How much rates vary
Facilitymedian $107 · 10th to 90th $62 to $347Professionalmedian $48 · 10th to 90th $32 to $81
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 $41.69 Median $75.86 Typical High $323.59 | Facility | None | $41.69 | $75.86 | $323.59 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $12.88 Median $23.99 Typical High $25.70 | Facility | 26 · Professional part | $12.88 | $23.99 | $25.70 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $28.84 Median $52.48 Typical High $117.49 | Facility | TC · Technical part | $28.84 | $52.48 | $117.49 |
Aetna Setting Professional Modifier None (both parts) Typical Low $41.69 Median $42.66 Typical High $151.36 | Professional | None (both parts) | $41.69 | $42.66 | $151.36 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $12.88 Median $14.45 Typical High $52.48 | Professional | 26 · Professional part | $12.88 | $14.45 | $52.48 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $28.18 Median $28.84 Typical High $85.11 | Professional | TC · Technical part | $28.18 | $28.84 | $85.11 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $28.84 Median $28.84 Typical High $33.88 | Professional | None (both parts) | $28.84 | $28.84 | $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 $34.67 Median $47.86 Typical High $77.62 | Professional | None (both parts) | $34.67 | $47.86 | $77.62 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $15.85 Median $18.62 Typical High $30.90 | Professional | 26 · Professional part | $15.85 | $18.62 | $30.90 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $26.30 Median $29.51 Typical High $50.12 | Professional | TC · Technical part | $26.30 | $29.51 | $50.12 |
Aultcare Setting Professional Modifier None (both parts) Typical Low $50.12 Median $52.48 Typical High $74.13 | Professional | None (both parts) | $50.12 | $52.48 | $74.13 |
Cigna Setting Facility Modifier None Typical Low $89.13 Median $102.33 Typical High $363.08 | Facility | None | $89.13 | $102.33 | $363.08 |
Cigna Setting Professional Modifier None (both parts) Typical Low $38.90 Median $48.98 Typical High $95.50 | Professional | None (both parts) | $38.90 | $48.98 | $95.50 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $13.18 Median $15.85 Typical High $31.62 | Professional | 26 · Professional part | $13.18 | $15.85 | $31.62 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $25.12 Median $33.11 Typical High $63.10 | Professional | TC · Technical part | $25.12 | $33.11 | $63.10 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $89.13 Median $112.20 Typical High $363.08 | Facility | None | $89.13 | $112.20 | $363.08 |
Medical Mutual of Ohio Setting Professional Modifier None (both parts) Typical Low $38.90 Median $46.77 Typical High $95.50 | Professional | None (both parts) | $38.90 | $46.77 | $95.50 |
Medical Mutual of Ohio Setting Professional Modifier 26 · Professional part Typical Low $13.18 Median $15.85 Typical High $32.36 | Professional | 26 · Professional part | $13.18 | $15.85 | $32.36 |
Medical Mutual of Ohio Setting Professional Modifier TC · Technical part Typical Low $25.12 Median $32.36 Typical High $63.10 | Professional | TC · Technical part | $25.12 | $32.36 | $63.10 |
Molina Setting Professional Modifier None (both parts) Typical Low $27.54 Median $39.81 Typical High $54.95 | Professional | None (both parts) | $27.54 | $39.81 | $54.95 |
SummaCare Setting Professional Modifier None (both parts) Typical Low $42.66 Median $46.77 Typical High $77.62 | Professional | None (both parts) | $42.66 | $46.77 | $77.62 |
SummaCare Setting Professional Modifier 26 · Professional part Typical Low $13.49 Median $14.45 Typical High $25.12 | Professional | 26 · Professional part | $13.49 | $14.45 | $25.12 |
SummaCare Setting Professional Modifier TC · Technical part Typical Low $29.51 Median $32.36 Typical High $53.70 | Professional | TC · Technical part | $29.51 | $32.36 | $53.70 |
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 $33.88 Median $45.71 Typical High $81.28 | Professional | None (both parts) | $33.88 | $45.71 | $81.28 |
United Setting Professional Modifier 26 · Professional part Typical Low $11.22 Median $16.22 Typical High $28.18 | Professional | 26 · Professional part | $11.22 | $16.22 | $28.18 |
United Setting Professional Modifier TC · Technical part Typical Low $22.39 Median $30.20 Typical High $56.23 | Professional | TC · Technical part | $22.39 | $30.20 | $56.23 |
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 $24.55 Median $58.88 Typical High $162.18 | Facility | 52 · Reduced service | $24.55 | $58.88 | $162.18 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $9.77 Median $23.44 Typical High $66.07 | Facility | 53 · Discontinued | $9.77 | $23.44 | $66.07 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $33.11 Median $93.33 Typical High $239.88 | Facility | FX · Film X-ray | $33.11 | $93.33 | $239.88 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $20.89 Median $20.89 Typical High $75.86 | Professional | 52 · Reduced service | $20.89 | $20.89 | $75.86 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.32 Median $8.32 Typical High $30.20 | Professional | 53 · Discontinued | $8.32 | $8.32 | $30.20 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $33.11 Median $33.11 Typical High $37.15 | Professional | FX · Film X-ray | $33.11 | $33.11 | $37.15 |
Where Ohio sits
The same service costs 4.0 times more in Alaska than in Utah. 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· 41st of 51
$47.86
AK $132UT $33.11
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.