How much rates vary
Facilitymedian $501 · 10th to 90th $178 to $832Professionalmedian $126 · 10th to 90th $50 to $257
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 $229.09 Median $501.19 Typical High $660.69 | Facility | None | $229.09 | $501.19 | $660.69 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $213.80 Median $588.84 Typical High $912.01 | Facility | TC · Technical part | $213.80 | $588.84 | $912.01 |
Aetna Setting Professional Modifier None (both parts) Typical Low $229.09 Median $229.09 Typical High $288.40 | Professional | None (both parts) | $229.09 | $229.09 | $288.40 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $38.90 Typical High $47.86 | Professional | 26 · Professional part | $38.90 | $38.90 | $47.86 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $208.93 Median $213.80 Typical High $213.80 | Professional | TC · Technical part | $208.93 | $213.80 | $213.80 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $97.72 Median $125.89 Typical High $229.09 | Professional | None (both parts) | $97.72 | $125.89 | $229.09 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $44.67 Typical High $66.07 | Professional | 26 · Professional part | $41.69 | $44.67 | $66.07 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $57.54 Median $81.28 Typical High $218.78 | Professional | TC · Technical part | $57.54 | $81.28 | $218.78 |
CareSource Setting Facility Modifier None Typical Low $48.98 Median $102.33 Typical High $131.83 | Facility | None | $48.98 | $102.33 | $131.83 |
CareSource Setting Professional Modifier None (both parts) Typical Low $41.69 Median $41.69 Typical High $46.77 | Professional | None (both parts) | $41.69 | $41.69 | $46.77 |
Cigna Setting Facility Modifier None Typical Low $162.18 Median $309.03 Typical High $831.76 | Facility | None | $162.18 | $309.03 | $831.76 |
Cigna Setting Professional Modifier None (both parts) Typical Low $89.13 Median $93.33 Typical High $186.21 | Professional | None (both parts) | $89.13 | $93.33 | $186.21 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $39.81 Typical High $75.86 | Professional | 26 · Professional part | $38.02 | $39.81 | $75.86 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $51.29 Median $53.70 Typical High $107.15 | Professional | TC · Technical part | $51.29 | $53.70 | $107.15 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $177.83 Median $478.63 Typical High $831.76 | Facility | None | $177.83 | $478.63 | $831.76 |
Medical Mutual of Ohio Setting Professional Modifier None (both parts) Typical Low $89.13 Median $93.33 Typical High $181.97 | Professional | None (both parts) | $89.13 | $93.33 | $181.97 |
Medical Mutual of Ohio Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $39.81 Typical High $75.86 | Professional | 26 · Professional part | $38.02 | $39.81 | $75.86 |
Medical Mutual of Ohio Setting Professional Modifier TC · Technical part Typical Low $52.48 Median $53.70 Typical High $104.71 | Professional | TC · Technical part | $52.48 | $53.70 | $104.71 |
Molina Setting Professional Modifier None (both parts) Typical Low $19.95 Median $31.62 Typical High $57.54 | Professional | None (both parts) | $19.95 | $31.62 | $57.54 |
SummaCare Setting Professional Modifier None (both parts) Typical Low $147.91 Median $147.91 Typical High $173.78 | Professional | None (both parts) | $147.91 | $147.91 | $173.78 |
SummaCare Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $43.65 Typical High $51.29 | Professional | 26 · Professional part | $43.65 | $43.65 | $51.29 |
SummaCare Setting Professional Modifier TC · Technical part Typical Low $104.71 Median $104.71 Typical High $123.03 | Professional | TC · Technical part | $104.71 | $104.71 | $123.03 |
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 $223.87 Typical High $354.81 | Professional | None (both parts) | $77.62 | $223.87 | $354.81 |
United Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $39.81 Typical High $60.26 | Professional | 26 · Professional part | $26.92 | $39.81 | $60.26 |
United Setting Professional Modifier TC · Technical part Typical Low $46.77 Median $186.21 Typical High $295.12 | Professional | TC · Technical part | $46.77 | $186.21 | $295.12 |
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 $141.25 Median $295.12 Typical High $457.09 | Facility | 52 · Reduced service | $141.25 | $295.12 | $457.09 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $56.23 Median $120.23 Typical High $181.97 | Facility | 53 · Discontinued | $56.23 | $120.23 | $181.97 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $213.80 Median $489.78 Typical High $724.44 | Facility | FX · Film X-ray | $213.80 | $489.78 | $724.44 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $114.82 Median $114.82 Typical High $158.49 | Professional | 52 · Reduced service | $114.82 | $114.82 | $158.49 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $45.71 Median $45.71 Typical High $63.10 | Professional | 53 · Discontinued | $45.71 | $45.71 | $63.10 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $181.97 Median $181.97 Typical High $181.97 | Professional | FX · Film X-ray | $181.97 | $181.97 | $181.97 |
Where Ohio sits
The same service costs 3.6 times more in Nebraska than in New Jersey. 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
$126
NE $407NJ $112
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.