How much rates vary
Facilitymedian $708 · 10th to 90th $355 to $1,202Professionalmedian $240 · 10th to 90th $166 to $447
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 $288.40 Median $602.56 Typical High $1,047.13 | Facility | None | $288.40 | $602.56 | $1,047.13 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $44.67 Median $120.23 Typical High $162.18 | Facility | 26 · Professional part | $44.67 | $120.23 | $162.18 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $223.87 Median $416.87 Typical High $616.60 | Facility | TC · Technical part | $223.87 | $416.87 | $616.60 |
Aetna Setting Professional Modifier None (both parts) Typical Low $194.98 Median $354.81 Typical High $741.31 | Professional | None (both parts) | $194.98 | $354.81 | $741.31 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $75.86 Typical High $177.83 | Professional | 26 · Professional part | $43.65 | $75.86 | $177.83 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $151.36 Median $275.42 Typical High $575.44 | Professional | TC · Technical part | $151.36 | $275.42 | $575.44 |
Anthem BCBS Setting Facility Modifier None Typical Low $891.25 Median $1,023.29 Typical High $2,398.83 | Facility | None | $891.25 | $1,023.29 | $2,398.83 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $204.17 Median $245.47 Typical High $426.58 | Professional | None (both parts) | $204.17 | $245.47 | $426.58 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $53.70 Typical High $89.13 | Professional | 26 · Professional part | $45.71 | $53.70 | $89.13 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $158.49 Median $194.98 Typical High $331.13 | Professional | TC · Technical part | $158.49 | $194.98 | $331.13 |
Cigna Setting Facility Modifier None Typical Low $537.03 Median $851.14 Typical High $1,380.38 | Facility | None | $537.03 | $851.14 | $1,380.38 |
Cigna Setting Professional Modifier None (both parts) Typical Low $199.53 Median $269.15 Typical High $588.84 | Professional | None (both parts) | $199.53 | $269.15 | $588.84 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $58.88 Typical High $123.03 | Professional | 26 · Professional part | $44.67 | $58.88 | $123.03 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $154.88 Median $208.93 Typical High $467.74 | Professional | TC · Technical part | $154.88 | $208.93 | $467.74 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $537.03 Median $707.95 Typical High $1,380.38 | Facility | None | $537.03 | $707.95 | $1,380.38 |
Medical Mutual of Ohio Setting Professional Modifier None (both parts) Typical Low $199.53 Median $269.15 Typical High $549.54 | Professional | None (both parts) | $199.53 | $269.15 | $549.54 |
Medical Mutual of Ohio Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $58.88 Typical High $123.03 | Professional | 26 · Professional part | $44.67 | $58.88 | $123.03 |
Medical Mutual of Ohio Setting Professional Modifier TC · Technical part Typical Low $154.88 Median $208.93 Typical High $446.68 | Professional | TC · Technical part | $154.88 | $208.93 | $446.68 |
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 $213.80 Median $234.42 Typical High $380.19 | Professional | None (both parts) | $213.80 | $234.42 | $380.19 |
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 $186.21 Median $257.04 Typical High $562.34 | Professional | None (both parts) | $186.21 | $257.04 | $562.34 |
United Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $54.95 Typical High $125.89 | Professional | 26 · Professional part | $38.02 | $54.95 | $125.89 |
United Setting Professional Modifier TC · Technical part Typical Low $147.91 Median $204.17 Typical High $436.52 | Professional | TC · Technical part | $147.91 | $204.17 | $436.52 |
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 $112.20 Median $309.03 Typical High $562.34 | Facility | 52 · Reduced service | $112.20 | $309.03 | $562.34 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $44.67 Median $123.03 Typical High $223.87 | Facility | 53 · Discontinued | $44.67 | $123.03 | $223.87 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $154.88 Median $489.78 Typical High $831.76 | Facility | FX · Film X-ray | $154.88 | $489.78 | $831.76 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $97.72 Median $97.72 Typical High $426.58 | Professional | 52 · Reduced service | $97.72 | $97.72 | $426.58 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $38.90 Median $38.90 Typical High $169.82 | Professional | 53 · Discontinued | $38.90 | $38.90 | $169.82 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $154.88 Median $154.88 Typical High $588.84 | Professional | FX · Film X-ray | $154.88 | $154.88 | $588.84 |
Where Ohio sits
The same service costs 3.5 times more in Wisconsin than in Texas. 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· 41st of 51
$245
WI $676TX $191
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.