How much rates vary
Facilitymedian $1,096 · 10th to 90th $525 to $1,698Professionalmedian $191 · 10th to 90th $120 to $324
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 $177.83 Median $1,096.48 Typical High $1,479.11 | Facility | None | $177.83 | $1,096.48 | $1,479.11 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $154.88 Median $426.58 Typical High $660.69 | Facility | TC · Technical part | $154.88 | $426.58 | $660.69 |
Aetna Setting Professional Modifier None (both parts) Typical Low $177.83 Median $177.83 Typical High $1,096.48 | Professional | None (both parts) | $177.83 | $177.83 | $1,096.48 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $22.39 Median $22.39 Typical High $93.33 | Professional | 26 · Professional part | $22.39 | $22.39 | $93.33 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $154.88 Median $154.88 Typical High $467.74 | Professional | TC · Technical part | $154.88 | $154.88 | $467.74 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $31.62 Typical High $31.62 | Professional | 26 · Professional part | $31.62 | $31.62 | $31.62 |
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 $131.83 Median $147.91 Typical High $263.03 | Professional | None (both parts) | $131.83 | $147.91 | $263.03 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $26.92 Typical High $45.71 | Professional | 26 · Professional part | $23.44 | $26.92 | $45.71 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $107.15 Median $120.23 Typical High $223.87 | Professional | TC · Technical part | $107.15 | $120.23 | $223.87 |
Cigna Setting Facility Modifier None Typical Low $524.81 Median $912.01 Typical High $1,862.09 | Facility | None | $524.81 | $912.01 | $1,862.09 |
Cigna Setting Professional Modifier None (both parts) Typical Low $177.83 Median $229.09 Typical High $501.19 | Professional | None (both parts) | $177.83 | $229.09 | $501.19 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $22.39 Median $30.20 Typical High $63.10 | Professional | 26 · Professional part | $22.39 | $30.20 | $63.10 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $154.88 Median $199.53 Typical High $478.63 | Professional | TC · Technical part | $154.88 | $199.53 | $478.63 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $524.81 Median $870.96 Typical High $1,862.09 | Facility | None | $524.81 | $870.96 | $1,862.09 |
Medical Mutual of Ohio Setting Professional Modifier None (both parts) Typical Low $177.83 Median $234.42 Typical High $489.78 | Professional | None (both parts) | $177.83 | $234.42 | $489.78 |
Medical Mutual of Ohio Setting Professional Modifier 26 · Professional part Typical Low $22.39 Median $30.20 Typical High $63.10 | Professional | 26 · Professional part | $22.39 | $30.20 | $63.10 |
Medical Mutual of Ohio Setting Professional Modifier TC · Technical part Typical Low $158.49 Median $204.17 Typical High $436.52 | Professional | TC · Technical part | $158.49 | $204.17 | $436.52 |
Molina Setting Professional Modifier None (both parts) Typical Low $44.67 Median $204.17 Typical High $295.12 | Professional | None (both parts) | $44.67 | $204.17 | $295.12 |
SummaCare Setting Professional Modifier None (both parts) Typical Low $194.98 Median $239.88 Typical High $354.81 | Professional | None (both parts) | $194.98 | $239.88 | $354.81 |
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 $125.89 Median $208.93 Typical High $512.86 | Professional | None (both parts) | $125.89 | $208.93 | $512.86 |
United Setting Professional Modifier 26 · Professional part Typical Low $19.05 Median $26.92 Typical High $64.57 | Professional | 26 · Professional part | $19.05 | $26.92 | $64.57 |
United Setting Professional Modifier TC · Technical part Typical Low $117.49 Median $186.21 Typical High $446.68 | Professional | TC · Technical part | $117.49 | $186.21 | $446.68 |
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 $104.71 Median $316.23 Typical High $741.31 | Facility | 52 · Reduced service | $104.71 | $316.23 | $741.31 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $41.69 Median $125.89 Typical High $295.12 | Facility | 53 · Discontinued | $41.69 | $125.89 | $295.12 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $154.88 Median $501.19 Typical High $1,071.52 | Facility | FX · Film X-ray | $154.88 | $501.19 | $1,071.52 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $89.13 Median $89.13 Typical High $549.54 | Professional | 52 · Reduced service | $89.13 | $89.13 | $549.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $35.48 Median $35.48 Typical High $218.78 | Professional | 53 · Discontinued | $35.48 | $35.48 | $218.78 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $141.25 Median $141.25 Typical High $602.56 | Professional | FX · Film X-ray | $141.25 | $141.25 | $602.56 |
Where Ohio sits
The same service costs 4.6 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
$195
AK $776KY $170
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.