How much rates vary
Facilitymedian $126 · 10th to 90th $74 to $324Professionalmedian $43 · 10th to 90th $32 to $78
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 $48.98 Median $114.82 Typical High $302.00 | Facility | None | $48.98 | $114.82 | $302.00 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $12.88 Median $29.51 Typical High $38.02 | Facility | 26 · Professional part | $12.88 | $29.51 | $38.02 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $35.48 Median $81.28 Typical High $123.03 | Facility | TC · Technical part | $35.48 | $81.28 | $123.03 |
Aetna Setting Professional Modifier None (both parts) Typical Low $40.74 Median $42.66 Typical High $141.25 | Professional | None (both parts) | $40.74 | $42.66 | $141.25 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $10.23 Median $11.48 Typical High $38.02 | Professional | 26 · Professional part | $10.23 | $11.48 | $38.02 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $30.20 Median $30.90 Typical High $87.10 | Professional | TC · Technical part | $30.20 | $30.90 | $87.10 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $28.84 Median $33.88 Typical High $34.67 | Professional | None (both parts) | $28.84 | $33.88 | $34.67 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $8.91 Median $8.91 Typical High $8.91 | Professional | 26 · Professional part | $8.91 | $8.91 | $8.91 |
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 $38.02 Median $42.66 Typical High $69.18 | Professional | None (both parts) | $38.02 | $42.66 | $69.18 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $11.22 Median $11.75 Typical High $19.95 | Professional | 26 · Professional part | $11.22 | $11.75 | $19.95 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $26.92 Median $36.31 Typical High $48.98 | Professional | TC · Technical part | $26.92 | $36.31 | $48.98 |
Aultcare Setting Professional Modifier None (both parts) Typical Low $47.86 Median $47.86 Typical High $50.12 | Professional | None (both parts) | $47.86 | $47.86 | $50.12 |
CareSource Setting Facility Modifier None Typical Low $54.95 Median $54.95 Typical High $54.95 | Facility | None | $54.95 | $54.95 | $54.95 |
Cigna Setting Facility Modifier None Typical Low $93.33 Median $109.65 Typical High $363.08 | Facility | None | $93.33 | $109.65 | $363.08 |
Cigna Setting Professional Modifier None (both parts) Typical Low $37.15 Median $46.77 Typical High $87.10 | Professional | None (both parts) | $37.15 | $46.77 | $87.10 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $10.47 Median $12.30 Typical High $22.91 | Professional | 26 · Professional part | $10.47 | $12.30 | $22.91 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $26.30 Median $34.67 Typical High $66.07 | Professional | TC · Technical part | $26.30 | $34.67 | $66.07 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $97.72 Median $120.23 Typical High $363.08 | Facility | None | $97.72 | $120.23 | $363.08 |
Medical Mutual of Ohio Setting Professional Modifier None (both parts) Typical Low $37.15 Median $44.67 Typical High $87.10 | Professional | None (both parts) | $37.15 | $44.67 | $87.10 |
Medical Mutual of Ohio Setting Professional Modifier 26 · Professional part Typical Low $11.22 Median $12.88 Typical High $28.84 | Professional | 26 · Professional part | $11.22 | $12.88 | $28.84 |
Medical Mutual of Ohio Setting Professional Modifier TC · Technical part Typical Low $26.30 Median $33.88 Typical High $66.07 | Professional | TC · Technical part | $26.30 | $33.88 | $66.07 |
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 $42.66 Median $46.77 Typical High $81.28 | Professional | None (both parts) | $42.66 | $46.77 | $81.28 |
SummaCare Setting Professional Modifier 26 · Professional part Typical Low $11.75 Median $12.88 Typical High $21.88 | Professional | 26 · Professional part | $11.75 | $12.88 | $21.88 |
SummaCare Setting Professional Modifier TC · Technical part Typical Low $31.62 Median $34.67 Typical High $58.88 | Professional | TC · Technical part | $31.62 | $34.67 | $58.88 |
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 $30.90 Median $44.67 Typical High $79.43 | Professional | None (both parts) | $30.90 | $44.67 | $79.43 |
United Setting Professional Modifier 26 · Professional part Typical Low $7.59 Median $12.02 Typical High $22.39 | Professional | 26 · Professional part | $7.59 | $12.02 | $22.39 |
United Setting Professional Modifier TC · Technical part Typical Low $23.99 Median $31.62 Typical High $58.88 | Professional | TC · Technical part | $23.99 | $31.62 | $58.88 |
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 $24.55 Median $61.66 Typical High $162.18 | Facility | 52 · Reduced service | $24.55 | $61.66 | $162.18 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $9.77 Median $24.55 Typical High $66.07 | Facility | 53 · Discontinued | $9.77 | $24.55 | $66.07 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $33.11 Median $97.72 Typical High $239.88 | Facility | FX · Film X-ray | $33.11 | $97.72 | $239.88 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $20.89 Median $20.89 Typical High $75.86 | Professional | 52 · Reduced service | $20.89 | $20.89 | $75.86 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.32 Median $8.32 Typical High $30.20 | Professional | 53 · Discontinued | $8.32 | $8.32 | $30.20 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $33.11 Median $33.11 Typical High $37.15 | Professional | FX · Film X-ray | $33.11 | $33.11 | $37.15 |
Where Ohio sits
The same service costs 3.9 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· 46th of 51
$42.66
AK $129UT $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.