How much rates vary
Facilitymedian $891 · 10th to 90th $398 to $1,738Professionalmedian $295 · 10th to 90th $191 to $550
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 $316.23 Median $758.58 Typical High $1,071.52 | Facility | None | $316.23 | $758.58 | $1,071.52 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $36.31 Median $66.07 Typical High $128.82 | Facility | 26 · Professional part | $36.31 | $66.07 | $128.82 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $275.42 Median $575.44 Typical High $933.25 | Facility | TC · Technical part | $275.42 | $575.44 | $933.25 |
Aetna Setting Professional Modifier None (both parts) Typical Low $275.42 Median $501.19 Typical High $933.25 | Professional | None (both parts) | $275.42 | $501.19 | $933.25 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $61.66 Typical High $128.82 | Professional | 26 · Professional part | $35.48 | $61.66 | $128.82 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $239.88 Median $436.52 Typical High $812.83 | Professional | TC · Technical part | $239.88 | $436.52 | $812.83 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $309.03 Median $309.03 Typical High $309.03 | Professional | None (both parts) | $309.03 | $309.03 | $309.03 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $48.98 Typical High $57.54 | Professional | 26 · Professional part | $28.18 | $48.98 | $57.54 |
Anthem BCBS Setting Facility Modifier None Typical Low $891.25 Median $1,023.29 Typical High $1,202.26 | Facility | None | $891.25 | $1,023.29 | $1,202.26 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $194.98 Median $213.80 Typical High $380.19 | Professional | None (both parts) | $194.98 | $213.80 | $380.19 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $41.69 Typical High $69.18 | Professional | 26 · Professional part | $36.31 | $41.69 | $69.18 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $154.88 Median $169.82 Typical High $331.13 | Professional | TC · Technical part | $154.88 | $169.82 | $331.13 |
Aultcare Setting Professional Modifier None (both parts) Typical Low $331.13 Median $537.03 Typical High $537.03 | Professional | None (both parts) | $331.13 | $537.03 | $537.03 |
CareSource Setting Professional Modifier None (both parts) Typical Low $34.67 Median $234.42 Typical High $316.23 | Professional | None (both parts) | $34.67 | $234.42 | $316.23 |
Cigna Setting Facility Modifier None Typical Low $724.44 Median $1,380.38 Typical High $1,949.84 | Facility | None | $724.44 | $1,380.38 | $1,949.84 |
Cigna Setting Professional Modifier None (both parts) Typical Low $269.15 Median $354.81 Typical High $794.33 | Professional | None (both parts) | $269.15 | $354.81 | $794.33 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $47.86 Typical High $100.00 | Professional | 26 · Professional part | $35.48 | $47.86 | $100.00 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $234.42 Median $302.00 Typical High $758.58 | Professional | TC · Technical part | $234.42 | $302.00 | $758.58 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $724.44 Median $1,122.02 Typical High $1,949.84 | Facility | None | $724.44 | $1,122.02 | $1,949.84 |
Medical Mutual of Ohio Setting Professional Modifier None (both parts) Typical Low $281.84 Median $354.81 Typical High $851.14 | Professional | None (both parts) | $281.84 | $354.81 | $851.14 |
Medical Mutual of Ohio Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $51.29 Typical High $109.65 | Professional | 26 · Professional part | $34.67 | $51.29 | $109.65 |
Medical Mutual of Ohio Setting Professional Modifier TC · Technical part Typical Low $251.19 Median $309.03 Typical High $707.95 | Professional | TC · Technical part | $251.19 | $309.03 | $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 $295.12 Median $363.08 Typical High $537.03 | Professional | None (both parts) | $295.12 | $363.08 | $537.03 |
United Setting Facility Modifier None Typical Low $812.83 Median $954.99 Typical High $1,348.96 | Facility | None | $812.83 | $954.99 | $1,348.96 |
United Setting Professional Modifier None (both parts) Typical Low $190.55 Median $331.13 Typical High $794.33 | Professional | None (both parts) | $190.55 | $331.13 | $794.33 |
United Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $42.66 Typical High $102.33 | Professional | 26 · Professional part | $29.51 | $42.66 | $102.33 |
United Setting Professional Modifier TC · Technical part Typical Low $162.18 Median $288.40 Typical High $691.83 | Professional | TC · Technical part | $162.18 | $288.40 | $691.83 |
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 $158.49 Median $398.11 Typical High $562.34 | Facility | 52 · Reduced service | $158.49 | $398.11 | $562.34 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $63.10 Median $158.49 Typical High $223.87 | Facility | 53 · Discontinued | $63.10 | $158.49 | $223.87 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $239.88 Median $676.08 Typical High $831.76 | Facility | FX · Film X-ray | $239.88 | $676.08 | $831.76 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $138.04 Median $138.04 Typical High $512.86 | Professional | 52 · Reduced service | $138.04 | $138.04 | $512.86 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $54.95 Median $54.95 Typical High $204.17 | Professional | 53 · Discontinued | $54.95 | $54.95 | $204.17 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $223.87 Median $223.87 Typical High $794.33 | Professional | FX · Film X-ray | $223.87 | $223.87 | $794.33 |
Where Ohio sits
The same service costs 3.5 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· 43rd of 51
$309
AK $933KY $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.