How much rates vary
Facilitymedian $1,072 · 10th to 90th $380 to $1,862Professionalmedian $363 · 10th to 90th $224 to $631
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 $380.19 Median $380.19 Typical High $1,230.27 | Facility | None | $380.19 | $380.19 | $1,230.27 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $194.98 Median $537.03 Typical High $812.83 | Facility | TC · Technical part | $194.98 | $537.03 | $812.83 |
Aetna Setting Professional Modifier None (both parts) Typical Low $380.19 Median $380.19 Typical High $1,230.27 | Professional | None (both parts) | $380.19 | $380.19 | $1,230.27 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $186.21 Median $186.21 Typical High $776.25 | Professional | 26 · Professional part | $186.21 | $186.21 | $776.25 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $194.98 Median $194.98 Typical High $562.34 | Professional | TC · Technical part | $194.98 | $194.98 | $562.34 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $295.12 Median $338.84 Typical High $562.34 | Professional | None (both parts) | $295.12 | $338.84 | $562.34 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $190.55 Median $213.80 Typical High $338.84 | Professional | 26 · Professional part | $190.55 | $213.80 | $338.84 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $93.33 Median $117.49 Typical High $257.04 | Professional | TC · Technical part | $93.33 | $117.49 | $257.04 |
Cigna Setting Facility Modifier None Typical Low $588.84 Median $1,071.52 Typical High $1,621.81 | Facility | None | $588.84 | $1,071.52 | $1,621.81 |
Cigna Setting Professional Modifier None (both parts) Typical Low $371.54 Median $478.63 Typical High $912.01 | Professional | None (both parts) | $371.54 | $478.63 | $912.01 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $194.98 Median $245.47 Typical High $457.09 | Professional | 26 · Professional part | $194.98 | $245.47 | $457.09 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $177.83 Median $229.09 Typical High $457.09 | Professional | TC · Technical part | $177.83 | $229.09 | $457.09 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $588.84 Median $1,071.52 Typical High $2,290.87 | Facility | None | $588.84 | $1,071.52 | $2,290.87 |
Medical Mutual of Ohio Setting Professional Modifier None (both parts) Typical Low $371.54 Median $489.78 Typical High $912.01 | Professional | None (both parts) | $371.54 | $489.78 | $912.01 |
Medical Mutual of Ohio Setting Professional Modifier 26 · Professional part Typical Low $194.98 Median $251.19 Typical High $457.09 | Professional | 26 · Professional part | $194.98 | $251.19 | $457.09 |
Medical Mutual of Ohio Setting Professional Modifier TC · Technical part Typical Low $177.83 Median $229.09 Typical High $457.09 | Professional | TC · Technical part | $177.83 | $229.09 | $457.09 |
Molina Setting Professional Modifier None (both parts) Typical Low $208.93 Median $295.12 Typical High $575.44 | Professional | None (both parts) | $208.93 | $295.12 | $575.44 |
SummaCare Setting Professional Modifier None (both parts) Typical Low $416.87 Median $489.78 Typical High $630.96 | Professional | None (both parts) | $416.87 | $489.78 | $630.96 |
United Setting Facility Modifier None Typical Low $1,148.15 Median $1,318.26 Typical High $1,862.09 | Facility | None | $1,148.15 | $1,318.26 | $1,862.09 |
United Setting Professional Modifier None (both parts) Typical Low $257.04 Median $416.87 Typical High $831.76 | Professional | None (both parts) | $257.04 | $416.87 | $831.76 |
United Setting Professional Modifier 26 · Professional part Typical Low $141.25 Median $213.80 Typical High $426.58 | Professional | 26 · Professional part | $141.25 | $213.80 | $426.58 |
United Setting Professional Modifier TC · Technical part Typical Low $109.65 Median $199.53 Typical High $416.87 | Professional | TC · Technical part | $109.65 | $199.53 | $416.87 |
8 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 $190.55 Median $263.03 Typical High $467.74 | Facility | 52 · Reduced service | $190.55 | $263.03 | $467.74 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $75.86 Median $107.15 Typical High $186.21 | Facility | 53 · Discontinued | $75.86 | $107.15 | $186.21 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $269.15 Median $371.54 Typical High $660.69 | Facility | 78 · Unplanned return to OR | $269.15 | $371.54 | $660.69 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $302.00 Median $467.74 Typical High $660.69 | Facility | FX · Film X-ray | $302.00 | $467.74 | $660.69 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $190.55 Median $190.55 Typical High $588.84 | Professional | 52 · Reduced service | $190.55 | $190.55 | $588.84 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $75.86 Median $75.86 Typical High $234.42 | Professional | 53 · Discontinued | $75.86 | $75.86 | $234.42 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $269.15 Median $269.15 Typical High $831.76 | Professional | 78 · Unplanned return to OR | $269.15 | $269.15 | $831.76 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $302.00 Median $302.00 Typical High $467.74 | Professional | FX · Film X-ray | $302.00 | $302.00 | $467.74 |
Where Ohio sits
The same service costs 5.6 times more in Alaska than in Florida. 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· 48th of 51
$363
AK $1,698FL $302
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.