How much rates vary
Facilitymedian $87 · 10th to 90th $54 to $245Professionalmedian $33 · 10th to 90th $24 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 $30.20 Median $54.95 Typical High $245.47 | Facility | None | $30.20 | $54.95 | $245.47 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $8.13 Median $14.79 Typical High $25.12 | Facility | 26 · Professional part | $8.13 | $14.79 | $25.12 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $23.99 Median $50.12 Typical High $93.33 | Facility | TC · Technical part | $23.99 | $50.12 | $93.33 |
Aetna Setting Professional Modifier None (both parts) Typical Low $28.18 Median $30.20 Typical High $95.50 | Professional | None (both parts) | $28.18 | $30.20 | $95.50 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $7.59 Median $8.13 Typical High $27.54 | Professional | 26 · Professional part | $7.59 | $8.13 | $27.54 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $20.42 Median $21.88 Typical High $66.07 | Professional | TC · Technical part | $20.42 | $21.88 | $66.07 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $24.55 Median $24.55 Typical High $26.30 | Professional | None (both parts) | $24.55 | $24.55 | $26.30 |
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 $16.98 Median $28.84 Typical High $50.12 | Professional | None (both parts) | $16.98 | $28.84 | $50.12 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $8.71 Median $9.33 Typical High $15.14 | Professional | 26 · Professional part | $8.71 | $9.33 | $15.14 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $19.95 Median $25.70 Typical High $33.88 | Professional | TC · Technical part | $19.95 | $25.70 | $33.88 |
Cigna Setting Facility Modifier None Typical Low $64.57 Median $79.43 Typical High $295.12 | Facility | None | $64.57 | $79.43 | $295.12 |
Cigna Setting Professional Modifier None (both parts) Typical Low $26.92 Median $34.67 Typical High $61.66 | Professional | None (both parts) | $26.92 | $34.67 | $61.66 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $7.94 Median $9.33 Typical High $17.38 | Professional | 26 · Professional part | $7.94 | $9.33 | $17.38 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $19.05 Median $25.12 Typical High $44.67 | Professional | TC · Technical part | $19.05 | $25.12 | $44.67 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $64.57 Median $83.18 Typical High $302.00 | Facility | None | $64.57 | $83.18 | $302.00 |
Medical Mutual of Ohio Setting Professional Modifier None (both parts) Typical Low $26.92 Median $33.11 Typical High $60.26 | Professional | None (both parts) | $26.92 | $33.11 | $60.26 |
Medical Mutual of Ohio Setting Professional Modifier 26 · Professional part Typical Low $7.94 Median $9.33 Typical High $16.98 | Professional | 26 · Professional part | $7.94 | $9.33 | $16.98 |
Medical Mutual of Ohio Setting Professional Modifier TC · Technical part Typical Low $19.05 Median $23.99 Typical High $44.67 | Professional | TC · Technical part | $19.05 | $23.99 | $44.67 |
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 $31.62 Median $34.67 Typical High $60.26 | Professional | None (both parts) | $31.62 | $34.67 | $60.26 |
SummaCare Setting Professional Modifier 26 · Professional part Typical Low $8.51 Median $9.33 Typical High $16.22 | Professional | 26 · Professional part | $8.51 | $9.33 | $16.22 |
SummaCare Setting Professional Modifier TC · Technical part Typical Low $22.91 Median $25.12 Typical High $43.65 | Professional | TC · Technical part | $22.91 | $25.12 | $43.65 |
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 $21.88 Median $31.62 Typical High $56.23 | Professional | None (both parts) | $21.88 | $31.62 | $56.23 |
United Setting Professional Modifier 26 · Professional part Typical Low $5.75 Median $8.91 Typical High $16.60 | Professional | 26 · Professional part | $5.75 | $8.91 | $16.60 |
United Setting Professional Modifier TC · Technical part Typical Low $15.14 Median $22.39 Typical High $41.69 | Professional | TC · Technical part | $15.14 | $22.39 | $41.69 |
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 $42.66 Typical High $120.23 | Facility | 52 · Reduced service | $17.38 | $42.66 | $120.23 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $7.08 Median $17.38 Typical High $48.98 | Facility | 53 · Discontinued | $7.08 | $17.38 | $48.98 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $23.99 Median $70.79 Typical High $177.83 | Facility | FX · Film X-ray | $23.99 | $70.79 | $177.83 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $15.14 Median $15.14 Typical High $44.67 | Professional | 52 · Reduced service | $15.14 | $15.14 | $44.67 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.03 Median $6.03 Typical High $17.78 | Professional | 53 · Discontinued | $6.03 | $6.03 | $17.78 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $23.99 Median $23.99 Typical High $26.92 | Professional | FX · Film X-ray | $23.99 | $23.99 | $26.92 |
Where Ohio sits
The same service costs 3.5 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· 36th of 51
$33.88
AK $87.10FL $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.