How much rates vary
Facilitymedian $141 · 10th to 90th $72 to $263Professionalmedian $35 · 10th to 90th $28 to $60
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 $34.67 Median $181.97 Typical High $245.47 | Facility | None | $34.67 | $181.97 | $245.47 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $26.92 Median $74.13 Typical High $114.82 | Facility | TC · Technical part | $26.92 | $74.13 | $114.82 |
Aetna Setting Professional Modifier None (both parts) Typical Low $34.67 Median $34.67 Typical High $69.18 | Professional | None (both parts) | $34.67 | $34.67 | $69.18 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $7.76 Median $7.76 Typical High $18.20 | Professional | 26 · Professional part | $7.76 | $7.76 | $18.20 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $26.92 Median $26.92 Typical High $33.88 | Professional | TC · Technical part | $26.92 | $26.92 | $33.88 |
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 $23.44 Median $32.36 Typical High $56.23 | Professional | None (both parts) | $23.44 | $32.36 | $56.23 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $8.71 Median $9.33 Typical High $15.14 | Professional | 26 · Professional part | $8.71 | $9.33 | $15.14 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $19.95 Median $26.30 Typical High $43.65 | Professional | TC · Technical part | $19.95 | $26.30 | $43.65 |
Cigna Setting Facility Modifier None Typical Low $83.18 Median $95.50 Typical High $295.12 | Facility | None | $83.18 | $95.50 | $295.12 |
Cigna Setting Professional Modifier None (both parts) Typical Low $30.90 Median $38.90 Typical High $74.13 | Professional | None (both parts) | $30.90 | $38.90 | $74.13 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $7.76 Median $9.33 Typical High $17.38 | Professional | 26 · Professional part | $7.76 | $9.33 | $17.38 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $23.44 Median $30.20 Typical High $56.23 | Professional | TC · Technical part | $23.44 | $30.20 | $56.23 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $85.11 Median $102.33 Typical High $302.00 | Facility | None | $85.11 | $102.33 | $302.00 |
Medical Mutual of Ohio Setting Professional Modifier None (both parts) Typical Low $30.90 Median $38.02 Typical High $74.13 | Professional | None (both parts) | $30.90 | $38.02 | $74.13 |
Medical Mutual of Ohio Setting Professional Modifier 26 · Professional part Typical Low $7.76 Median $9.12 Typical High $17.38 | Professional | 26 · Professional part | $7.76 | $9.12 | $17.38 |
Medical Mutual of Ohio Setting Professional Modifier TC · Technical part Typical Low $23.44 Median $28.84 Typical High $56.23 | Professional | TC · Technical part | $23.44 | $28.84 | $56.23 |
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 $35.48 Median $38.90 Typical High $58.88 | Professional | None (both parts) | $35.48 | $38.90 | $58.88 |
SummaCare Setting Professional Modifier 26 · Professional part Typical Low $8.32 Median $9.12 Typical High $14.13 | Professional | 26 · Professional part | $8.32 | $9.12 | $14.13 |
SummaCare Setting Professional Modifier TC · Technical part Typical Low $27.54 Median $30.20 Typical High $45.71 | Professional | TC · Technical part | $27.54 | $30.20 | $45.71 |
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 $25.70 Median $36.31 Typical High $66.07 | Professional | None (both parts) | $25.70 | $36.31 | $66.07 |
United Setting Professional Modifier 26 · Professional part Typical Low $5.75 Median $8.91 Typical High $15.85 | Professional | 26 · Professional part | $5.75 | $8.91 | $15.85 |
United Setting Professional Modifier TC · Technical part Typical Low $19.05 Median $27.54 Typical High $52.48 | Professional | TC · Technical part | $19.05 | $27.54 | $52.48 |
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 $20.42 Median $40.74 Typical High $120.23 | Facility | 52 · Reduced service | $20.42 | $40.74 | $120.23 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $8.13 Median $16.22 Typical High $48.98 | Facility | 53 · Discontinued | $8.13 | $16.22 | $48.98 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $28.18 Median $87.10 Typical High $177.83 | Facility | FX · Film X-ray | $28.18 | $87.10 | $177.83 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $17.38 Median $17.38 Typical High $36.31 | Professional | 52 · Reduced service | $17.38 | $17.38 | $36.31 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.92 Median $6.92 Typical High $14.45 | Professional | 53 · Discontinued | $6.92 | $6.92 | $14.45 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $28.18 Median $28.18 Typical High $30.90 | Professional | FX · Film X-ray | $28.18 | $28.18 | $30.90 |
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· 44th of 51
$36.31
AK $110FL $29.51
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.