How much rates vary
Facilitymedian $2,291 · 10th to 90th $1,122 to $3,388Professionalmedian $832 · 10th to 90th $490 to $1,479
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 $831.76 Median $2,290.87 Typical High $2,818.38 | Facility | None | $831.76 | $2,290.87 | $2,818.38 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $426.58 Median $1,258.93 Typical High $1,513.56 | Facility | 26 · Professional part | $426.58 | $1,258.93 | $1,513.56 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $707.95 Median $1,122.02 Typical High $1,659.59 | Facility | TC · Technical part | $707.95 | $1,122.02 | $1,659.59 |
Aetna Setting Professional Modifier None (both parts) Typical Low $831.76 Median $954.99 Typical High $2,754.23 | Professional | None (both parts) | $831.76 | $954.99 | $2,754.23 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $426.58 Median $537.03 Typical High $1,513.56 | Professional | 26 · Professional part | $426.58 | $537.03 | $1,513.56 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $407.38 Median $407.38 Typical High $1,380.38 | Professional | TC · Technical part | $407.38 | $407.38 | $1,380.38 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $758.58 Median $870.96 Typical High $1,380.38 | Professional | None (both parts) | $758.58 | $870.96 | $1,380.38 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $512.86 Median $602.56 Typical High $1,000.00 | Professional | 26 · Professional part | $512.86 | $602.56 | $1,000.00 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $120.23 Median $141.25 Typical High $229.09 | Professional | 80 · Assistant surgeon | $120.23 | $141.25 | $229.09 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $190.55 Median $218.78 Typical High $549.54 | Professional | TC · Technical part | $190.55 | $218.78 | $549.54 |
Cigna Setting Facility Modifier None Typical Low $1,148.15 Median $2,238.72 Typical High $3,388.44 | Facility | None | $1,148.15 | $2,238.72 | $3,388.44 |
Cigna Setting Professional Modifier None (both parts) Typical Low $794.33 Median $1,096.48 Typical High $2,041.74 | Professional | None (both parts) | $794.33 | $1,096.48 | $2,041.74 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $436.52 Median $602.56 Typical High $1,148.15 | Professional | 26 · Professional part | $436.52 | $602.56 | $1,148.15 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $346.74 Median $457.09 Typical High $954.99 | Professional | TC · Technical part | $346.74 | $457.09 | $954.99 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $1,122.02 Median $2,238.72 Typical High $3,388.44 | Facility | None | $1,122.02 | $2,238.72 | $3,388.44 |
Medical Mutual of Ohio Setting Professional Modifier None (both parts) Typical Low $794.33 Median $1,096.48 Typical High $1,995.26 | Professional | None (both parts) | $794.33 | $1,096.48 | $1,995.26 |
Medical Mutual of Ohio Setting Professional Modifier 26 · Professional part Typical Low $436.52 Median $660.69 Typical High $1,348.96 | Professional | 26 · Professional part | $436.52 | $660.69 | $1,348.96 |
Medical Mutual of Ohio Setting Professional Modifier TC · Technical part Typical Low $354.81 Median $478.63 Typical High $954.99 | Professional | TC · Technical part | $354.81 | $478.63 | $954.99 |
Molina Setting Professional Modifier None (both parts) Typical Low $457.09 Median $660.69 Typical High $1,288.25 | Professional | None (both parts) | $457.09 | $660.69 | $1,288.25 |
SummaCare Setting Professional Modifier None (both parts) Typical Low $912.01 Median $1,071.52 Typical High $1,380.38 | Professional | None (both parts) | $912.01 | $1,071.52 | $1,380.38 |
United Setting Facility Modifier None Typical Low $1,445.44 Median $1,659.59 Typical High $2,398.83 | Facility | None | $1,445.44 | $1,659.59 | $2,398.83 |
United Setting Professional Modifier None (both parts) Typical Low $616.60 Median $912.01 Typical High $1,778.28 | Professional | None (both parts) | $616.60 | $912.01 | $1,778.28 |
United Setting Professional Modifier 26 · Professional part Typical Low $371.54 Median $549.54 Typical High $977.24 | Professional | 26 · Professional part | $371.54 | $549.54 | $977.24 |
United Setting Professional Modifier TC · Technical part Typical Low $190.55 Median $398.11 Typical High $891.25 | Professional | TC · Technical part | $190.55 | $398.11 | $891.25 |
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 $416.87 Median $562.34 Typical High $870.96 | Facility | 52 · Reduced service | $416.87 | $562.34 | $870.96 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $165.96 Median $223.87 Typical High $346.74 | Facility | 53 · Discontinued | $165.96 | $223.87 | $346.74 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $575.44 Median $776.25 Typical High $1,202.26 | Facility | 78 · Unplanned return to OR | $575.44 | $776.25 | $1,202.26 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $660.69 Median $977.24 Typical High $1,380.38 | Facility | FX · Film X-ray | $660.69 | $977.24 | $1,380.38 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $416.87 Median $416.87 Typical High $954.99 | Professional | 52 · Reduced service | $416.87 | $416.87 | $954.99 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $165.96 Median $165.96 Typical High $389.05 | Professional | 53 · Discontinued | $165.96 | $165.96 | $389.05 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $575.44 Median $575.44 Typical High $1,348.96 | Professional | 78 · Unplanned return to OR | $575.44 | $575.44 | $1,348.96 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $660.69 Median $660.69 Typical High $977.24 | Professional | FX · Film X-ray | $660.69 | $660.69 | $977.24 |
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· 47th of 51
$832
AK $3,715FL $661
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.