How much rates vary
Facilitymedian $87 · 10th to 90th $46 to $245Professionalmedian $32 · 10th to 90th $26 to $58
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 $29.51 Median $54.95 Typical High $245.47 | Facility | None | $29.51 | $54.95 | $245.47 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $9.12 Median $16.60 Typical High $40.74 | Facility | 26 · Professional part | $9.12 | $16.60 | $40.74 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $20.89 Median $46.77 Typical High $87.10 | Facility | TC · Technical part | $20.89 | $46.77 | $87.10 |
Aetna Setting Professional Modifier None (both parts) Typical Low $27.54 Median $29.51 Typical High $100.00 | Professional | None (both parts) | $27.54 | $29.51 | $100.00 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $8.71 Median $9.12 Typical High $33.88 | Professional | 26 · Professional part | $8.71 | $9.12 | $33.88 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $18.62 Median $20.89 Typical High $61.66 | Professional | TC · Technical part | $18.62 | $20.89 | $61.66 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $24.55 Median $24.55 Typical High $24.55 | Professional | None (both parts) | $24.55 | $24.55 | $24.55 |
Anthem BCBS Setting Facility Modifier None Typical Low $190.55 Median $223.87 Typical High $263.03 | Facility | None | $190.55 | $223.87 | $263.03 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $23.44 Median $29.51 Typical High $48.98 | Professional | None (both parts) | $23.44 | $29.51 | $48.98 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $9.77 Median $10.23 Typical High $16.98 | Professional | 26 · Professional part | $9.77 | $10.23 | $16.98 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $17.78 Median $20.42 Typical High $33.88 | Professional | TC · Technical part | $17.78 | $20.42 | $33.88 |
Aultcare Setting Professional Modifier None (both parts) Typical Low $34.67 Median $34.67 Typical High $34.67 | Professional | None (both parts) | $34.67 | $34.67 | $34.67 |
Cigna Setting Facility Modifier None Typical Low $58.88 Median $74.13 Typical High $295.12 | Facility | None | $58.88 | $74.13 | $295.12 |
Cigna Setting Professional Modifier None (both parts) Typical Low $26.92 Median $33.88 Typical High $60.26 | Professional | None (both parts) | $26.92 | $33.88 | $60.26 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $8.91 Median $10.72 Typical High $19.95 | Professional | 26 · Professional part | $8.91 | $10.72 | $19.95 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $17.78 Median $23.44 Typical High $42.66 | Professional | TC · Technical part | $17.78 | $23.44 | $42.66 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $58.88 Median $77.62 Typical High $302.00 | Facility | None | $58.88 | $77.62 | $302.00 |
Medical Mutual of Ohio Setting Professional Modifier None (both parts) Typical Low $26.92 Median $32.36 Typical High $60.26 | Professional | None (both parts) | $26.92 | $32.36 | $60.26 |
Medical Mutual of Ohio Setting Professional Modifier 26 · Professional part Typical Low $9.33 Median $10.47 Typical High $19.50 | Professional | 26 · Professional part | $9.33 | $10.47 | $19.50 |
Medical Mutual of Ohio Setting Professional Modifier TC · Technical part Typical Low $17.78 Median $22.39 Typical High $42.66 | Professional | TC · Technical part | $17.78 | $22.39 | $42.66 |
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 $30.90 Median $33.88 Typical High $46.77 | Professional | None (both parts) | $30.90 | $33.88 | $46.77 |
SummaCare Setting Professional Modifier 26 · Professional part Typical Low $10.00 Median $10.96 Typical High $15.14 | Professional | 26 · Professional part | $10.00 | $10.96 | $15.14 |
SummaCare Setting Professional Modifier TC · Technical part Typical Low $21.38 Median $23.44 Typical High $32.36 | Professional | TC · Technical part | $21.38 | $23.44 | $32.36 |
United Setting Facility Modifier None Typical Low $177.83 Median $208.93 Typical High $295.12 | Facility | None | $177.83 | $208.93 | $295.12 |
United Setting Professional Modifier None (both parts) Typical Low $21.38 Median $31.62 Typical High $57.54 | Professional | None (both parts) | $21.38 | $31.62 | $57.54 |
United Setting Professional Modifier 26 · Professional part Typical Low $6.61 Median $10.23 Typical High $19.05 | Professional | 26 · Professional part | $6.61 | $10.23 | $19.05 |
United Setting Professional Modifier TC · Technical part Typical Low $15.14 Median $21.38 Typical High $39.81 | Professional | TC · Technical part | $15.14 | $21.38 | $39.81 |
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 $17.38 Median $41.69 Typical High $120.23 | Facility | 52 · Reduced service | $17.38 | $41.69 | $120.23 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $6.92 Median $16.98 Typical High $48.98 | Facility | 53 · Discontinued | $6.92 | $16.98 | $48.98 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $23.99 Median $67.61 Typical High $177.83 | Facility | FX · Film X-ray | $23.99 | $67.61 | $177.83 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $14.79 Median $14.79 Typical High $51.29 | Professional | 52 · Reduced service | $14.79 | $14.79 | $51.29 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.89 Median $5.89 Typical High $20.42 | Professional | 53 · Discontinued | $5.89 | $5.89 | $20.42 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $23.99 Median $23.99 Typical High $26.30 | Professional | FX · Film X-ray | $23.99 | $23.99 | $26.30 |
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· 38th of 51
$32.36
AK $95.50FL $25.12
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.