How much rates vary
Facilitymedian $145 · 10th to 90th $89 to $263Professionalmedian $47 · 10th to 90th $33 to $85
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 $69.18 Median $134.90 Typical High $223.87 | Facility | None | $69.18 | $134.90 | $223.87 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $13.49 Median $30.20 Typical High $40.74 | Facility | 26 · Professional part | $13.49 | $30.20 | $40.74 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $57.54 Median $93.33 Typical High $154.88 | Facility | TC · Technical part | $57.54 | $93.33 | $154.88 |
Aetna Setting Professional Modifier None (both parts) Typical Low $46.77 Median $48.98 Typical High $154.88 | Professional | None (both parts) | $46.77 | $48.98 | $154.88 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $10.72 Median $10.96 Typical High $38.02 | Professional | 26 · Professional part | $10.72 | $10.96 | $38.02 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $35.48 Median $38.02 Typical High $114.82 | Professional | TC · Technical part | $35.48 | $38.02 | $114.82 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $40.74 Median $40.74 Typical High $40.74 | Professional | None (both parts) | $40.74 | $40.74 | $40.74 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $13.49 Median $13.49 Typical High $15.49 | Professional | 26 · Professional part | $13.49 | $13.49 | $15.49 |
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 $36.31 Median $41.69 Typical High $74.13 | Professional | None (both parts) | $36.31 | $41.69 | $74.13 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $12.30 Median $13.18 Typical High $21.88 | Professional | 26 · Professional part | $12.30 | $13.18 | $21.88 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $23.44 Median $30.20 Typical High $57.54 | Professional | TC · Technical part | $23.44 | $30.20 | $57.54 |
Cigna Setting Facility Modifier None Typical Low $107.15 Median $131.83 Typical High $302.00 | Facility | None | $107.15 | $131.83 | $302.00 |
Cigna Setting Professional Modifier None (both parts) Typical Low $43.65 Median $54.95 Typical High $100.00 | Professional | None (both parts) | $43.65 | $54.95 | $100.00 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $10.96 Median $13.18 Typical High $23.99 | Professional | 26 · Professional part | $10.96 | $13.18 | $23.99 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $33.11 Median $42.66 Typical High $75.86 | Professional | TC · Technical part | $33.11 | $42.66 | $75.86 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $107.15 Median $144.54 Typical High $302.00 | Facility | None | $107.15 | $144.54 | $302.00 |
Medical Mutual of Ohio Setting Professional Modifier None (both parts) Typical Low $43.65 Median $53.70 Typical High $97.72 | Professional | None (both parts) | $43.65 | $53.70 | $97.72 |
Medical Mutual of Ohio Setting Professional Modifier 26 · Professional part Typical Low $11.22 Median $14.45 Typical High $33.88 | Professional | 26 · Professional part | $11.22 | $14.45 | $33.88 |
Medical Mutual of Ohio Setting Professional Modifier TC · Technical part Typical Low $33.11 Median $41.69 Typical High $75.86 | Professional | TC · Technical part | $33.11 | $41.69 | $75.86 |
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 $52.48 Median $57.54 Typical High $79.43 | Professional | None (both parts) | $52.48 | $57.54 | $79.43 |
SummaCare Setting Professional Modifier 26 · Professional part Typical Low $11.75 Median $12.59 Typical High $18.62 | Professional | 26 · Professional part | $11.75 | $12.59 | $18.62 |
SummaCare Setting Professional Modifier TC · Technical part Typical Low $40.74 Median $44.67 Typical High $61.66 | Professional | TC · Technical part | $40.74 | $44.67 | $61.66 |
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 $34.67 Median $50.12 Typical High $91.20 | Professional | None (both parts) | $34.67 | $50.12 | $91.20 |
United Setting Professional Modifier 26 · Professional part Typical Low $7.94 Median $12.59 Typical High $22.91 | Professional | 26 · Professional part | $7.94 | $12.59 | $22.91 |
United Setting Professional Modifier TC · Technical part Typical Low $23.99 Median $37.15 Typical High $70.79 | Professional | TC · Technical part | $23.99 | $37.15 | $70.79 |
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 $28.84 Median $75.86 Typical High $120.23 | Facility | 52 · Reduced service | $28.84 | $75.86 | $120.23 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $11.48 Median $30.90 Typical High $48.98 | Facility | 53 · Discontinued | $11.48 | $30.90 | $48.98 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $38.90 Median $123.03 Typical High $177.83 | Facility | FX · Film X-ray | $38.90 | $123.03 | $177.83 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $24.55 Median $24.55 Typical High $81.28 | Professional | 52 · Reduced service | $24.55 | $24.55 | $81.28 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $9.77 Median $9.77 Typical High $32.36 | Professional | 53 · Discontinued | $9.77 | $9.77 | $32.36 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $38.90 Median $38.90 Typical High $44.67 | Professional | FX · Film X-ray | $38.90 | $38.90 | $44.67 |
Where Ohio sits
The same service costs 4.5 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· 47th of 51
$46.77
AK $148UT $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.