How much rates vary
Facilitymedian $741 · 10th to 90th $363 to $1,479Professionalmedian $219 · 10th to 90th $158 to $417
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 $363.08 Median $616.60 Typical High $1,348.96 | Facility | None | $363.08 | $616.60 | $1,348.96 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $70.79 Median $117.49 Typical High $154.88 | Facility | 26 · Professional part | $70.79 | $117.49 | $154.88 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $288.40 Median $426.58 Typical High $630.96 | Facility | TC · Technical part | $288.40 | $426.58 | $630.96 |
Aetna Setting Professional Modifier None (both parts) Typical Low $199.53 Median $398.11 Typical High $741.31 | Professional | None (both parts) | $199.53 | $398.11 | $741.31 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $75.86 Typical High $154.88 | Professional | 26 · Professional part | $42.66 | $75.86 | $154.88 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $154.88 Median $288.40 Typical High $588.84 | Professional | TC · Technical part | $154.88 | $288.40 | $588.84 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $44.67 Typical High $60.26 | Professional | 26 · Professional part | $44.67 | $44.67 | $60.26 |
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 $194.98 Median $213.80 Typical High $363.08 | Professional | None (both parts) | $194.98 | $213.80 | $363.08 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $51.29 Typical High $85.11 | Professional | 26 · Professional part | $43.65 | $51.29 | $85.11 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $144.54 Median $165.96 Typical High $275.42 | Professional | TC · Technical part | $144.54 | $165.96 | $275.42 |
Cigna Setting Facility Modifier None Typical Low $537.03 Median $891.25 Typical High $1,862.09 | Facility | None | $537.03 | $891.25 | $1,862.09 |
Cigna Setting Professional Modifier None (both parts) Typical Low $204.17 Median $263.03 Typical High $616.60 | Professional | None (both parts) | $204.17 | $263.03 | $616.60 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $57.54 Typical High $120.23 | Professional | 26 · Professional part | $43.65 | $57.54 | $120.23 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $158.49 Median $204.17 Typical High $489.78 | Professional | TC · Technical part | $158.49 | $204.17 | $489.78 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $537.03 Median $851.14 Typical High $1,862.09 | Facility | None | $537.03 | $851.14 | $1,862.09 |
Medical Mutual of Ohio Setting Professional Modifier None (both parts) Typical Low $204.17 Median $269.15 Typical High $562.34 | Professional | None (both parts) | $204.17 | $269.15 | $562.34 |
Medical Mutual of Ohio Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $60.26 Typical High $141.25 | Professional | 26 · Professional part | $43.65 | $60.26 | $141.25 |
Medical Mutual of Ohio Setting Professional Modifier TC · Technical part Typical Low $162.18 Median $204.17 Typical High $446.68 | Professional | TC · Technical part | $162.18 | $204.17 | $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 $269.15 Typical High $389.05 | Professional | None (both parts) | $213.80 | $269.15 | $389.05 |
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 $177.83 Median $239.88 Typical High $575.44 | Professional | None (both parts) | $177.83 | $239.88 | $575.44 |
United Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $52.48 Typical High $123.03 | Professional | 26 · Professional part | $36.31 | $52.48 | $123.03 |
United Setting Professional Modifier TC · Technical part Typical Low $141.25 Median $194.98 Typical High $446.68 | Professional | TC · Technical part | $141.25 | $194.98 | $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 $114.82 Median $295.12 Typical High $741.31 | Facility | 52 · Reduced service | $114.82 | $295.12 | $741.31 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $45.71 Median $117.49 Typical High $295.12 | Facility | 53 · Discontinued | $45.71 | $117.49 | $295.12 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $158.49 Median $512.86 Typical High $1,071.52 | Facility | FX · Film X-ray | $158.49 | $512.86 | $1,071.52 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $100.00 Median $100.00 Typical High $549.54 | Professional | 52 · Reduced service | $100.00 | $100.00 | $549.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $39.81 Median $39.81 Typical High $218.78 | Professional | 53 · Discontinued | $39.81 | $39.81 | $218.78 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $158.49 Median $158.49 Typical High $602.56 | Professional | FX · Film X-ray | $158.49 | $158.49 | $602.56 |
Where Ohio sits
The same service costs 3.8 times more in Alaska than in Florida. 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· 42nd of 51
$229
AK $708FL $186
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.