How much rates vary
Facilitymedian $282 · 10th to 90th $151 to $832Professionalmedian $85 · 10th to 90th $56 to $151
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 $77.62 Median $524.81 Typical High $691.83 | Facility | None | $77.62 | $524.81 | $691.83 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $52.48 Median $144.54 Typical High $218.78 | Facility | TC · Technical part | $52.48 | $144.54 | $218.78 |
Aetna Setting Professional Modifier None (both parts) Typical Low $77.62 Median $77.62 Typical High $218.78 | Professional | None (both parts) | $77.62 | $77.62 | $218.78 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $24.55 Median $24.55 Typical High $81.28 | Professional | 26 · Professional part | $24.55 | $24.55 | $81.28 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $52.48 Median $52.48 Typical High $63.10 | Professional | TC · Technical part | $52.48 | $52.48 | $63.10 |
Anthem BCBS Setting Facility Modifier None Typical Low $537.03 Median $630.96 Typical High $741.31 | Facility | None | $537.03 | $630.96 | $741.31 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $72.44 Median $85.11 Typical High $141.25 | Professional | None (both parts) | $72.44 | $85.11 | $141.25 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $29.51 Typical High $48.98 | Professional | 26 · Professional part | $27.54 | $29.51 | $48.98 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $117.49 Median $125.89 Typical High $213.80 | Professional | 50 · Both sides | $117.49 | $125.89 | $213.80 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $47.86 Median $54.95 Typical High $93.33 | Professional | TC · Technical part | $47.86 | $54.95 | $93.33 |
Cigna Setting Facility Modifier None Typical Low $151.36 Median $181.97 Typical High $831.76 | Facility | None | $151.36 | $181.97 | $831.76 |
Cigna Setting Professional Modifier None (both parts) Typical Low $70.79 Median $89.13 Typical High $190.55 | Professional | None (both parts) | $70.79 | $89.13 | $190.55 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $24.55 Median $29.51 Typical High $56.23 | Professional | 26 · Professional part | $24.55 | $29.51 | $56.23 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $45.71 Median $60.26 Typical High $134.90 | Professional | TC · Technical part | $45.71 | $60.26 | $134.90 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $151.36 Median $190.55 Typical High $831.76 | Facility | None | $151.36 | $190.55 | $831.76 |
Medical Mutual of Ohio Setting Professional Modifier None (both parts) Typical Low $70.79 Median $85.11 Typical High $190.55 | Professional | None (both parts) | $70.79 | $85.11 | $190.55 |
Medical Mutual of Ohio Setting Professional Modifier 26 · Professional part Typical Low $24.55 Median $28.18 Typical High $54.95 | Professional | 26 · Professional part | $24.55 | $28.18 | $54.95 |
Medical Mutual of Ohio Setting Professional Modifier TC · Technical part Typical Low $45.71 Median $57.54 Typical High $138.04 | Professional | TC · Technical part | $45.71 | $57.54 | $138.04 |
Molina Setting Professional Modifier None (both parts) Typical Low $43.65 Median $89.13 Typical High $144.54 | Professional | None (both parts) | $43.65 | $89.13 | $144.54 |
SummaCare Setting Professional Modifier None (both parts) Typical Low $77.62 Median $85.11 Typical High $128.82 | Professional | None (both parts) | $77.62 | $85.11 | $128.82 |
SummaCare Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $28.18 Typical High $43.65 | Professional | 26 · Professional part | $25.70 | $28.18 | $43.65 |
SummaCare Setting Professional Modifier TC · Technical part Typical Low $52.48 Median $57.54 Typical High $85.11 | Professional | TC · Technical part | $52.48 | $57.54 | $85.11 |
United Setting Facility Modifier None Typical Low $489.78 Median $575.44 Typical High $812.83 | Facility | None | $489.78 | $575.44 | $812.83 |
United Setting Professional Modifier None (both parts) Typical Low $63.10 Median $83.18 Typical High $151.36 | Professional | None (both parts) | $63.10 | $83.18 | $151.36 |
United Setting Professional Modifier 26 · Professional part Typical Low $18.20 Median $27.54 Typical High $50.12 | Professional | 26 · Professional part | $18.20 | $27.54 | $50.12 |
United Setting Professional Modifier TC · Technical part Typical Low $43.65 Median $54.95 Typical High $104.71 | Professional | TC · Technical part | $43.65 | $54.95 | $104.71 |
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 $44.67 Median $107.15 Typical High $346.74 | Facility | 52 · Reduced service | $44.67 | $107.15 | $346.74 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $17.78 Median $42.66 Typical High $138.04 | Facility | 53 · Discontinued | $17.78 | $42.66 | $138.04 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $61.66 Median $169.82 Typical High $501.19 | Facility | FX · Film X-ray | $61.66 | $169.82 | $501.19 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $38.90 Median $38.90 Typical High $109.65 | Professional | 52 · Reduced service | $38.90 | $38.90 | $109.65 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $15.49 Median $15.49 Typical High $44.67 | Professional | 53 · Discontinued | $15.49 | $15.49 | $44.67 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $61.66 Median $61.66 Typical High $70.79 | Professional | FX · Film X-ray | $61.66 | $61.66 | $70.79 |
Where Ohio sits
The same service costs 3.7 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· 41st of 51
$85.11
AK $251FL $67.61
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.