How much rates vary
Facilitymedian $166 · 10th to 90th $72 to $417Professionalmedian $48 · 10th to 90th $32 to $93
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 $51.29 Median $131.83 Typical High $302.00 | Facility | None | $51.29 | $131.83 | $302.00 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $12.59 Median $23.44 Typical High $52.48 | Facility | 26 · Professional part | $12.59 | $23.44 | $52.48 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $40.74 Median $85.11 Typical High $125.89 | Facility | TC · Technical part | $40.74 | $85.11 | $125.89 |
Aetna Setting Professional Modifier None (both parts) Typical Low $48.98 Median $58.88 Typical High $158.49 | Professional | None (both parts) | $48.98 | $58.88 | $158.49 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $12.30 Median $14.79 Typical High $43.65 | Professional | 26 · Professional part | $12.30 | $14.79 | $43.65 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $34.67 Median $42.66 Typical High $102.33 | Professional | TC · Technical part | $34.67 | $42.66 | $102.33 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $30.90 Median $40.74 Typical High $67.61 | Professional | None (both parts) | $30.90 | $40.74 | $67.61 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $10.23 Median $13.18 Typical High $20.89 | Professional | 26 · Professional part | $10.23 | $13.18 | $20.89 |
Ambetter Setting Professional Modifier TC · Technical part Typical Low $33.11 Median $38.90 Typical High $46.77 | Professional | TC · Technical part | $33.11 | $38.90 | $46.77 |
Anthem BCBS Setting Facility Modifier None Typical Low $257.04 Median $295.12 Typical High $346.74 | Facility | None | $257.04 | $295.12 | $346.74 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $33.88 Median $46.77 Typical High $85.11 | Professional | None (both parts) | $33.88 | $46.77 | $85.11 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $14.45 Median $16.60 Typical High $27.54 | Professional | 26 · Professional part | $14.45 | $16.60 | $27.54 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $27.54 Median $39.81 Typical High $53.70 | Professional | TC · Technical part | $27.54 | $39.81 | $53.70 |
Aultcare Setting Professional Modifier None (both parts) Typical Low $58.88 Median $58.88 Typical High $102.33 | Professional | None (both parts) | $58.88 | $58.88 | $102.33 |
CareSource Setting Facility Modifier None Typical Low $66.07 Median $66.07 Typical High $66.07 | Facility | None | $66.07 | $66.07 | $66.07 |
CareSource Setting Professional Modifier None (both parts) Typical Low $12.30 Median $38.02 Typical High $61.66 | Professional | None (both parts) | $12.30 | $38.02 | $61.66 |
Cigna Setting Facility Modifier None Typical Low $95.50 Median $134.90 Typical High $363.08 | Facility | None | $95.50 | $134.90 | $363.08 |
Cigna Setting Professional Modifier None (both parts) Typical Low $43.65 Median $56.23 Typical High $102.33 | Professional | None (both parts) | $43.65 | $56.23 | $102.33 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $12.59 Median $15.14 Typical High $29.51 | Professional | 26 · Professional part | $12.59 | $15.14 | $29.51 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $31.62 Median $41.69 Typical High $74.13 | Professional | TC · Technical part | $31.62 | $41.69 | $74.13 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $102.33 Median $295.12 Typical High $562.34 | Facility | None | $102.33 | $295.12 | $562.34 |
Medical Mutual of Ohio Setting Professional Modifier None (both parts) Typical Low $43.65 Median $56.23 Typical High $151.36 | Professional | None (both parts) | $43.65 | $56.23 | $151.36 |
Medical Mutual of Ohio Setting Professional Modifier 26 · Professional part Typical Low $11.22 Median $24.55 Typical High $46.77 | Professional | 26 · Professional part | $11.22 | $24.55 | $46.77 |
Medical Mutual of Ohio Setting Professional Modifier TC · Technical part Typical Low $31.62 Median $42.66 Typical High $74.13 | Professional | TC · Technical part | $31.62 | $42.66 | $74.13 |
Molina Setting Professional Modifier None (both parts) Typical Low $26.92 Median $39.81 Typical High $54.95 | Professional | None (both parts) | $26.92 | $39.81 | $54.95 |
SummaCare Setting Professional Modifier None (both parts) Typical Low $44.67 Median $58.88 Typical High $97.72 | Professional | None (both parts) | $44.67 | $58.88 | $97.72 |
SummaCare Setting Professional Modifier 26 · Professional part Typical Low $13.49 Median $16.60 Typical High $25.70 | Professional | 26 · Professional part | $13.49 | $16.60 | $25.70 |
SummaCare Setting Professional Modifier TC · Technical part Typical Low $28.18 Median $44.67 Typical High $67.61 | Professional | TC · Technical part | $28.18 | $44.67 | $67.61 |
United Setting Facility Modifier None Typical Low $213.80 Median $251.19 Typical High $354.81 | Facility | None | $213.80 | $251.19 | $354.81 |
United Setting Professional Modifier None (both parts) Typical Low $35.48 Median $52.48 Typical High $91.20 | Professional | None (both parts) | $35.48 | $52.48 | $91.20 |
United Setting Professional Modifier 26 · Professional part Typical Low $10.00 Median $15.14 Typical High $26.30 | Professional | 26 · Professional part | $10.00 | $15.14 | $26.30 |
United Setting Professional Modifier TC · Technical part Typical Low $24.55 Median $36.31 Typical High $67.61 | Professional | TC · Technical part | $24.55 | $36.31 | $67.61 |
8 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 $29.51 Median $74.13 Typical High $162.18 | Facility | 52 · Reduced service | $29.51 | $74.13 | $162.18 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $11.75 Median $29.51 Typical High $66.07 | Facility | 53 · Discontinued | $11.75 | $29.51 | $66.07 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $39.81 Median $120.23 Typical High $239.88 | Facility | FX · Film X-ray | $39.81 | $120.23 | $239.88 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $25.12 Median $25.12 Typical High $79.43 | Professional | 52 · Reduced service | $25.12 | $25.12 | $79.43 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.00 Median $10.00 Typical High $31.62 | Professional | 53 · Discontinued | $10.00 | $10.00 | $31.62 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $39.81 Median $39.81 Typical High $44.67 | Professional | FX · Film X-ray | $39.81 | $39.81 | $44.67 |
Ambetter Setting Professional Modifier 59 · Distinct service Typical Low $53.70 Median $53.70 Typical High $53.70 | Professional | 59 · Distinct service | $53.70 | $53.70 | $53.70 |
Ambetter Setting Professional Modifier Q6 · Substitute physician, paid per time Typical Low $40.74 Median $40.74 Typical High $40.74 | Professional | Q6 · Substitute physician, paid per time | $40.74 | $40.74 | $40.74 |
Where Ohio sits
The same service costs 4.8 times more in Alaska than in Utah. 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
$50.12
AK $158UT $33.11
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.