How much rates vary
Facilitymedian $288 · 10th to 90th $191 to $398Professionalmedian $102 · 10th to 90th $56 to $186
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 $177.83 Median $295.12 Typical High $363.08 | Facility | None | $177.83 | $295.12 | $363.08 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $47.86 Median $83.18 Typical High $107.15 | Facility | 26 · Professional part | $47.86 | $83.18 | $107.15 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $131.83 Median $208.93 Typical High $309.03 | Facility | TC · Technical part | $131.83 | $208.93 | $309.03 |
Aetna Setting Professional Modifier None (both parts) Typical Low $97.72 Median $104.71 Typical High $309.03 | Professional | None (both parts) | $97.72 | $104.71 | $309.03 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $30.20 Typical High $100.00 | Professional | 26 · Professional part | $28.18 | $30.20 | $100.00 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $74.13 Typical High $213.80 | Professional | TC · Technical part | $70.79 | $74.13 | $213.80 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $22.39 Median $22.91 Typical High $28.18 | Professional | 26 · Professional part | $22.39 | $22.91 | $28.18 |
Anthem BCBS Setting Facility Modifier None Typical Low $257.04 Median $295.12 Typical High $346.74 | Facility | None | $257.04 | $295.12 | $346.74 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $63.10 Median $87.10 Typical High $144.54 | Professional | None (both parts) | $63.10 | $87.10 | $144.54 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $36.31 Typical High $56.23 | Professional | 26 · Professional part | $32.36 | $36.31 | $56.23 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $51.29 Median $54.95 Typical High $107.15 | Professional | TC · Technical part | $51.29 | $54.95 | $107.15 |
Aultcare Setting Professional Modifier None (both parts) Typical Low $117.49 Median $131.83 Typical High $204.17 | Professional | None (both parts) | $117.49 | $131.83 | $204.17 |
Cigna Setting Facility Modifier None Typical Low $223.87 Median $263.03 Typical High $416.87 | Facility | None | $223.87 | $263.03 | $416.87 |
Cigna Setting Professional Modifier None (both parts) Typical Low $97.72 Median $107.15 Typical High $208.93 | Professional | None (both parts) | $97.72 | $107.15 | $208.93 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $31.62 Typical High $61.66 | Professional | 26 · Professional part | $28.84 | $31.62 | $61.66 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $74.13 Typical High $147.91 | Professional | TC · Technical part | $69.18 | $74.13 | $147.91 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $245.47 Median $288.40 Typical High $588.84 | Facility | None | $245.47 | $288.40 | $588.84 |
Medical Mutual of Ohio Setting Professional Modifier None (both parts) Typical Low $100.00 Median $104.71 Typical High $186.21 | Professional | None (both parts) | $100.00 | $104.71 | $186.21 |
Medical Mutual of Ohio Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $31.62 Typical High $70.79 | Professional | 26 · Professional part | $28.84 | $31.62 | $70.79 |
Medical Mutual of Ohio Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $74.13 Typical High $134.90 | Professional | TC · Technical part | $69.18 | $74.13 | $134.90 |
Molina Setting Professional Modifier None (both parts) Typical Low $42.66 Median $95.50 Typical High $190.55 | Professional | None (both parts) | $42.66 | $95.50 | $190.55 |
SummaCare Setting Professional Modifier None (both parts) Typical Low $107.15 Median $107.15 Typical High $141.25 | Professional | None (both parts) | $107.15 | $107.15 | $141.25 |
SummaCare Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $30.20 Typical High $45.71 | Professional | 26 · Professional part | $30.20 | $30.20 | $45.71 |
SummaCare Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $75.86 Typical High $100.00 | Professional | TC · Technical part | $75.86 | $75.86 | $100.00 |
United Setting Facility Modifier None Typical Low $213.80 Median $251.19 Typical High $354.81 | Facility | None | $213.80 | $251.19 | $354.81 |
United Setting Professional Modifier None (both parts) Typical Low $74.13 Median $112.20 Typical High $199.53 | Professional | None (both parts) | $74.13 | $112.20 | $199.53 |
United Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $32.36 Typical High $57.54 | Professional | 26 · Professional part | $21.88 | $32.36 | $57.54 |
United Setting Professional Modifier TC · Technical part Typical Low $51.29 Median $77.62 Typical High $144.54 | Professional | TC · Technical part | $51.29 | $77.62 | $144.54 |
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 $58.88 Median $123.03 Typical High $162.18 | Facility | 52 · Reduced service | $58.88 | $123.03 | $162.18 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $23.99 Median $48.98 Typical High $66.07 | Facility | 53 · Discontinued | $23.99 | $48.98 | $66.07 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $83.18 Median $194.98 Typical High $251.19 | Facility | FX · Film X-ray | $83.18 | $194.98 | $251.19 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $52.48 Median $52.48 Typical High $147.91 | Professional | 52 · Reduced service | $52.48 | $52.48 | $147.91 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $20.89 Median $20.89 Typical High $58.88 | Professional | 53 · Discontinued | $20.89 | $20.89 | $58.88 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $83.18 Median $83.18 Typical High $83.18 | Professional | FX · Film X-ray | $83.18 | $83.18 | $83.18 |
Where Ohio sits
The same service costs 3.9 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· 46th of 51
$105
AK $339TX $87.10
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.