How much rates vary
Facilitymedian $372 · 10th to 90th $295 to $646Professionalmedian $162 · 10th to 90th $102 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 $295.12 Median $407.38 Typical High $645.65 | Facility | None | $295.12 | $407.38 | $645.65 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $100.00 Median $223.87 Typical High $309.03 | Facility | 26 · Professional part | $100.00 | $223.87 | $309.03 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $173.78 Median $269.15 Typical High $398.11 | Facility | TC · Technical part | $173.78 | $269.15 | $398.11 |
Aetna Setting Professional Modifier None (both parts) Typical Low $158.49 Median $181.97 Typical High $549.54 | Professional | None (both parts) | $158.49 | $181.97 | $549.54 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $81.28 Typical High $275.42 | Professional | 26 · Professional part | $79.43 | $81.28 | $275.42 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $97.72 Typical High $269.15 | Professional | TC · Technical part | $75.86 | $97.72 | $269.15 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $194.98 Median $204.17 Typical High $204.17 | Professional | None (both parts) | $194.98 | $204.17 | $204.17 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $89.13 Median $89.13 Typical High $128.82 | Professional | 26 · Professional part | $89.13 | $89.13 | $128.82 |
Anthem BCBS Setting Facility Modifier None Typical Low $316.23 Median $371.54 Typical High $436.52 | Facility | None | $316.23 | $371.54 | $436.52 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $102.33 Median $147.91 Typical High $251.19 | Professional | None (both parts) | $102.33 | $147.91 | $251.19 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $97.72 Typical High $138.04 | Professional | 26 · Professional part | $50.12 | $97.72 | $138.04 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $51.29 Median $52.48 Typical High $131.83 | Professional | TC · Technical part | $51.29 | $52.48 | $131.83 |
Aultcare Setting Professional Modifier None (both parts) Typical Low $213.80 Median $213.80 Typical High $371.54 | Professional | None (both parts) | $213.80 | $213.80 | $371.54 |
Cigna Setting Facility Modifier None Typical Low $323.59 Median $346.74 Typical High $346.74 | Facility | None | $323.59 | $346.74 | $346.74 |
Cigna Setting Professional Modifier None (both parts) Typical Low $169.82 Median $181.97 Typical High $354.81 | Professional | None (both parts) | $169.82 | $181.97 | $354.81 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $87.10 Typical High $165.96 | Professional | 26 · Professional part | $79.43 | $87.10 | $165.96 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $87.10 Median $97.72 Typical High $194.98 | Professional | TC · Technical part | $87.10 | $97.72 | $194.98 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $190.55 Median $346.74 Typical High $707.95 | Facility | None | $190.55 | $346.74 | $707.95 |
Medical Mutual of Ohio Setting Professional Modifier None (both parts) Typical Low $173.78 Median $181.97 Typical High $309.03 | Professional | None (both parts) | $173.78 | $181.97 | $309.03 |
Medical Mutual of Ohio Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $117.49 Typical High $251.19 | Professional | 26 · Professional part | $81.28 | $117.49 | $251.19 |
Medical Mutual of Ohio Setting Professional Modifier TC · Technical part Typical Low $93.33 Median $97.72 Typical High $181.97 | Professional | TC · Technical part | $93.33 | $97.72 | $181.97 |
Molina Setting Professional Modifier None (both parts) Typical Low $87.10 Median $141.25 Typical High $275.42 | Professional | None (both parts) | $87.10 | $141.25 | $275.42 |
SummaCare Setting Professional Modifier None (both parts) Typical Low $190.55 Median $199.53 Typical High $295.12 | Professional | None (both parts) | $190.55 | $199.53 | $295.12 |
SummaCare Setting Professional Modifier 26 · Professional part Typical Low $87.10 Median $91.20 Typical High $173.78 | Professional | 26 · Professional part | $87.10 | $91.20 | $173.78 |
SummaCare Setting Professional Modifier TC · Technical part Typical Low $104.71 Median $104.71 Typical High $134.90 | Professional | TC · Technical part | $104.71 | $104.71 | $134.90 |
United Setting Professional Modifier None (both parts) Typical Low $125.89 Median $190.55 Typical High $346.74 | Professional | None (both parts) | $125.89 | $190.55 | $346.74 |
United Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $89.13 Typical High $158.49 | Professional | 26 · Professional part | $58.88 | $89.13 | $158.49 |
United Setting Professional Modifier TC · Technical part Typical Low $67.61 Median $104.71 Typical High $186.21 | Professional | TC · Technical part | $67.61 | $104.71 | $186.21 |
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 $89.13 Median $154.88 Typical High $208.93 | Facility | 52 · Reduced service | $89.13 | $154.88 | $208.93 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $36.31 Median $61.66 Typical High $83.18 | Facility | 53 · Discontinued | $36.31 | $61.66 | $83.18 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $144.54 Median $245.47 Typical High $331.13 | Facility | FX · Film X-ray | $144.54 | $245.47 | $331.13 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $89.13 Median $89.13 Typical High $251.19 | Professional | 52 · Reduced service | $89.13 | $89.13 | $251.19 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $36.31 Median $36.31 Typical High $102.33 | Professional | 53 · Discontinued | $36.31 | $36.31 | $102.33 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $144.54 Median $144.54 Typical High $144.54 | Professional | FX · Film X-ray | $144.54 | $144.54 | $144.54 |
Where Ohio sits
The same service costs 5.8 times more in Alaska than in Utah. 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
$166
AK $589UT $102
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.