How much rates vary
Facilitymedian $107 · 10th to 90th $52 to $324Professionalmedian $35 · 10th to 90th $25 to $63
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 $38.90 Median $97.72 Typical High $302.00 | Facility | None | $38.90 | $97.72 | $302.00 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $9.77 Median $16.22 Typical High $41.69 | Facility | 26 · Professional part | $9.77 | $16.22 | $41.69 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $30.20 Median $64.57 Typical High $83.18 | Facility | TC · Technical part | $30.20 | $64.57 | $83.18 |
Aetna Setting Professional Modifier None (both parts) Typical Low $33.11 Median $34.67 Typical High $112.20 | Professional | None (both parts) | $33.11 | $34.67 | $112.20 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $8.51 Median $10.23 Typical High $38.02 | Professional | 26 · Professional part | $8.51 | $10.23 | $38.02 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $22.91 Median $25.12 Typical High $74.13 | Professional | TC · Technical part | $22.91 | $25.12 | $74.13 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $23.44 Median $24.55 Typical High $27.54 | Professional | None (both parts) | $23.44 | $24.55 | $27.54 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $6.76 Median $14.13 Typical High $14.13 | Professional | 26 · Professional part | $6.76 | $14.13 | $14.13 |
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 $20.89 Median $33.88 Typical High $54.95 | Professional | None (both parts) | $20.89 | $33.88 | $54.95 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $10.72 Median $13.18 Typical High $21.88 | Professional | 26 · Professional part | $10.72 | $13.18 | $21.88 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $17.78 Median $21.88 Typical High $38.90 | Professional | TC · Technical part | $17.78 | $21.88 | $38.90 |
Aultcare Setting Professional Modifier None (both parts) Typical Low $38.90 Median $38.90 Typical High $43.65 | Professional | None (both parts) | $38.90 | $38.90 | $43.65 |
CareSource Setting Professional Modifier None (both parts) Typical Low $8.13 Median $25.70 Typical High $41.69 | Professional | None (both parts) | $8.13 | $25.70 | $41.69 |
Cigna Setting Facility Modifier None Typical Low $72.44 Median $91.20 Typical High $363.08 | Facility | None | $72.44 | $91.20 | $363.08 |
Cigna Setting Professional Modifier None (both parts) Typical Low $30.20 Median $38.02 Typical High $70.79 | Professional | None (both parts) | $30.20 | $38.02 | $70.79 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $8.91 Median $10.72 Typical High $22.91 | Professional | 26 · Professional part | $8.91 | $10.72 | $22.91 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $21.38 Median $27.54 Typical High $50.12 | Professional | TC · Technical part | $21.38 | $27.54 | $50.12 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $72.44 Median $141.25 Typical High $363.08 | Facility | None | $72.44 | $141.25 | $363.08 |
Medical Mutual of Ohio Setting Professional Modifier None (both parts) Typical Low $30.90 Median $37.15 Typical High $69.18 | Professional | None (both parts) | $30.90 | $37.15 | $69.18 |
Medical Mutual of Ohio Setting Professional Modifier 26 · Professional part Typical Low $9.33 Median $15.49 Typical High $36.31 | Professional | 26 · Professional part | $9.33 | $15.49 | $36.31 |
Medical Mutual of Ohio Setting Professional Modifier TC · Technical part Typical Low $21.38 Median $26.92 Typical High $50.12 | Professional | TC · Technical part | $21.38 | $26.92 | $50.12 |
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 $34.67 Median $38.02 Typical High $66.07 | Professional | None (both parts) | $34.67 | $38.02 | $66.07 |
SummaCare Setting Professional Modifier 26 · Professional part Typical Low $8.91 Median $9.77 Typical High $16.98 | Professional | 26 · Professional part | $8.91 | $9.77 | $16.98 |
SummaCare Setting Professional Modifier TC · Technical part Typical Low $25.70 Median $28.18 Typical High $48.98 | Professional | TC · Technical part | $25.70 | $28.18 | $48.98 |
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 $35.48 Typical High $66.07 | Professional | None (both parts) | $25.12 | $35.48 | $66.07 |
United Setting Professional Modifier 26 · Professional part Typical Low $7.59 Median $11.48 Typical High $19.50 | Professional | 26 · Professional part | $7.59 | $11.48 | $19.50 |
United Setting Professional Modifier TC · Technical part Typical Low $16.60 Median $25.12 Typical High $45.71 | Professional | TC · Technical part | $16.60 | $25.12 | $45.71 |
7 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 $19.50 Median $51.29 Typical High $162.18 | Facility | 52 · Reduced service | $19.50 | $51.29 | $162.18 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $7.76 Median $20.42 Typical High $66.07 | Facility | 53 · Discontinued | $7.76 | $20.42 | $66.07 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $26.92 Median $81.28 Typical High $239.88 | Facility | FX · Film X-ray | $26.92 | $81.28 | $239.88 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $16.60 Median $16.60 Typical High $56.23 | Professional | 52 · Reduced service | $16.60 | $16.60 | $56.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.61 Median $6.61 Typical High $22.39 | Professional | 53 · Discontinued | $6.61 | $6.61 | $22.39 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $26.92 Median $26.92 Typical High $29.51 | Professional | FX · Film X-ray | $26.92 | $26.92 | $29.51 |
Ambetter Setting Professional Modifier 59 · Distinct service Typical Low $21.38 Median $21.38 Typical High $21.38 | Professional | 59 · Distinct service | $21.38 | $21.38 | $21.38 |
Where Ohio sits
The same service costs 3.6 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· 42nd of 51
$36.31
AK $105FL $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.