How much rates vary
Facilitymedian $170 · 10th to 90th $81 to $363Professionalmedian $62 · 10th to 90th $36 to $110
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 $60.26 Median $151.36 Typical High $302.00 | Facility | None | $60.26 | $151.36 | $302.00 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $14.13 Median $25.70 Typical High $54.95 | Facility | 26 · Professional part | $14.13 | $25.70 | $54.95 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $48.98 Median $104.71 Typical High $144.54 | Facility | TC · Technical part | $48.98 | $104.71 | $144.54 |
Aetna Setting Professional Modifier None (both parts) Typical Low $56.23 Median $70.79 Typical High $190.55 | Professional | None (both parts) | $56.23 | $70.79 | $190.55 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $14.13 Median $16.60 Typical High $54.95 | Professional | 26 · Professional part | $14.13 | $16.60 | $54.95 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $42.66 Median $51.29 Typical High $117.49 | Professional | TC · Technical part | $42.66 | $51.29 | $117.49 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $48.98 Median $48.98 Typical High $48.98 | Professional | None (both parts) | $48.98 | $48.98 | $48.98 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $11.22 Median $12.02 Typical High $13.80 | Professional | 26 · Professional part | $11.22 | $12.02 | $13.80 |
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 $43.65 Median $61.66 Typical High $102.33 | Professional | None (both parts) | $43.65 | $61.66 | $102.33 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $16.60 Median $19.50 Typical High $30.90 | Professional | 26 · Professional part | $16.60 | $19.50 | $30.90 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $38.90 Median $52.48 Typical High $67.61 | Professional | TC · Technical part | $38.90 | $52.48 | $67.61 |
Aultcare Setting Professional Modifier None (both parts) Typical Low $66.07 Median $66.07 Typical High $114.82 | Professional | None (both parts) | $66.07 | $66.07 | $114.82 |
CareSource Setting Facility Modifier None Typical Low $74.13 Median $74.13 Typical High $74.13 | Facility | None | $74.13 | $74.13 | $74.13 |
CareSource Setting Professional Modifier None (both parts) Typical Low $13.80 Median $43.65 Typical High $70.79 | Professional | None (both parts) | $13.80 | $43.65 | $70.79 |
Cigna Setting Facility Modifier None Typical Low $131.83 Median $154.88 Typical High $363.08 | Facility | None | $131.83 | $154.88 | $363.08 |
Cigna Setting Professional Modifier None (both parts) Typical Low $51.29 Median $67.61 Typical High $128.82 | Professional | None (both parts) | $51.29 | $67.61 | $128.82 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $13.80 Median $16.98 Typical High $33.88 | Professional | 26 · Professional part | $13.80 | $16.98 | $33.88 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $38.02 Median $51.29 Typical High $97.72 | Professional | TC · Technical part | $38.02 | $51.29 | $97.72 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $138.04 Median $239.88 Typical High $501.19 | Facility | None | $138.04 | $239.88 | $501.19 |
Medical Mutual of Ohio Setting Professional Modifier None (both parts) Typical Low $51.29 Median $66.07 Typical High $128.82 | Professional | None (both parts) | $51.29 | $66.07 | $128.82 |
Medical Mutual of Ohio Setting Professional Modifier 26 · Professional part Typical Low $11.48 Median $19.05 Typical High $48.98 | Professional | 26 · Professional part | $11.48 | $19.05 | $48.98 |
Medical Mutual of Ohio Setting Professional Modifier TC · Technical part Typical Low $38.02 Median $47.86 Typical High $93.33 | Professional | TC · Technical part | $38.02 | $47.86 | $93.33 |
Molina Setting Professional Modifier None (both parts) Typical Low $30.90 Median $54.95 Typical High $100.00 | Professional | None (both parts) | $30.90 | $54.95 | $100.00 |
SummaCare Setting Professional Modifier None (both parts) Typical Low $60.26 Median $61.66 Typical High $95.50 | Professional | None (both parts) | $60.26 | $61.66 | $95.50 |
SummaCare Setting Professional Modifier 26 · Professional part Typical Low $14.79 Median $17.38 Typical High $22.91 | Professional | 26 · Professional part | $14.79 | $17.38 | $22.91 |
SummaCare Setting Professional Modifier TC · Technical part Typical Low $44.67 Median $45.71 Typical High $70.79 | Professional | TC · Technical part | $44.67 | $45.71 | $70.79 |
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 $46.77 Median $61.66 Typical High $112.20 | Professional | None (both parts) | $46.77 | $61.66 | $112.20 |
United Setting Professional Modifier 26 · Professional part Typical Low $12.02 Median $16.98 Typical High $29.51 | Professional | 26 · Professional part | $12.02 | $16.98 | $29.51 |
United Setting Professional Modifier TC · Technical part Typical Low $33.88 Median $44.67 Typical High $85.11 | Professional | TC · Technical part | $33.88 | $44.67 | $85.11 |
7 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 $33.11 Median $87.10 Typical High $162.18 | Facility | 52 · Reduced service | $33.11 | $87.10 | $162.18 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $13.18 Median $34.67 Typical High $66.07 | Facility | 53 · Discontinued | $13.18 | $34.67 | $66.07 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $45.71 Median $138.04 Typical High $239.88 | Facility | FX · Film X-ray | $45.71 | $138.04 | $239.88 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $28.18 Median $28.18 Typical High $109.65 | Professional | 52 · Reduced service | $28.18 | $28.18 | $109.65 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $11.48 Median $11.48 Typical High $43.65 | Professional | 53 · Discontinued | $11.48 | $11.48 | $43.65 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $45.71 Median $45.71 Typical High $51.29 | Professional | FX · Film X-ray | $45.71 | $45.71 | $51.29 |
Ambetter Setting Professional Modifier 59 · Distinct service Typical Low $36.31 Median $36.31 Typical High $36.31 | Professional | 59 · Distinct service | $36.31 | $36.31 | $36.31 |
Where Ohio sits
The same service costs 3.6 times more in Alaska than in Texas. 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
$61.66
AK $182TX $50.12
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.