How much rates vary
Facilitymedian $257 · 10th to 90th $182 to $437Professionalmedian $120 · 10th to 90th $66 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 $181.97 Median $245.47 Typical High $389.05 | Facility | None | $181.97 | $245.47 | $389.05 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $41.69 Median $93.33 Typical High $123.03 | Facility | 26 · Professional part | $41.69 | $93.33 | $123.03 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $128.82 Median $190.55 Typical High $331.13 | Facility | TC · Technical part | $128.82 | $190.55 | $331.13 |
Aetna Setting Professional Modifier None (both parts) Typical Low $102.33 Median $114.82 Typical High $346.74 | Professional | None (both parts) | $102.33 | $114.82 | $346.74 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $33.88 Typical High $114.82 | Professional | 26 · Professional part | $33.88 | $33.88 | $114.82 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $81.28 Typical High $190.55 | Professional | TC · Technical part | $69.18 | $81.28 | $190.55 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $33.11 Typical High $43.65 | Professional | 26 · Professional part | $26.92 | $33.11 | $43.65 |
Anthem BCBS Setting Facility Modifier None Typical Low $190.55 Median $223.87 Typical High $263.03 | Facility | None | $190.55 | $223.87 | $263.03 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $66.07 Median $91.20 Typical High $154.88 | Professional | None (both parts) | $66.07 | $91.20 | $154.88 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $39.81 Typical High $60.26 | Professional | 26 · Professional part | $36.31 | $39.81 | $60.26 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $51.29 Median $51.29 Typical High $112.20 | Professional | TC · Technical part | $51.29 | $51.29 | $112.20 |
Aultcare Setting Professional Modifier None (both parts) Typical Low $141.25 Median $147.91 Typical High $229.09 | Professional | None (both parts) | $141.25 | $147.91 | $229.09 |
Cigna Setting Facility Modifier None Typical Low $223.87 Median $302.00 Typical High $501.19 | Facility | None | $223.87 | $302.00 | $501.19 |
Cigna Setting Professional Modifier None (both parts) Typical Low $114.82 Median $128.82 Typical High $251.19 | Professional | None (both parts) | $114.82 | $128.82 | $251.19 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $35.48 Typical High $67.61 | Professional | 26 · Professional part | $33.11 | $35.48 | $67.61 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $93.33 Typical High $181.97 | Professional | TC · Technical part | $85.11 | $93.33 | $181.97 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $213.80 Median $302.00 Typical High $741.31 | Facility | None | $213.80 | $302.00 | $741.31 |
Medical Mutual of Ohio Setting Professional Modifier None (both parts) Typical Low $117.49 Median $128.82 Typical High $223.87 | Professional | None (both parts) | $117.49 | $128.82 | $223.87 |
Medical Mutual of Ohio Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $36.31 Typical High $87.10 | Professional | 26 · Professional part | $33.88 | $36.31 | $87.10 |
Medical Mutual of Ohio Setting Professional Modifier TC · Technical part Typical Low $87.10 Median $93.33 Typical High $162.18 | Professional | TC · Technical part | $87.10 | $93.33 | $162.18 |
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 $120.23 Median $120.23 Typical High $158.49 | Professional | None (both parts) | $120.23 | $120.23 | $158.49 |
SummaCare Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $34.67 Typical High $52.48 | Professional | 26 · Professional part | $34.67 | $34.67 | $52.48 |
SummaCare Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $85.11 Typical High $112.20 | Professional | TC · Technical part | $85.11 | $85.11 | $112.20 |
United Setting Facility Modifier None Typical Low $177.83 Median $208.93 Typical High $295.12 | Facility | None | $177.83 | $208.93 | $295.12 |
United Setting Professional Modifier None (both parts) Typical Low $87.10 Median $134.90 Typical High $245.47 | Professional | None (both parts) | $87.10 | $134.90 | $245.47 |
United Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $37.15 Typical High $66.07 | Professional | 26 · Professional part | $23.99 | $37.15 | $66.07 |
United Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $97.72 Typical High $177.83 | Professional | TC · Technical part | $58.88 | $97.72 | $177.83 |
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 $67.61 Median $112.20 Typical High $169.82 | Facility | 52 · Reduced service | $67.61 | $112.20 | $169.82 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $27.54 Median $44.67 Typical High $67.61 | Facility | 53 · Discontinued | $27.54 | $44.67 | $67.61 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $91.20 Median $177.83 Typical High $269.15 | Facility | FX · Film X-ray | $91.20 | $177.83 | $269.15 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $57.54 Median $57.54 Typical High $173.78 | Professional | 52 · Reduced service | $57.54 | $57.54 | $173.78 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $22.91 Median $22.91 Typical High $69.18 | Professional | 53 · Discontinued | $22.91 | $22.91 | $69.18 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $91.20 Median $91.20 Typical High $91.20 | Professional | FX · Film X-ray | $91.20 | $91.20 | $91.20 |
Where Ohio sits
The same service costs 3.7 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· 45th of 51
$120
AK $363TX $97.72
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.