How much rates vary
Facilitymedian $224 · 10th to 90th $145 to $324Professionalmedian $93 · 10th to 90th $58 to $155
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 $131.83 Median $223.87 Typical High $309.03 | Facility | None | $131.83 | $223.87 | $309.03 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $28.84 Median $77.62 Typical High $104.71 | Facility | 26 · Professional part | $28.84 | $77.62 | $104.71 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $93.33 Median $165.96 Typical High $263.03 | Facility | TC · Technical part | $93.33 | $165.96 | $263.03 |
Aetna Setting Professional Modifier None (both parts) Typical Low $91.20 Median $93.33 Typical High $363.08 | Professional | None (both parts) | $91.20 | $93.33 | $363.08 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $28.18 Typical High $138.04 | Professional | 26 · Professional part | $28.18 | $28.18 | $138.04 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $64.57 Typical High $177.83 | Professional | TC · Technical part | $63.10 | $64.57 | $177.83 |
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 $72.44 Median $85.11 Typical High $141.25 | Professional | None (both parts) | $72.44 | $85.11 | $141.25 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $33.11 Typical High $50.12 | Professional | 26 · Professional part | $30.20 | $33.11 | $50.12 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $47.86 Median $52.48 Typical High $97.72 | Professional | TC · Technical part | $47.86 | $52.48 | $97.72 |
Cigna Setting Facility Modifier None Typical Low $194.98 Median $218.78 Typical High $354.81 | Facility | None | $194.98 | $218.78 | $354.81 |
Cigna Setting Professional Modifier None (both parts) Typical Low $89.13 Median $95.50 Typical High $186.21 | Professional | None (both parts) | $89.13 | $95.50 | $186.21 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $30.20 Typical High $56.23 | Professional | 26 · Professional part | $28.18 | $30.20 | $56.23 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $66.07 Typical High $128.82 | Professional | TC · Technical part | $61.66 | $66.07 | $128.82 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $208.93 Median $239.88 Typical High $512.86 | Facility | None | $208.93 | $239.88 | $512.86 |
Medical Mutual of Ohio Setting Professional Modifier None (both parts) Typical Low $91.20 Median $95.50 Typical High $169.82 | Professional | None (both parts) | $91.20 | $95.50 | $169.82 |
Medical Mutual of Ohio Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $30.20 Typical High $58.88 | Professional | 26 · Professional part | $28.18 | $30.20 | $58.88 |
Medical Mutual of Ohio Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $66.07 Typical High $125.89 | Professional | TC · Technical part | $63.10 | $66.07 | $125.89 |
Molina Setting Professional Modifier None (both parts) Typical Low $42.66 Median $89.13 Typical High $144.54 | Professional | None (both parts) | $42.66 | $89.13 | $144.54 |
SummaCare Setting Professional Modifier None (both parts) Typical Low $95.50 Median $95.50 Typical High $138.04 | Professional | None (both parts) | $95.50 | $95.50 | $138.04 |
SummaCare Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $29.51 Typical High $44.67 | Professional | 26 · Professional part | $29.51 | $29.51 | $44.67 |
SummaCare Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $66.07 Typical High $91.20 | Professional | TC · Technical part | $66.07 | $66.07 | $91.20 |
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 $67.61 Median $100.00 Typical High $181.97 | Professional | None (both parts) | $67.61 | $100.00 | $181.97 |
United Setting Professional Modifier 26 · Professional part Typical Low $20.89 Median $30.90 Typical High $56.23 | Professional | 26 · Professional part | $20.89 | $30.90 | $56.23 |
United Setting Professional Modifier TC · Technical part Typical Low $45.71 Median $69.18 Typical High $125.89 | Professional | TC · Technical part | $45.71 | $69.18 | $125.89 |
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 $53.70 Median $95.50 Typical High $134.90 | Facility | 52 · Reduced service | $53.70 | $95.50 | $134.90 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $21.38 Median $38.90 Typical High $54.95 | Facility | 53 · Discontinued | $21.38 | $38.90 | $54.95 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $74.13 Median $154.88 Typical High $218.78 | Facility | FX · Film X-ray | $74.13 | $154.88 | $218.78 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $46.77 Median $46.77 Typical High $199.53 | Professional | 52 · Reduced service | $46.77 | $46.77 | $199.53 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $18.62 Median $18.62 Typical High $79.43 | Professional | 53 · Discontinued | $18.62 | $18.62 | $79.43 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $74.13 Median $74.13 Typical High $74.13 | Professional | FX · Film X-ray | $74.13 | $74.13 | $74.13 |
Where Ohio sits
The same service costs 4.2 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· 45th of 51
$93.33
AK $302UT $72.44
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.