How much rates vary
Facilitymedian $204 · 10th to 90th $126 to $363Professionalmedian $60 · 10th to 90th $36 to $110
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 $72.44 Median $204.17 Typical High $323.59 | Facility | None | $72.44 | $204.17 | $323.59 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $20.42 Median $63.10 Typical High $75.86 | Facility | 26 · Professional part | $20.42 | $63.10 | $75.86 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $67.61 Median $114.82 Typical High $165.96 | Facility | TC · Technical part | $67.61 | $114.82 | $165.96 |
Aetna Setting Professional Modifier None (both parts) Typical Low $60.26 Median $61.66 Typical High $204.17 | Professional | None (both parts) | $60.26 | $61.66 | $204.17 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $19.50 Median $20.42 Typical High $69.18 | Professional | 26 · Professional part | $19.50 | $20.42 | $69.18 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $40.74 Median $40.74 Typical High $123.03 | Professional | TC · Technical part | $40.74 | $40.74 | $123.03 |
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 $50.12 Median $60.26 Typical High $100.00 | Professional | None (both parts) | $50.12 | $60.26 | $100.00 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $23.99 Typical High $40.74 | Professional | 26 · Professional part | $22.91 | $23.99 | $40.74 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $26.92 Median $35.48 Typical High $66.07 | Professional | TC · Technical part | $26.92 | $35.48 | $66.07 |
Aultcare Setting Professional Modifier None (both parts) Typical Low $79.43 Median $79.43 Typical High $79.43 | Professional | None (both parts) | $79.43 | $79.43 | $79.43 |
Cigna Setting Facility Modifier None Typical Low $125.89 Median $147.91 Typical High $363.08 | Facility | None | $125.89 | $147.91 | $363.08 |
Cigna Setting Professional Modifier None (both parts) Typical Low $54.95 Median $69.18 Typical High $131.83 | Professional | None (both parts) | $54.95 | $69.18 | $131.83 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $19.95 Median $23.99 Typical High $44.67 | Professional | 26 · Professional part | $19.95 | $23.99 | $44.67 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $34.67 Median $46.77 Typical High $89.13 | Professional | TC · Technical part | $34.67 | $46.77 | $89.13 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $138.04 Median $169.82 Typical High $524.81 | Facility | None | $138.04 | $169.82 | $524.81 |
Medical Mutual of Ohio Setting Professional Modifier None (both parts) Typical Low $54.95 Median $67.61 Typical High $128.82 | Professional | None (both parts) | $54.95 | $67.61 | $128.82 |
Medical Mutual of Ohio Setting Professional Modifier 26 · Professional part Typical Low $19.95 Median $23.44 Typical High $44.67 | Professional | 26 · Professional part | $19.95 | $23.44 | $44.67 |
Medical Mutual of Ohio Setting Professional Modifier TC · Technical part Typical Low $34.67 Median $44.67 Typical High $89.13 | Professional | TC · Technical part | $34.67 | $44.67 | $89.13 |
Molina Setting Professional Modifier None (both parts) Typical Low $27.54 Median $39.81 Typical High $54.95 | Professional | None (both parts) | $27.54 | $39.81 | $54.95 |
SummaCare Setting Professional Modifier None (both parts) Typical Low $63.10 Median $69.18 Typical High $107.15 | Professional | None (both parts) | $63.10 | $69.18 | $107.15 |
SummaCare Setting Professional Modifier 26 · Professional part Typical Low $21.38 Median $23.44 Typical High $35.48 | Professional | 26 · Professional part | $21.38 | $23.44 | $35.48 |
SummaCare Setting Professional Modifier TC · Technical part Typical Low $42.66 Median $46.77 Typical High $70.79 | Professional | TC · Technical part | $42.66 | $46.77 | $70.79 |
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 $45.71 Median $64.57 Typical High $117.49 | Professional | None (both parts) | $45.71 | $64.57 | $117.49 |
United Setting Professional Modifier 26 · Professional part Typical Low $15.14 Median $22.91 Typical High $40.74 | Professional | 26 · Professional part | $15.14 | $22.91 | $40.74 |
United Setting Professional Modifier TC · Technical part Typical Low $30.20 Median $42.66 Typical High $79.43 | Professional | TC · Technical part | $30.20 | $42.66 | $79.43 |
2 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 FX · Film X-ray Typical Low $48.98 Median $131.83 Typical High $239.88 | Facility | FX · Film X-ray | $48.98 | $131.83 | $239.88 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $48.98 Median $48.98 Typical High $53.70 | Professional | FX · Film X-ray | $48.98 | $48.98 | $53.70 |
Where Ohio sits
The same service costs 5.9 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· 47th of 51
$60.26
AK $195UT $33.11
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.