How much rates vary
Facilitymedian $331 · 10th to 90th $170 to $589Professionalmedian $129 · 10th to 90th $83 to $219
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 $128.82 Median $302.00 Typical High $436.52 | Facility | None | $128.82 | $302.00 | $436.52 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $30.90 Median $87.10 Typical High $112.20 | Facility | 26 · Professional part | $30.90 | $87.10 | $112.20 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $112.20 Median $239.88 Typical High $398.11 | Facility | TC · Technical part | $112.20 | $239.88 | $398.11 |
Aetna Setting Professional Modifier None (both parts) Typical Low $128.82 Median $128.82 Typical High $354.81 | Professional | None (both parts) | $128.82 | $128.82 | $354.81 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $30.90 Typical High $100.00 | Professional | 26 · Professional part | $30.90 | $30.90 | $100.00 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $93.33 Median $97.72 Typical High $251.19 | Professional | TC · Technical part | $93.33 | $97.72 | $251.19 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $158.49 Median $158.49 Typical High $158.49 | Professional | None (both parts) | $158.49 | $158.49 | $158.49 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $24.55 Median $51.29 Typical High $51.29 | Professional | 26 · Professional part | $24.55 | $51.29 | $51.29 |
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 $91.20 Median $114.82 Typical High $181.97 | Professional | None (both parts) | $91.20 | $114.82 | $181.97 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $38.02 Typical High $58.88 | Professional | 26 · Professional part | $34.67 | $38.02 | $58.88 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $57.54 Median $75.86 Typical High $123.03 | Professional | TC · Technical part | $57.54 | $75.86 | $123.03 |
Aultcare Setting Professional Modifier None (both parts) Typical Low $128.82 Median $154.88 Typical High $223.87 | Professional | None (both parts) | $128.82 | $154.88 | $223.87 |
CareSource Setting Professional Modifier None (both parts) Typical Low $30.20 Median $154.88 Typical High $239.88 | Professional | None (both parts) | $30.20 | $154.88 | $239.88 |
Cigna Setting Facility Modifier None Typical Low $169.82 Median $467.74 Typical High $831.76 | Facility | None | $169.82 | $467.74 | $831.76 |
Cigna Setting Professional Modifier None (both parts) Typical Low $120.23 Median $141.25 Typical High $257.04 | Professional | None (both parts) | $120.23 | $141.25 | $257.04 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $33.88 Typical High $64.57 | Professional | 26 · Professional part | $30.20 | $33.88 | $64.57 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $87.10 Median $109.65 Typical High $199.53 | Professional | TC · Technical part | $87.10 | $109.65 | $199.53 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $169.82 Median $407.38 Typical High $870.96 | Facility | None | $169.82 | $407.38 | $870.96 |
Medical Mutual of Ohio Setting Professional Modifier None (both parts) Typical Low $123.03 Median $141.25 Typical High $257.04 | Professional | None (both parts) | $123.03 | $141.25 | $257.04 |
Medical Mutual of Ohio Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $35.48 Typical High $95.50 | Professional | 26 · Professional part | $28.84 | $35.48 | $95.50 |
Medical Mutual of Ohio Setting Professional Modifier TC · Technical part Typical Low $89.13 Median $109.65 Typical High $199.53 | Professional | TC · Technical part | $89.13 | $109.65 | $199.53 |
Molina Setting Professional Modifier None (both parts) Typical Low $42.66 Median $125.89 Typical High $194.98 | Professional | None (both parts) | $42.66 | $125.89 | $194.98 |
SummaCare Setting Professional Modifier None (both parts) Typical Low $95.50 Median $117.49 Typical High $151.36 | Professional | None (both parts) | $95.50 | $117.49 | $151.36 |
SummaCare Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $35.48 Typical High $41.69 | Professional | 26 · Professional part | $32.36 | $35.48 | $41.69 |
SummaCare Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $85.11 Typical High $109.65 | Professional | TC · Technical part | $60.26 | $85.11 | $109.65 |
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 $91.20 Median $138.04 Typical High $269.15 | Professional | None (both parts) | $91.20 | $138.04 | $269.15 |
United Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $33.88 Typical High $60.26 | Professional | 26 · Professional part | $23.44 | $33.88 | $60.26 |
United Setting Professional Modifier TC · Technical part Typical Low $67.61 Median $104.71 Typical High $208.93 | Professional | TC · Technical part | $67.61 | $104.71 | $208.93 |
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 $77.62 Median $144.54 Typical High $204.17 | Facility | 52 · Reduced service | $77.62 | $144.54 | $204.17 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $30.90 Median $58.88 Typical High $81.28 | Facility | 53 · Discontinued | $30.90 | $58.88 | $81.28 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $102.33 Median $234.42 Typical High $331.13 | Facility | FX · Film X-ray | $102.33 | $234.42 | $331.13 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $64.57 Median $64.57 Typical High $169.82 | Professional | 52 · Reduced service | $64.57 | $64.57 | $169.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $25.70 Median $25.70 Typical High $69.18 | Professional | 53 · Discontinued | $25.70 | $25.70 | $69.18 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $102.33 Median $102.33 Typical High $102.33 | Professional | FX · Film X-ray | $102.33 | $102.33 | $102.33 |
Where Ohio sits
The same service costs 4.9 times more in Wyoming 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· 46th of 51
$129
WY $501UT $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.