $134.90 Median $234.42 Typical High $354.81 | Facility | TC · Technical part | $134.90 | $234.42 | $354.81 |
Aetna Setting Professional Modifier None (both parts) Typical Low $97.72 Median $97.72 Typical High $758.58 | Professional | None (both parts) | $97.72 | $97.72 | $758.58 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $20.89 Median $20.89 Typical High $141.25 | Professional | 26 · Professional part | $20.89 | $20.89 | $141.25 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $87.10 Median $87.10 Typical High $338.84 | Professional | TC · Technical part | $87.10 | $87.10 | $338.84 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $89.13 Median $269.15 Typical High $275.42 | Professional | None (both parts) | $89.13 | $269.15 | $275.42 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $52.48 Median $77.62 Typical High $346.74 | Professional | TC · Technical part | $52.48 | $77.62 | $346.74 |
CareSource Setting Professional Modifier None (both parts) Typical Low $17.38 Median $30.90 Typical High $102.33 | Professional | None (both parts) | $17.38 | $30.90 | $102.33 |
Cigna Setting Facility Modifier None Typical Low $213.80 Median $251.19 Typical High $407.38 | Facility | None | $213.80 | $251.19 | $407.38 |
Cigna Setting Professional Modifier None (both parts) Typical Low $83.18 Median $100.00 Typical High $269.15 | Professional | None (both parts) | $83.18 | $100.00 | $269.15 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $16.22 Median $19.95 Typical High $43.65 | Professional | 26 · Professional part | $16.22 | $19.95 | $43.65 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $67.61 Median $81.28 Typical High $177.83 | Professional | TC · Technical part | $67.61 | $81.28 | $177.83 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $128.82 Median $363.08 Typical High $1,412.54 | Facility | None | $128.82 | $363.08 | $1,412.54 |
Medical Mutual of Ohio Setting Professional Modifier None (both parts) Typical Low $83.18 Median $100.00 Typical High $251.19 | Professional | None (both parts) | $83.18 | $100.00 | $251.19 |
Medical Mutual of Ohio Setting Professional Modifier 26 · Professional part Typical Low $15.85 Median $20.89 Typical High $158.49 | Professional | 26 · Professional part | $15.85 | $20.89 | $158.49 |
Medical Mutual of Ohio Setting Professional Modifier TC · Technical part Typical Low $67.61 Median $81.28 Typical High $154.88 | Professional | TC · Technical part | $67.61 | $81.28 | $154.88 |
Molina Setting Professional Modifier None (both parts) Typical Low $16.22 Median $64.57 Typical High $138.04 | Professional | None (both parts) | $16.22 | $64.57 | $138.04 |
SummaCare Setting Professional Modifier None (both parts) Typical Low $50.12 Median $50.12 Typical High $70.79 | Professional | None (both parts) | $50.12 | $50.12 | $70.79 |
United Setting Facility Modifier None Typical Low $177.83 Median $208.93 Typical High $295.12 | Facility | None | $177.83 | $208.93 | $295.12 |
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 $47.86 Median $120.23 Typical High $181.97 | Facility | 52 · Reduced service | $47.86 | $120.23 | $181.97 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $19.50 Median $47.86 Typical High $72.44 | Facility | 53 · Discontinued | $19.50 | $47.86 | $72.44 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $77.62 Median $208.93 Typical High $295.12 | Facility | FX · Film X-ray | $77.62 | $208.93 | $295.12 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $47.86 Median $47.86 Typical High $125.89 | Professional | 52 · Reduced service | $47.86 | $47.86 | $125.89 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.50 Median $19.50 Typical High $50.12 | Professional | 53 · Discontinued | $19.50 | $19.50 | $50.12 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $77.62 Median $77.62 Typical High $114.82 | Professional | FX · Film X-ray | $77.62 | $77.62 | $114.82 |
Where Ohio sits
The same service costs 5.5 times more in Maine than in Ohio. 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· 51st of 51
$100
ME $550OH $100
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.