How much rates vary
Facilitymedian $1,096 · 10th to 90th $550 to $1,862Professionalmedian $309 · 10th to 90th $204 to $575
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 $436.52 Median $933.25 Typical High $1,479.11 | Facility | None | $436.52 | $933.25 | $1,479.11 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $53.70 Median $147.91 Typical High $194.98 | Facility | 26 · Professional part | $53.70 | $147.91 | $194.98 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $354.81 Median $676.08 Typical High $1,000.00 | Facility | TC · Technical part | $354.81 | $676.08 | $1,000.00 |
Aetna Setting Professional Modifier None (both parts) Typical Low $295.12 Median $537.03 Typical High $1,479.11 | Professional | None (both parts) | $295.12 | $537.03 | $1,479.11 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $75.86 Typical High $186.21 | Professional | 26 · Professional part | $53.70 | $75.86 | $186.21 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $245.47 Median $407.38 Typical High $891.25 | Professional | TC · Technical part | $245.47 | $407.38 | $891.25 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $41.69 Typical High $74.13 | Professional | 26 · Professional part | $41.69 | $41.69 | $74.13 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,148.15 Median $1,348.96 Typical High $1,584.89 | Facility | None | $1,148.15 | $1,348.96 | $1,584.89 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $208.93 Median $239.88 Typical High $436.52 | Professional | None (both parts) | $208.93 | $239.88 | $436.52 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $64.57 Typical High $107.15 | Professional | 26 · Professional part | $53.70 | $64.57 | $107.15 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $151.36 Median $177.83 Typical High $338.84 | Professional | TC · Technical part | $151.36 | $177.83 | $338.84 |
CareSource Setting Professional Modifier None (both parts) Typical Low $52.48 Median $234.42 Typical High $338.84 | Professional | None (both parts) | $52.48 | $234.42 | $338.84 |
Cigna Setting Facility Modifier None Typical Low $870.96 Median $1,380.38 Typical High $1,949.84 | Facility | None | $870.96 | $1,380.38 | $1,949.84 |
Cigna Setting Professional Modifier None (both parts) Typical Low $302.00 Median $398.11 Typical High $851.14 | Professional | None (both parts) | $302.00 | $398.11 | $851.14 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $72.44 Typical High $147.91 | Professional | 26 · Professional part | $53.70 | $72.44 | $147.91 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $245.47 Median $323.59 Typical High $776.25 | Professional | TC · Technical part | $245.47 | $323.59 | $776.25 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $870.96 Median $1,202.26 Typical High $1,949.84 | Facility | None | $870.96 | $1,202.26 | $1,949.84 |
Medical Mutual of Ohio Setting Professional Modifier None (both parts) Typical Low $302.00 Median $389.05 Typical High $851.14 | Professional | None (both parts) | $302.00 | $389.05 | $851.14 |
Medical Mutual of Ohio Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $77.62 Typical High $177.83 | Professional | 26 · Professional part | $53.70 | $77.62 | $177.83 |
Medical Mutual of Ohio Setting Professional Modifier TC · Technical part Typical Low $257.04 Median $323.59 Typical High $707.95 | Professional | TC · Technical part | $257.04 | $323.59 | $707.95 |
Molina Setting Professional Modifier None (both parts) Typical Low $44.67 Median $316.23 Typical High $457.09 | Professional | None (both parts) | $44.67 | $316.23 | $457.09 |
SummaCare Setting Professional Modifier None (both parts) Typical Low $316.23 Median $398.11 Typical High $575.44 | Professional | None (both parts) | $316.23 | $398.11 | $575.44 |
United Setting Facility Modifier None Typical Low $1,122.02 Median $1,288.25 Typical High $1,862.09 | Facility | None | $1,122.02 | $1,288.25 | $1,862.09 |
United Setting Professional Modifier None (both parts) Typical Low $204.17 Median $363.08 Typical High $851.14 | Professional | None (both parts) | $204.17 | $363.08 | $851.14 |
United Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $66.07 Typical High $154.88 | Professional | 26 · Professional part | $45.71 | $66.07 | $154.88 |
United Setting Professional Modifier TC · Technical part Typical Low $181.97 Median $295.12 Typical High $707.95 | Professional | TC · Technical part | $181.97 | $295.12 | $707.95 |
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 $169.82 Median $501.19 Typical High $741.31 | Facility | 52 · Reduced service | $169.82 | $501.19 | $741.31 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $69.18 Median $199.53 Typical High $295.12 | Facility | 53 · Discontinued | $69.18 | $199.53 | $295.12 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $245.47 Median $794.33 Typical High $1,071.52 | Facility | FX · Film X-ray | $245.47 | $794.33 | $1,071.52 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $147.91 Median $147.91 Typical High $776.25 | Professional | 52 · Reduced service | $147.91 | $147.91 | $776.25 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $60.26 Median $60.26 Typical High $309.03 | Professional | 53 · Discontinued | $60.26 | $60.26 | $309.03 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $239.88 Median $239.88 Typical High $891.25 | Professional | FX · Film X-ray | $239.88 | $239.88 | $891.25 |
Where Ohio sits
The same service costs 4.0 times more in Alaska than in Kentucky. 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
$324
AK $1,047KY $263
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.