How much rates vary
Facilitymedian $151 · 10th to 90th $79 to $363Professionalmedian $35 · 10th to 90th $28 to $59
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 $35.48 Median $245.47 Typical High $323.59 | Facility | None | $35.48 | $245.47 | $323.59 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $26.92 Median $74.13 Typical High $114.82 | Facility | TC · Technical part | $26.92 | $74.13 | $114.82 |
Aetna Setting Professional Modifier None (both parts) Typical Low $35.48 Median $35.48 Typical High $87.10 | Professional | None (both parts) | $35.48 | $35.48 | $87.10 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $8.32 Median $8.51 Typical High $23.99 | Professional | 26 · Professional part | $8.32 | $8.51 | $23.99 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $26.92 Median $26.92 Typical High $33.88 | Professional | TC · Technical part | $26.92 | $26.92 | $33.88 |
Anthem BCBS Setting Facility Modifier None Typical Low $257.04 Median $295.12 Typical High $346.74 | Facility | None | $257.04 | $295.12 | $346.74 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $26.30 Median $30.90 Typical High $53.70 | Professional | None (both parts) | $26.30 | $30.90 | $53.70 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $9.55 Median $9.77 Typical High $16.22 | Professional | 26 · Professional part | $9.55 | $9.77 | $16.22 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $41.69 Median $46.77 Typical High $83.18 | Professional | 50 · Both sides | $41.69 | $46.77 | $83.18 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $19.05 Median $22.91 Typical High $39.81 | Professional | TC · Technical part | $19.05 | $22.91 | $39.81 |
Cigna Setting Facility Modifier None Typical Low $79.43 Median $97.72 Typical High $363.08 | Facility | None | $79.43 | $97.72 | $363.08 |
Cigna Setting Professional Modifier None (both parts) Typical Low $31.62 Median $39.81 Typical High $70.79 | Professional | None (both parts) | $31.62 | $39.81 | $70.79 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $8.32 Median $9.77 Typical High $17.78 | Professional | 26 · Professional part | $8.32 | $9.77 | $17.78 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $23.44 Median $30.20 Typical High $54.95 | Professional | TC · Technical part | $23.44 | $30.20 | $54.95 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $79.43 Median $102.33 Typical High $363.08 | Facility | None | $79.43 | $102.33 | $363.08 |
Medical Mutual of Ohio Setting Professional Modifier None (both parts) Typical Low $31.62 Median $38.90 Typical High $70.79 | Professional | None (both parts) | $31.62 | $38.90 | $70.79 |
Medical Mutual of Ohio Setting Professional Modifier 26 · Professional part Typical Low $8.32 Median $9.77 Typical High $17.78 | Professional | 26 · Professional part | $8.32 | $9.77 | $17.78 |
Medical Mutual of Ohio Setting Professional Modifier TC · Technical part Typical Low $23.44 Median $30.20 Typical High $54.95 | Professional | TC · Technical part | $23.44 | $30.20 | $54.95 |
Molina Setting Professional Modifier None (both parts) Typical Low $26.92 Median $38.90 Typical High $54.95 | Professional | None (both parts) | $26.92 | $38.90 | $54.95 |
SummaCare Setting Professional Modifier None (both parts) Typical Low $38.02 Median $41.69 Typical High $57.54 | Professional | None (both parts) | $38.02 | $41.69 | $57.54 |
SummaCare Setting Professional Modifier 26 · Professional part Typical Low $8.91 Median $9.77 Typical High $14.13 | Professional | 26 · Professional part | $8.91 | $9.77 | $14.13 |
SummaCare Setting Professional Modifier TC · Technical part Typical Low $28.84 Median $31.62 Typical High $43.65 | Professional | TC · Technical part | $28.84 | $31.62 | $43.65 |
United Setting Facility Modifier None Typical Low $213.80 Median $251.19 Typical High $354.81 | Facility | None | $213.80 | $251.19 | $354.81 |
United Setting Professional Modifier None (both parts) Typical Low $25.12 Median $36.31 Typical High $66.07 | Professional | None (both parts) | $25.12 | $36.31 | $66.07 |
United Setting Professional Modifier 26 · Professional part Typical Low $6.03 Median $9.33 Typical High $17.38 | Professional | 26 · Professional part | $6.03 | $9.33 | $17.38 |
United Setting Professional Modifier TC · Technical part Typical Low $16.98 Median $26.30 Typical High $50.12 | Professional | TC · Technical part | $16.98 | $26.30 | $50.12 |
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 $20.89 Median $44.67 Typical High $162.18 | Facility | 52 · Reduced service | $20.89 | $44.67 | $162.18 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $8.32 Median $17.78 Typical High $66.07 | Facility | 53 · Discontinued | $8.32 | $17.78 | $66.07 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $28.18 Median $87.10 Typical High $239.88 | Facility | FX · Film X-ray | $28.18 | $87.10 | $239.88 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $17.78 Median $17.78 Typical High $45.71 | Professional | 52 · Reduced service | $17.78 | $17.78 | $45.71 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.08 Median $7.08 Typical High $18.20 | Professional | 53 · Discontinued | $7.08 | $7.08 | $18.20 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $28.18 Median $28.18 Typical High $31.62 | Professional | FX · Film X-ray | $28.18 | $28.18 | $31.62 |
Where Ohio sits
The same service costs 3.9 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· 43rd of 51
$35.48
AK $112FL $28.84
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.