How much rates vary
Facilitymedian $3,311 · 10th to 90th $1,318 to $4,898Professionalmedian $813 · 10th to 90th $162 to $1,905
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 $2,398.83 Median $4,073.80 Typical High $5,011.87 | Facility | None | $2,398.83 | $4,073.80 | $5,011.87 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $100.00 Median $275.42 Typical High $338.84 | Facility | 26 · Professional part | $100.00 | $275.42 | $338.84 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $1,513.56 Median $3,311.31 Typical High $5,128.61 | Facility | TC · Technical part | $1,513.56 | $3,311.31 | $5,128.61 |
Aetna Setting Professional Modifier None (both parts) Typical Low $1,288.25 Median $1,819.70 Typical High $4,466.84 | Professional | None (both parts) | $1,288.25 | $1,819.70 | $4,466.84 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $95.50 Median $100.00 Typical High $269.15 | Professional | 26 · Professional part | $95.50 | $100.00 | $269.15 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $1,202.26 Median $1,202.26 Typical High $3,630.78 | Professional | TC · Technical part | $1,202.26 | $1,202.26 | $3,630.78 |
Anthem BCBS Setting Facility Modifier None Typical Low $3,467.37 Median $4,073.80 Typical High $4,786.30 | Facility | None | $3,467.37 | $4,073.80 | $4,786.30 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $776.25 Median $831.76 Typical High $1,659.59 | Professional | None (both parts) | $776.25 | $831.76 | $1,659.59 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $107.15 Typical High $190.55 | Professional | 26 · Professional part | $85.11 | $107.15 | $190.55 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $645.65 Median $724.44 Typical High $1,659.59 | Professional | TC · Technical part | $645.65 | $724.44 | $1,659.59 |
Cigna Setting Facility Modifier None Typical Low $1,230.27 Median $1,995.26 Typical High $4,897.79 | Facility | None | $1,230.27 | $1,995.26 | $4,897.79 |
Cigna Setting Professional Modifier None (both parts) Typical Low $467.74 Median $616.60 Typical High $1,348.96 | Professional | None (both parts) | $467.74 | $616.60 | $1,348.96 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $112.20 Typical High $223.87 | Professional | 26 · Professional part | $81.28 | $112.20 | $223.87 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $371.54 Median $501.19 Typical High $1,258.93 | Professional | TC · Technical part | $371.54 | $501.19 | $1,258.93 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $1,318.26 Median $2,187.76 Typical High $4,897.79 | Facility | None | $1,318.26 | $2,187.76 | $4,897.79 |
Medical Mutual of Ohio Setting Professional Modifier None (both parts) Typical Low $478.63 Median $616.60 Typical High $1,348.96 | Professional | None (both parts) | $478.63 | $616.60 | $1,348.96 |
Medical Mutual of Ohio Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $112.20 Typical High $223.87 | Professional | 26 · Professional part | $81.28 | $112.20 | $223.87 |
Medical Mutual of Ohio Setting Professional Modifier TC · Technical part Typical Low $407.38 Median $501.19 Typical High $1,122.02 | Professional | TC · Technical part | $407.38 | $501.19 | $1,122.02 |
Molina Setting Professional Modifier None (both parts) Typical Low $63.10 Median $123.03 Typical High $194.98 | Professional | None (both parts) | $63.10 | $123.03 | $194.98 |
SummaCare Setting Professional Modifier None (both parts) Typical Low $912.01 Median $1,148.15 Typical High $1,659.59 | Professional | None (both parts) | $912.01 | $1,148.15 | $1,659.59 |
United Setting Facility Modifier None Typical Low $2,951.21 Median $3,388.44 Typical High $4,897.79 | Facility | None | $2,951.21 | $3,388.44 | $4,897.79 |
United Setting Professional Modifier None (both parts) Typical Low $812.83 Median $1,445.44 Typical High $4,168.69 | Professional | None (both parts) | $812.83 | $1,445.44 | $4,168.69 |
United Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $97.72 Typical High $234.42 | Professional | 26 · Professional part | $67.61 | $97.72 | $234.42 |
United Setting Professional Modifier TC · Technical part Typical Low $707.95 Median $1,348.96 Typical High $3,981.07 | Professional | TC · Technical part | $707.95 | $1,348.96 | $3,981.07 |
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 $758.58 Median $1,819.70 Typical High $2,511.89 | Facility | 52 · Reduced service | $758.58 | $1,819.70 | $2,511.89 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $302.00 Median $724.44 Typical High $1,023.29 | Facility | 53 · Discontinued | $302.00 | $724.44 | $1,023.29 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $1,148.15 Median $2,884.03 Typical High $4,073.80 | Facility | FX · Film X-ray | $1,148.15 | $2,884.03 | $4,073.80 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $645.65 Median $645.65 Typical High $2,238.72 | Professional | 52 · Reduced service | $645.65 | $645.65 | $2,238.72 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $257.04 Median $257.04 Typical High $891.25 | Professional | 53 · Discontinued | $257.04 | $257.04 | $891.25 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $1,047.13 Median $1,047.13 Typical High $3,235.94 | Professional | FX · Film X-ray | $1,047.13 | $1,047.13 | $3,235.94 |
Where Ohio sits
The same service costs 15.1 times more in Nebraska than in Washington. 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· 48th of 51
$891
NE $3,090WA $204
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.