How much rates vary
Facilitymedian $95 · 10th to 90th $40 to $257Professionalmedian $30 · 10th to 90th $19 to $54
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 $32.36 Median $77.62 Typical High $223.87 | Facility | None | $32.36 | $77.62 | $223.87 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $8.51 Median $15.85 Typical High $28.18 | Facility | 26 · Professional part | $8.51 | $15.85 | $28.18 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $23.99 Median $48.98 Typical High $69.18 | Facility | TC · Technical part | $23.99 | $48.98 | $69.18 |
Aetna Setting Professional Modifier None (both parts) Typical Low $28.18 Median $31.62 Typical High $95.50 | Professional | None (both parts) | $28.18 | $31.62 | $95.50 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $7.76 Median $8.71 Typical High $28.18 | Professional | 26 · Professional part | $7.76 | $8.71 | $28.18 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $19.95 Median $21.38 Typical High $57.54 | Professional | TC · Technical part | $19.95 | $21.38 | $57.54 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $20.42 Median $23.99 Typical High $28.18 | Professional | None (both parts) | $20.42 | $23.99 | $28.18 |
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 $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 $12.59 Median $23.99 Typical High $40.74 | Professional | None (both parts) | $12.59 | $23.99 | $40.74 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $8.71 Median $9.33 Typical High $15.49 | Professional | 26 · Professional part | $8.71 | $9.33 | $15.49 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $14.79 Median $16.98 Typical High $30.20 | Professional | TC · Technical part | $14.79 | $16.98 | $30.20 |
Aultcare Setting Professional Modifier None (both parts) Typical Low $33.88 Median $35.48 Typical High $58.88 | Professional | None (both parts) | $33.88 | $35.48 | $58.88 |
CareSource Setting Professional Modifier None (both parts) Typical Low $8.13 Median $21.38 Typical High $35.48 | Professional | None (both parts) | $8.13 | $21.38 | $35.48 |
Cigna Setting Facility Modifier None Typical Low $60.26 Median $74.13 Typical High $295.12 | Facility | None | $60.26 | $74.13 | $295.12 |
Cigna Setting Professional Modifier None (both parts) Typical Low $25.70 Median $31.62 Typical High $57.54 | Professional | None (both parts) | $25.70 | $31.62 | $57.54 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $7.94 Median $9.55 Typical High $17.38 | Professional | 26 · Professional part | $7.94 | $9.55 | $17.38 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $17.78 Median $22.39 Typical High $41.69 | Professional | TC · Technical part | $17.78 | $22.39 | $41.69 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $60.26 Median $173.78 Typical High $338.84 | Facility | None | $60.26 | $173.78 | $338.84 |
Medical Mutual of Ohio Setting Professional Modifier None (both parts) Typical Low $26.30 Median $30.90 Typical High $57.54 | Professional | None (both parts) | $26.30 | $30.90 | $57.54 |
Medical Mutual of Ohio Setting Professional Modifier 26 · Professional part Typical Low $8.51 Median $12.59 Typical High $25.70 | Professional | 26 · Professional part | $8.51 | $12.59 | $25.70 |
Medical Mutual of Ohio Setting Professional Modifier TC · Technical part Typical Low $17.78 Median $21.88 Typical High $41.69 | Professional | TC · Technical part | $17.78 | $21.88 | $41.69 |
Molina Setting Professional Modifier None (both parts) Typical Low $26.30 Median $38.90 Typical High $54.95 | Professional | None (both parts) | $26.30 | $38.90 | $54.95 |
SummaCare Setting Professional Modifier None (both parts) Typical Low $30.20 Median $33.11 Typical High $57.54 | Professional | None (both parts) | $30.20 | $33.11 | $57.54 |
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 $21.38 Median $23.44 Typical High $40.74 | Professional | TC · Technical part | $21.38 | $23.44 | $40.74 |
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 $19.95 Median $29.51 Typical High $53.70 | Professional | None (both parts) | $19.95 | $29.51 | $53.70 |
United Setting Professional Modifier 26 · Professional part Typical Low $5.89 Median $9.12 Typical High $16.98 | Professional | 26 · Professional part | $5.89 | $9.12 | $16.98 |
United Setting Professional Modifier TC · Technical part Typical Low $13.18 Median $20.42 Typical High $38.90 | Professional | TC · Technical part | $13.18 | $20.42 | $38.90 |
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 $16.98 Median $41.69 Typical High $120.23 | Facility | 52 · Reduced service | $16.98 | $41.69 | $120.23 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $6.76 Median $16.98 Typical High $48.98 | Facility | 53 · Discontinued | $6.76 | $16.98 | $48.98 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $23.44 Median $67.61 Typical High $177.83 | Facility | FX · Film X-ray | $23.44 | $67.61 | $177.83 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $14.45 Median $14.45 Typical High $47.86 | Professional | 52 · Reduced service | $14.45 | $14.45 | $47.86 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.75 Median $5.75 Typical High $19.05 | Professional | 53 · Discontinued | $5.75 | $5.75 | $19.05 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $23.44 Median $23.44 Typical High $25.70 | Professional | FX · Film X-ray | $23.44 | $23.44 | $25.70 |
Where Ohio sits
The same service costs 4.3 times more in Alaska than in New York. 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
$30.20
AK $93.33NY $21.88
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.