How much rates vary
Facilitymedian $1,820 · 10th to 90th $977 to $3,890Professionalmedian $562 · 10th to 90th $355 to $1,023
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 $812.83 Median $1,479.11 Typical High $3,630.78 | Facility | None | $812.83 | $1,479.11 | $3,630.78 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $66.07 Median $123.03 Typical High $173.78 | Facility | 26 · Professional part | $66.07 | $123.03 | $173.78 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $741.31 Median $1,348.96 Typical High $1,995.26 | Facility | TC · Technical part | $741.31 | $1,348.96 | $1,995.26 |
Aetna Setting Professional Modifier None (both parts) Typical Low $537.03 Median $1,479.11 Typical High $2,691.53 | Professional | None (both parts) | $537.03 | $1,479.11 | $2,691.53 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $58.88 Typical High $251.19 | Professional | 26 · Professional part | $44.67 | $58.88 | $251.19 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $489.78 Median $1,174.90 Typical High $1,659.59 | Professional | TC · Technical part | $489.78 | $1,174.90 | $1,659.59 |
Anthem BCBS Setting Facility Modifier None Typical Low $3,090.30 Median $3,548.13 Typical High $4,168.69 | Facility | None | $3,090.30 | $3,548.13 | $4,168.69 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $354.81 Median $398.11 Typical High $741.31 | Professional | None (both parts) | $354.81 | $398.11 | $741.31 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $57.54 Typical High $91.20 | Professional | 26 · Professional part | $48.98 | $57.54 | $91.20 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $309.03 Median $338.84 Typical High $660.69 | Professional | TC · Technical part | $309.03 | $338.84 | $660.69 |
Cigna Setting Facility Modifier None Typical Low $1,513.56 Median $2,511.89 Typical High $3,890.45 | Facility | None | $1,513.56 | $2,511.89 | $3,890.45 |
Cigna Setting Professional Modifier None (both parts) Typical Low $537.03 Median $691.83 Typical High $1,548.82 | Professional | None (both parts) | $537.03 | $691.83 | $1,548.82 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $60.26 Typical High $125.89 | Professional | 26 · Professional part | $45.71 | $60.26 | $125.89 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $489.78 Median $630.96 Typical High $1,445.44 | Professional | TC · Technical part | $489.78 | $630.96 | $1,445.44 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $1,513.56 Median $1,862.09 Typical High $3,890.45 | Facility | None | $1,513.56 | $1,862.09 | $3,890.45 |
Medical Mutual of Ohio Setting Professional Modifier None (both parts) Typical Low $549.54 Median $724.44 Typical High $1,548.82 | Professional | None (both parts) | $549.54 | $724.44 | $1,548.82 |
Medical Mutual of Ohio Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $60.26 Typical High $125.89 | Professional | 26 · Professional part | $45.71 | $60.26 | $125.89 |
Medical Mutual of Ohio Setting Professional Modifier TC · Technical part Typical Low $512.86 Median $660.69 Typical High $1,412.54 | Professional | TC · Technical part | $512.86 | $660.69 | $1,412.54 |
Molina Setting Professional Modifier None (both parts) Typical Low $44.67 Median $602.56 Typical High $851.14 | Professional | None (both parts) | $44.67 | $602.56 | $851.14 |
SummaCare Setting Professional Modifier None (both parts) Typical Low $562.34 Median $707.95 Typical High $1,023.29 | Professional | None (both parts) | $562.34 | $707.95 | $1,023.29 |
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 $416.87 Median $660.69 Typical High $1,548.82 | Professional | None (both parts) | $416.87 | $660.69 | $1,548.82 |
United Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $57.54 Typical High $128.82 | Professional | 26 · Professional part | $40.74 | $57.54 | $128.82 |
United Setting Professional Modifier TC · Technical part Typical Low $371.54 Median $588.84 Typical High $1,412.54 | Professional | TC · Technical part | $371.54 | $588.84 | $1,412.54 |
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 $309.03 Median $1,000.00 Typical High $1,949.84 | Facility | 52 · Reduced service | $309.03 | $1,000.00 | $1,949.84 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $123.03 Median $398.11 Typical High $776.25 | Facility | 53 · Discontinued | $123.03 | $398.11 | $776.25 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $489.78 Median $1,584.89 Typical High $2,884.03 | Facility | FX · Film X-ray | $489.78 | $1,584.89 | $2,884.03 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $269.15 Median $269.15 Typical High $1,479.11 | Professional | 52 · Reduced service | $269.15 | $269.15 | $1,479.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $107.15 Median $107.15 Typical High $588.84 | Professional | 53 · Discontinued | $107.15 | $107.15 | $588.84 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $426.58 Median $426.58 Typical High $1,905.46 | Professional | FX · Film X-ray | $426.58 | $426.58 | $1,905.46 |
Where Ohio sits
The same service costs 4.4 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
$575
AK $1,950KY $447
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.