How much rates vary
Facilitymedian $87 · 10th to 90th $47 to $245Professionalmedian $35 · 10th to 90th $27 to $62
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 $33.11 Median $87.10 Typical High $223.87 | Facility | None | $33.11 | $87.10 | $223.87 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $9.33 Median $16.98 Typical High $33.88 | Facility | 26 · Professional part | $9.33 | $16.98 | $33.88 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $26.30 Median $53.70 Typical High $74.13 | Facility | TC · Technical part | $26.30 | $53.70 | $74.13 |
Aetna Setting Professional Modifier None (both parts) Typical Low $29.51 Median $32.36 Typical High $100.00 | Professional | None (both parts) | $29.51 | $32.36 | $100.00 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $8.51 Median $9.12 Typical High $32.36 | Professional | 26 · Professional part | $8.51 | $9.12 | $32.36 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $20.42 Median $22.39 Typical High $64.57 | Professional | TC · Technical part | $20.42 | $22.39 | $64.57 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $25.12 Median $25.12 Typical High $45.71 | Professional | None (both parts) | $25.12 | $25.12 | $45.71 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $7.24 Median $7.24 Typical High $8.91 | Professional | 26 · Professional part | $7.24 | $7.24 | $8.91 |
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 $25.70 Median $32.36 Typical High $53.70 | Professional | None (both parts) | $25.70 | $32.36 | $53.70 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $9.55 Median $10.96 Typical High $17.78 | Professional | 26 · Professional part | $9.55 | $10.96 | $17.78 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $19.05 Median $25.70 Typical High $35.48 | Professional | TC · Technical part | $19.05 | $25.70 | $35.48 |
Aultcare Setting Professional Modifier None (both parts) Typical Low $35.48 Median $35.48 Typical High $38.02 | Professional | None (both parts) | $35.48 | $35.48 | $38.02 |
Cigna Setting Facility Modifier None Typical Low $63.10 Median $79.43 Typical High $295.12 | Facility | None | $63.10 | $79.43 | $295.12 |
Cigna Setting Professional Modifier None (both parts) Typical Low $27.54 Median $35.48 Typical High $64.57 | Professional | None (both parts) | $27.54 | $35.48 | $64.57 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $8.91 Median $10.96 Typical High $19.95 | Professional | 26 · Professional part | $8.91 | $10.96 | $19.95 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $19.05 Median $25.12 Typical High $45.71 | Professional | TC · Technical part | $19.05 | $25.12 | $45.71 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $63.10 Median $95.50 Typical High $302.00 | Facility | None | $63.10 | $95.50 | $302.00 |
Medical Mutual of Ohio Setting Professional Modifier None (both parts) Typical Low $28.18 Median $33.88 Typical High $64.57 | Professional | None (both parts) | $28.18 | $33.88 | $64.57 |
Medical Mutual of Ohio Setting Professional Modifier 26 · Professional part Typical Low $9.33 Median $11.75 Typical High $26.92 | Professional | 26 · Professional part | $9.33 | $11.75 | $26.92 |
Medical Mutual of Ohio Setting Professional Modifier TC · Technical part Typical Low $19.05 Median $25.12 Typical High $45.71 | Professional | TC · Technical part | $19.05 | $25.12 | $45.71 |
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 $32.36 Median $35.48 Typical High $48.98 | Professional | None (both parts) | $32.36 | $35.48 | $48.98 |
SummaCare Setting Professional Modifier 26 · Professional part Typical Low $9.55 Median $10.47 Typical High $15.14 | Professional | 26 · Professional part | $9.55 | $10.47 | $15.14 |
SummaCare Setting Professional Modifier TC · Technical part Typical Low $22.91 Median $25.12 Typical High $34.67 | Professional | TC · Technical part | $22.91 | $25.12 | $34.67 |
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 $22.91 Median $33.11 Typical High $60.26 | Professional | None (both parts) | $22.91 | $33.11 | $60.26 |
United Setting Professional Modifier 26 · Professional part Typical Low $6.76 Median $10.47 Typical High $19.05 | Professional | 26 · Professional part | $6.76 | $10.47 | $19.05 |
United Setting Professional Modifier TC · Technical part Typical Low $16.22 Median $22.91 Typical High $42.66 | Professional | TC · Technical part | $16.22 | $22.91 | $42.66 |
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 $18.20 Median $45.71 Typical High $120.23 | Facility | 52 · Reduced service | $18.20 | $45.71 | $120.23 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $7.24 Median $18.20 Typical High $48.98 | Facility | 53 · Discontinued | $7.24 | $18.20 | $48.98 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $25.12 Median $72.44 Typical High $177.83 | Facility | FX · Film X-ray | $25.12 | $72.44 | $177.83 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $15.49 Median $15.49 Typical High $50.12 | Professional | 52 · Reduced service | $15.49 | $15.49 | $50.12 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.31 Median $6.31 Typical High $19.95 | Professional | 53 · Discontinued | $6.31 | $6.31 | $19.95 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $25.12 Median $25.12 Typical High $28.18 | Professional | FX · Film X-ray | $25.12 | $25.12 | $28.18 |
Where Ohio sits
The same service costs 3.5 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· 36th of 51
$35.48
AK $95.50FL $26.92
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.