How much rates vary
Facilitymedian $170 · 10th to 90th $56 to $363Professionalmedian $37 · 10th to 90th $26 to $66
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 $38.02 Median $91.20 Typical High $302.00 | Facility | None | $38.02 | $91.20 | $302.00 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $10.47 Median $19.05 Typical High $37.15 | Facility | 26 · Professional part | $10.47 | $19.05 | $37.15 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $29.51 Median $61.66 Typical High $89.13 | Facility | TC · Technical part | $29.51 | $61.66 | $89.13 |
Aetna Setting Professional Modifier None (both parts) Typical Low $36.31 Median $44.67 Typical High $109.65 | Professional | None (both parts) | $36.31 | $44.67 | $109.65 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $10.00 Median $11.75 Typical High $34.67 | Professional | 26 · Professional part | $10.00 | $11.75 | $34.67 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $26.92 Median $30.90 Typical High $74.13 | Professional | TC · Technical part | $26.92 | $30.90 | $74.13 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $23.99 Median $31.62 Typical High $50.12 | Professional | None (both parts) | $23.99 | $31.62 | $50.12 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $8.32 Median $10.72 Typical High $18.20 | Professional | 26 · Professional part | $8.32 | $10.72 | $18.20 |
Ambetter Setting Professional Modifier TC · Technical part Typical Low $16.22 Median $27.54 Typical High $36.31 | Professional | TC · Technical part | $16.22 | $27.54 | $36.31 |
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 $21.38 Median $34.67 Typical High $57.54 | Professional | None (both parts) | $21.38 | $34.67 | $57.54 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $10.72 Median $11.75 Typical High $19.50 | Professional | 26 · Professional part | $10.72 | $11.75 | $19.50 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $22.91 Median $25.12 Typical High $42.66 | Professional | TC · Technical part | $22.91 | $25.12 | $42.66 |
Aultcare Setting Professional Modifier None (both parts) Typical Low $43.65 Median $43.65 Typical High $75.86 | Professional | None (both parts) | $43.65 | $43.65 | $75.86 |
CareSource Setting Facility Modifier None Typical Low $47.86 Median $47.86 Typical High $47.86 | Facility | None | $47.86 | $47.86 | $47.86 |
CareSource Setting Professional Modifier None (both parts) Typical Low $10.00 Median $26.92 Typical High $44.67 | Professional | None (both parts) | $10.00 | $26.92 | $44.67 |
Cigna Setting Facility Modifier None Typical Low $70.79 Median $95.50 Typical High $363.08 | Facility | None | $70.79 | $95.50 | $363.08 |
Cigna Setting Professional Modifier None (both parts) Typical Low $32.36 Median $41.69 Typical High $77.62 | Professional | None (both parts) | $32.36 | $41.69 | $77.62 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $10.23 Median $12.30 Typical High $22.39 | Professional | 26 · Professional part | $10.23 | $12.30 | $22.39 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $22.91 Median $30.20 Typical High $53.70 | Professional | TC · Technical part | $22.91 | $30.20 | $53.70 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $89.13 Median $234.42 Typical High $446.68 | Facility | None | $89.13 | $234.42 | $446.68 |
Medical Mutual of Ohio Setting Professional Modifier None (both parts) Typical Low $31.62 Median $38.02 Typical High $109.65 | Professional | None (both parts) | $31.62 | $38.02 | $109.65 |
Medical Mutual of Ohio Setting Professional Modifier 26 · Professional part Typical Low $9.33 Median $18.62 Typical High $33.88 | Professional | 26 · Professional part | $9.33 | $18.62 | $33.88 |
Medical Mutual of Ohio Setting Professional Modifier TC · Technical part Typical Low $22.91 Median $30.20 Typical High $53.70 | Professional | TC · Technical part | $22.91 | $30.20 | $53.70 |
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 $34.67 Median $43.65 Typical High $67.61 | Professional | None (both parts) | $34.67 | $43.65 | $67.61 |
SummaCare Setting Professional Modifier 26 · Professional part Typical Low $10.96 Median $12.02 Typical High $19.95 | Professional | 26 · Professional part | $10.96 | $12.02 | $19.95 |
SummaCare Setting Professional Modifier TC · Technical part Typical Low $22.91 Median $30.90 Typical High $48.98 | Professional | TC · Technical part | $22.91 | $30.90 | $48.98 |
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 $26.92 Median $38.90 Typical High $69.18 | Professional | None (both parts) | $26.92 | $38.90 | $69.18 |
United Setting Professional Modifier 26 · Professional part Typical Low $7.41 Median $11.48 Typical High $21.38 | Professional | 26 · Professional part | $7.41 | $11.48 | $21.38 |
United Setting Professional Modifier TC · Technical part Typical Low $18.62 Median $26.92 Typical High $48.98 | Professional | TC · Technical part | $18.62 | $26.92 | $48.98 |
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 $21.38 Median $53.70 Typical High $162.18 | Facility | 52 · Reduced service | $21.38 | $53.70 | $162.18 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $8.71 Median $21.88 Typical High $66.07 | Facility | 53 · Discontinued | $8.71 | $21.88 | $66.07 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $29.51 Median $87.10 Typical High $239.88 | Facility | FX · Film X-ray | $29.51 | $87.10 | $239.88 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $18.62 Median $18.62 Typical High $54.95 | Professional | 52 · Reduced service | $18.62 | $18.62 | $54.95 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.41 Median $7.41 Typical High $21.88 | Professional | 53 · Discontinued | $7.41 | $7.41 | $21.88 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $29.51 Median $29.51 Typical High $33.11 | Professional | FX · Film X-ray | $29.51 | $29.51 | $33.11 |
Where Ohio sits
The same service costs 12.6 times more in Vermont 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· 45th of 51
$37.15
VT $389FL $30.90
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.