How much rates vary
Facilitymedian $52 · 10th to 90th $28 to $245Professionalmedian $20 · 10th to 90th $12 to $42
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 $31.62 Median $52.48 Typical High $223.87 | Facility | None | $31.62 | $52.48 | $223.87 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $11.22 Median $26.30 Typical High $36.31 | Facility | 26 · Professional part | $11.22 | $26.30 | $36.31 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $13.49 Median $21.88 Typical High $32.36 | Facility | TC · Technical part | $13.49 | $21.88 | $32.36 |
Aetna Setting Professional Modifier None (both parts) Typical Low $17.38 Median $19.05 Typical High $102.33 | Professional | None (both parts) | $17.38 | $19.05 | $102.33 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $9.12 Median $9.33 Typical High $36.31 | Professional | 26 · Professional part | $9.12 | $9.33 | $36.31 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $7.94 Median $7.94 Typical High $25.12 | Professional | TC · Technical part | $7.94 | $7.94 | $25.12 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $15.49 Median $15.49 Typical High $15.49 | Professional | None (both parts) | $15.49 | $15.49 | $15.49 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $7.76 Median $7.76 Typical High $13.80 | Professional | 26 · Professional part | $7.76 | $7.76 | $13.80 |
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 $12.02 Median $22.39 Typical High $33.88 | Professional | None (both parts) | $12.02 | $22.39 | $33.88 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $10.00 Median $12.88 Typical High $22.91 | Professional | 26 · Professional part | $10.00 | $12.88 | $22.91 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $9.77 Median $12.02 Typical High $22.39 | Professional | TC · Technical part | $9.77 | $12.02 | $22.39 |
Aultcare Setting Professional Modifier None (both parts) Typical Low $21.38 Median $21.38 Typical High $21.38 | Professional | None (both parts) | $21.38 | $21.38 | $21.38 |
CareSource Setting Professional Modifier None (both parts) Typical Low $7.94 Median $12.02 Typical High $21.88 | Professional | None (both parts) | $7.94 | $12.02 | $21.88 |
Cigna Setting Facility Modifier None Typical Low $25.12 Median $29.51 Typical High $295.12 | Facility | None | $25.12 | $29.51 | $295.12 |
Cigna Setting Professional Modifier None (both parts) Typical Low $16.98 Median $21.88 Typical High $50.12 | Professional | None (both parts) | $16.98 | $21.88 | $50.12 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $9.33 Median $11.22 Typical High $20.89 | Professional | 26 · Professional part | $9.33 | $11.22 | $20.89 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $7.41 Median $10.23 Typical High $25.12 | Professional | TC · Technical part | $7.41 | $10.23 | $25.12 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $27.54 Median $32.36 Typical High $302.00 | Facility | None | $27.54 | $32.36 | $302.00 |
Medical Mutual of Ohio Setting Professional Modifier None (both parts) Typical Low $16.98 Median $20.89 Typical High $56.23 | Professional | None (both parts) | $16.98 | $20.89 | $56.23 |
Medical Mutual of Ohio Setting Professional Modifier 26 · Professional part Typical Low $9.77 Median $12.88 Typical High $30.20 | Professional | 26 · Professional part | $9.77 | $12.88 | $30.20 |
Medical Mutual of Ohio Setting Professional Modifier TC · Technical part Typical Low $7.41 Median $9.77 Typical High $25.12 | Professional | TC · Technical part | $7.41 | $9.77 | $25.12 |
Molina Setting Professional Modifier None (both parts) Typical Low $5.75 Median $6.76 Typical High $19.05 | Professional | None (both parts) | $5.75 | $6.76 | $19.05 |
SummaCare Setting Professional Modifier None (both parts) Typical Low $19.05 Median $20.89 Typical High $33.11 | Professional | None (both parts) | $19.05 | $20.89 | $33.11 |
SummaCare Setting Professional Modifier 26 · Professional part Typical Low $10.23 Median $11.22 Typical High $17.38 | Professional | 26 · Professional part | $10.23 | $11.22 | $17.38 |
SummaCare Setting Professional Modifier TC · Technical part Typical Low $8.91 Median $9.77 Typical High $15.49 | Professional | TC · Technical part | $8.91 | $9.77 | $15.49 |
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 $16.60 Median $20.89 Typical High $38.90 | Professional | None (both parts) | $16.60 | $20.89 | $38.90 |
United Setting Professional Modifier 26 · Professional part Typical Low $6.76 Median $10.72 Typical High $19.50 | Professional | 26 · Professional part | $6.76 | $10.72 | $19.50 |
United Setting Professional Modifier TC · Technical part Typical Low $7.41 Median $10.96 Typical High $22.91 | Professional | TC · Technical part | $7.41 | $10.96 | $22.91 |
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 $8.71 Median $16.22 Typical High $120.23 | Facility | 52 · Reduced service | $8.71 | $16.22 | $120.23 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $3.47 Median $6.46 Typical High $48.98 | Facility | 53 · Discontinued | $3.47 | $6.46 | $48.98 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $13.80 Median $25.70 Typical High $177.83 | Facility | FX · Film X-ray | $13.80 | $25.70 | $177.83 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $8.71 Median $8.71 Typical High $63.10 | Professional | 52 · Reduced service | $8.71 | $8.71 | $63.10 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.47 Median $3.47 Typical High $25.12 | Professional | 53 · Discontinued | $3.47 | $3.47 | $25.12 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $13.80 Median $13.80 Typical High $15.85 | Professional | FX · Film X-ray | $13.80 | $13.80 | $15.85 |
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· 40th of 51
$21.38
AK $56.23FL $15.49
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.