How much rates vary
Facilitymedian $347 · 10th to 90th $200 to $692Professionalmedian $107 · 10th to 90th $58 to $200
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 $147.91 Median $309.03 Typical High $630.96 | Facility | None | $147.91 | $309.03 | $630.96 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $40.74 Median $91.20 Typical High $123.03 | Facility | 26 · Professional part | $40.74 | $91.20 | $123.03 |
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 $107.15 Median $114.82 Typical High $316.23 | Professional | None (both parts) | $107.15 | $114.82 | $316.23 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $33.11 Typical High $112.20 | Professional | 26 · Professional part | $33.11 | $33.11 | $112.20 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $74.13 Typical High $208.93 | Professional | TC · Technical part | $74.13 | $74.13 | $208.93 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $87.10 Median $112.20 Typical High $112.20 | Professional | None (both parts) | $87.10 | $112.20 | $112.20 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $26.92 Typical High $26.92 | Professional | 26 · Professional part | $26.92 | $26.92 | $26.92 |
Anthem BCBS Setting Facility Modifier None Typical Low $537.03 Median $630.96 Typical High $741.31 | Facility | None | $537.03 | $630.96 | $741.31 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $70.79 Median $97.72 Typical High $169.82 | Professional | None (both parts) | $70.79 | $97.72 | $169.82 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $38.90 Typical High $60.26 | Professional | 26 · Professional part | $35.48 | $38.90 | $60.26 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $52.48 Median $64.57 Typical High $109.65 | Professional | TC · Technical part | $52.48 | $64.57 | $109.65 |
Aultcare Setting Professional Modifier None (both parts) Typical Low $125.89 Median $125.89 Typical High $218.78 | Professional | None (both parts) | $125.89 | $125.89 | $218.78 |
CareSource Setting Professional Modifier None (both parts) Typical Low $32.36 Median $74.13 Typical High $128.82 | Professional | None (both parts) | $32.36 | $74.13 | $128.82 |
Cigna Setting Facility Modifier None Typical Low $223.87 Median $263.03 Typical High $831.76 | Facility | None | $223.87 | $263.03 | $831.76 |
Cigna Setting Professional Modifier None (both parts) Typical Low $102.33 Median $112.20 Typical High $208.93 | Professional | None (both parts) | $102.33 | $112.20 | $208.93 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $36.31 Typical High $66.07 | Professional | 26 · Professional part | $32.36 | $36.31 | $66.07 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $75.86 Typical High $141.25 | Professional | TC · Technical part | $69.18 | $75.86 | $141.25 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $245.47 Median $346.74 Typical High $831.76 | Facility | None | $245.47 | $346.74 | $831.76 |
Medical Mutual of Ohio Setting Professional Modifier None (both parts) Typical Low $93.33 Median $120.23 Typical High $234.42 | Professional | None (both parts) | $93.33 | $120.23 | $234.42 |
Medical Mutual of Ohio Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $42.66 Typical High $100.00 | Professional | 26 · Professional part | $33.11 | $42.66 | $100.00 |
Medical Mutual of Ohio Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $74.13 Typical High $138.04 | Professional | TC · Technical part | $69.18 | $74.13 | $138.04 |
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 $74.13 Median $114.82 Typical High $141.25 | Professional | None (both parts) | $74.13 | $114.82 | $141.25 |
SummaCare Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $38.90 Typical High $43.65 | Professional | 26 · Professional part | $33.88 | $38.90 | $43.65 |
SummaCare Setting Professional Modifier TC · Technical part Typical Low $39.81 Median $74.13 Typical High $87.10 | Professional | TC · Technical part | $39.81 | $74.13 | $87.10 |
United Setting Facility Modifier None Typical Low $489.78 Median $575.44 Typical High $812.83 | Facility | None | $489.78 | $575.44 | $812.83 |
United Setting Professional Modifier None (both parts) Typical Low $77.62 Median $114.82 Typical High $204.17 | Professional | None (both parts) | $77.62 | $114.82 | $204.17 |
United Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $36.31 Typical High $64.57 | Professional | 26 · Professional part | $23.44 | $36.31 | $64.57 |
United Setting Professional Modifier TC · Technical part Typical Low $52.48 Median $77.62 Typical High $138.04 | Professional | TC · Technical part | $52.48 | $77.62 | $138.04 |
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 $61.66 Median $151.36 Typical High $346.74 | Facility | 52 · Reduced service | $61.66 | $151.36 | $346.74 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $25.12 Median $60.26 Typical High $138.04 | Facility | 53 · Discontinued | $25.12 | $60.26 | $138.04 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $87.10 Median $245.47 Typical High $501.19 | Facility | FX · Film X-ray | $87.10 | $245.47 | $501.19 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $53.70 Median $53.70 Typical High $147.91 | Professional | 52 · Reduced service | $53.70 | $53.70 | $147.91 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $21.38 Median $21.38 Typical High $58.88 | Professional | 53 · Discontinued | $21.38 | $21.38 | $58.88 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $87.10 Median $87.10 Typical High $87.10 | Professional | FX · Film X-ray | $87.10 | $87.10 | $87.10 |
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· 47th of 51
$107
AK $347TX $89.13
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.