How much rates vary
Facilitymedian $324 · 10th to 90th $158 to $708Professionalmedian $120 · 10th to 90th $56 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 $123.03 Median $213.80 Typical High $281.84 | Facility | None | $123.03 | $213.80 | $281.84 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $36.31 Median $66.07 Typical High $100.00 | Facility | 26 · Professional part | $36.31 | $66.07 | $100.00 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $104.71 Median $194.98 Typical High $363.08 | Facility | TC · Technical part | $104.71 | $194.98 | $363.08 |
Aetna Setting Professional Modifier None (both parts) Typical Low $63.10 Median $123.03 Typical High $316.23 | Professional | None (both parts) | $63.10 | $123.03 | $316.23 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $36.31 Typical High $107.15 | Professional | 26 · Professional part | $36.31 | $36.31 | $107.15 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $19.95 Median $85.11 Typical High $234.42 | Professional | TC · Technical part | $19.95 | $85.11 | $234.42 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $48.98 Typical High $48.98 | Professional | 26 · Professional part | $35.48 | $48.98 | $48.98 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $53.70 Median $87.10 Typical High $165.96 | Professional | None (both parts) | $53.70 | $87.10 | $165.96 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $54.95 Typical High $72.44 | Professional | 26 · Professional part | $43.65 | $54.95 | $72.44 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $22.39 Median $28.84 Typical High $117.49 | Professional | TC · Technical part | $22.39 | $28.84 | $117.49 |
Aultcare Setting Professional Modifier None (both parts) Typical Low $234.42 Median $234.42 Typical High $234.42 | Professional | None (both parts) | $234.42 | $234.42 | $234.42 |
Cigna Setting Facility Modifier None Typical Low $234.42 Median $467.74 Typical High $707.95 | Facility | None | $234.42 | $467.74 | $707.95 |
Cigna Setting Professional Modifier None (both parts) Typical Low $91.20 Median $125.89 Typical High $269.15 | Professional | None (both parts) | $91.20 | $125.89 | $269.15 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $50.12 Typical High $97.72 | Professional | 26 · Professional part | $38.02 | $50.12 | $97.72 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $22.39 Median $87.10 Typical High $181.97 | Professional | TC · Technical part | $22.39 | $87.10 | $181.97 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $257.04 Median $575.44 Typical High $1,000.00 | Facility | None | $257.04 | $575.44 | $1,000.00 |
Medical Mutual of Ohio Setting Professional Modifier None (both parts) Typical Low $91.20 Median $131.83 Typical High $257.04 | Professional | None (both parts) | $91.20 | $131.83 | $257.04 |
Medical Mutual of Ohio Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $54.95 Typical High $81.28 | Professional | 26 · Professional part | $38.02 | $54.95 | $81.28 |
Medical Mutual of Ohio Setting Professional Modifier TC · Technical part Typical Low $22.39 Median $91.20 Typical High $186.21 | Professional | TC · Technical part | $22.39 | $91.20 | $186.21 |
Molina Setting Professional Modifier None (both parts) Typical Low $45.71 Median $128.82 Typical High $190.55 | Professional | None (both parts) | $45.71 | $128.82 | $190.55 |
SummaCare Setting Professional Modifier None (both parts) Typical Low $134.90 Median $147.91 Typical High $204.17 | Professional | None (both parts) | $134.90 | $147.91 | $204.17 |
United Setting Facility Modifier None Typical Low $275.42 Median $323.59 Typical High $457.09 | Facility | None | $275.42 | $323.59 | $457.09 |
United Setting Professional Modifier None (both parts) Typical Low $58.88 Median $123.03 Typical High $263.03 | Professional | None (both parts) | $58.88 | $123.03 | $263.03 |
United Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $44.67 Typical High $83.18 | Professional | 26 · Professional part | $28.84 | $44.67 | $83.18 |
United Setting Professional Modifier TC · Technical part Typical Low $23.99 Median $79.43 Typical High $181.97 | Professional | TC · Technical part | $23.99 | $79.43 | $181.97 |
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 $61.66 Median $117.49 Typical High $181.97 | Facility | 52 · Reduced service | $61.66 | $117.49 | $181.97 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $24.55 Median $46.77 Typical High $72.44 | Facility | 53 · Discontinued | $24.55 | $46.77 | $72.44 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $97.72 Median $204.17 Typical High $288.40 | Facility | FX · Film X-ray | $97.72 | $204.17 | $288.40 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $61.66 Median $61.66 Typical High $165.96 | Professional | 52 · Reduced service | $61.66 | $61.66 | $165.96 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $24.55 Median $24.55 Typical High $66.07 | Professional | 53 · Discontinued | $24.55 | $24.55 | $66.07 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $97.72 Median $97.72 Typical High $204.17 | Professional | FX · Film X-ray | $97.72 | $97.72 | $204.17 |
Where Ohio sits
The same service costs 6.9 times more in Alaska than in Michigan. 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· 41st of 51
$120
AK $525MI $75.86
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.