How much rates vary
Facilitymedian $501 · 10th to 90th $132 to $813Professionalmedian $123 · 10th to 90th $98 to $263
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 $100.00 Median $575.44 Typical High $758.58 | Facility | None | $100.00 | $575.44 | $758.58 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $38.02 Median $104.71 Typical High $162.18 | Facility | TC · Technical part | $38.02 | $104.71 | $162.18 |
Aetna Setting Professional Modifier None (both parts) Typical Low $100.00 Median $100.00 Typical High $575.44 | Professional | None (both parts) | $100.00 | $100.00 | $575.44 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $61.66 Typical High $194.98 | Professional | 26 · Professional part | $61.66 | $61.66 | $194.98 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $38.02 Median $38.02 Typical High $112.20 | Professional | TC · Technical part | $38.02 | $38.02 | $112.20 |
Anthem BCBS Setting Facility Modifier None Typical Low $588.84 Median $691.83 Typical High $812.83 | Facility | None | $588.84 | $691.83 | $812.83 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $107.15 Median $123.03 Typical High $190.55 | Professional | None (both parts) | $107.15 | $123.03 | $190.55 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $91.20 Typical High $144.54 | Professional | 26 · Professional part | $75.86 | $91.20 | $144.54 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $20.42 Median $25.70 Typical High $44.67 | Professional | TC · Technical part | $20.42 | $25.70 | $44.67 |
Cigna Setting Facility Modifier None Typical Low $144.54 Median $281.84 Typical High $812.83 | Facility | None | $144.54 | $281.84 | $812.83 |
Cigna Setting Professional Modifier None (both parts) Typical Low $100.00 Median $138.04 Typical High $281.84 | Professional | None (both parts) | $100.00 | $138.04 | $281.84 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $85.11 Typical High $169.82 | Professional | 26 · Professional part | $61.66 | $85.11 | $169.82 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $38.90 Median $52.48 Typical High $114.82 | Professional | TC · Technical part | $38.90 | $52.48 | $114.82 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $144.54 Median $309.03 Typical High $812.83 | Facility | None | $144.54 | $309.03 | $812.83 |
Medical Mutual of Ohio Setting Professional Modifier None (both parts) Typical Low $100.00 Median $138.04 Typical High $281.84 | Professional | None (both parts) | $100.00 | $138.04 | $281.84 |
Medical Mutual of Ohio Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $83.18 Typical High $169.82 | Professional | 26 · Professional part | $61.66 | $83.18 | $169.82 |
Medical Mutual of Ohio Setting Professional Modifier TC · Technical part Typical Low $38.90 Median $51.29 Typical High $107.15 | Professional | TC · Technical part | $38.90 | $51.29 | $107.15 |
Molina Setting Professional Modifier None (both parts) Typical Low $60.26 Median $89.13 Typical High $117.49 | Professional | None (both parts) | $60.26 | $89.13 | $117.49 |
SummaCare Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $70.79 Typical High $97.72 | Professional | 26 · Professional part | $64.57 | $70.79 | $97.72 |
United Setting Facility Modifier None Typical Low $478.63 Median $562.34 Typical High $794.33 | Facility | None | $478.63 | $562.34 | $794.33 |
United Setting Professional Modifier None (both parts) Typical Low $104.71 Median $186.21 Typical High $288.40 | Professional | None (both parts) | $104.71 | $186.21 | $288.40 |
United Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $81.28 Typical High $162.18 | Professional | 26 · Professional part | $58.88 | $81.28 | $162.18 |
United Setting Professional Modifier TC · Technical part Typical Low $39.81 Median $81.28 Typical High $186.21 | Professional | TC · Technical part | $39.81 | $81.28 | $186.21 |
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 $43.65 Median $77.62 Typical High $380.19 | Facility | 52 · Reduced service | $43.65 | $77.62 | $380.19 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $17.38 Median $30.90 Typical High $151.36 | Facility | 53 · Discontinued | $17.38 | $30.90 | $151.36 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $70.79 Median $123.03 Typical High $562.34 | Facility | FX · Film X-ray | $70.79 | $123.03 | $562.34 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $50.12 Median $50.12 Typical High $263.03 | Professional | 52 · Reduced service | $50.12 | $50.12 | $263.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.95 Median $19.95 Typical High $104.71 | Professional | 53 · Discontinued | $19.95 | $19.95 | $104.71 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $79.43 Median $79.43 Typical High $128.82 | Professional | FX · Film X-ray | $79.43 | $79.43 | $128.82 |
Where Ohio sits
The same service costs 4.7 times more in Nebraska than in New Jersey. 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· 45th of 51
$129
NE $537NJ $115
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.