How much rates vary
Facilitymedian $89 · 10th to 90th $41 to $245Professionalmedian $30 · 10th to 90th $17 to $55
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 $61.66 Typical High $223.87 | Facility | None | $33.11 | $61.66 | $223.87 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $7.94 Median $14.45 Typical High $28.18 | Facility | 26 · Professional part | $7.94 | $14.45 | $28.18 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $24.55 Median $52.48 Typical High $75.86 | Facility | TC · Technical part | $24.55 | $52.48 | $75.86 |
Aetna Setting Professional Modifier None (both parts) Typical Low $28.84 Median $36.31 Typical High $85.11 | Professional | None (both parts) | $28.84 | $36.31 | $85.11 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $7.41 Median $8.91 Typical High $26.30 | Professional | 26 · Professional part | $7.41 | $8.91 | $26.30 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $21.38 Median $23.99 Typical High $61.66 | Professional | TC · Technical part | $21.38 | $23.99 | $61.66 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $24.55 Median $26.30 Typical High $47.86 | Professional | None (both parts) | $24.55 | $26.30 | $47.86 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $6.31 Median $6.61 Typical High $10.96 | Professional | 26 · Professional part | $6.31 | $6.61 | $10.96 |
Ambetter Setting Professional Modifier TC · Technical part Typical Low $18.62 Median $18.62 Typical High $18.62 | Professional | TC · Technical part | $18.62 | $18.62 | $18.62 |
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 $16.98 Median $25.12 Typical High $43.65 | Professional | None (both parts) | $16.98 | $25.12 | $43.65 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $8.51 Median $8.71 Typical High $14.45 | Professional | 26 · Professional part | $8.51 | $8.71 | $14.45 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $38.02 Median $40.74 Typical High $70.79 | Professional | 50 · Both sides | $38.02 | $40.74 | $70.79 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $16.98 Median $20.42 Typical High $34.67 | Professional | TC · Technical part | $16.98 | $20.42 | $34.67 |
Aultcare Setting Professional Modifier None (both parts) Typical Low $36.31 Median $40.74 Typical High $63.10 | Professional | None (both parts) | $36.31 | $40.74 | $63.10 |
CareSource Setting Facility Modifier None Typical Low $39.81 Median $39.81 Typical High $39.81 | Facility | None | $39.81 | $39.81 | $39.81 |
CareSource Setting Professional Modifier None (both parts) Typical Low $7.59 Median $22.91 Typical High $37.15 | Professional | None (both parts) | $7.59 | $22.91 | $37.15 |
Cigna Setting Facility Modifier None Typical Low $60.26 Median $81.28 Typical High $295.12 | Facility | None | $60.26 | $81.28 | $295.12 |
Cigna Setting Professional Modifier None (both parts) Typical Low $26.30 Median $33.88 Typical High $58.88 | Professional | None (both parts) | $26.30 | $33.88 | $58.88 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $7.41 Median $8.91 Typical High $16.60 | Professional | 26 · Professional part | $7.41 | $8.91 | $16.60 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $19.05 Median $24.55 Typical High $44.67 | Professional | TC · Technical part | $19.05 | $24.55 | $44.67 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $60.26 Median $165.96 Typical High $323.59 | Facility | None | $60.26 | $165.96 | $323.59 |
Medical Mutual of Ohio Setting Professional Modifier None (both parts) Typical Low $26.30 Median $33.11 Typical High $61.66 | Professional | None (both parts) | $26.30 | $33.11 | $61.66 |
Medical Mutual of Ohio Setting Professional Modifier 26 · Professional part Typical Low $7.76 Median $13.49 Typical High $25.12 | Professional | 26 · Professional part | $7.76 | $13.49 | $25.12 |
Medical Mutual of Ohio Setting Professional Modifier TC · Technical part Typical Low $19.50 Median $24.55 Typical High $44.67 | Professional | TC · Technical part | $19.50 | $24.55 | $44.67 |
Molina Setting Professional Modifier None (both parts) Typical Low $26.30 Median $38.90 Typical High $54.95 | Professional | None (both parts) | $26.30 | $38.90 | $54.95 |
SummaCare Setting Professional Modifier None (both parts) Typical Low $27.54 Median $33.88 Typical High $51.29 | Professional | None (both parts) | $27.54 | $33.88 | $51.29 |
SummaCare Setting Professional Modifier 26 · Professional part Typical Low $8.13 Median $8.91 Typical High $15.49 | Professional | 26 · Professional part | $8.13 | $8.91 | $15.49 |
SummaCare Setting Professional Modifier TC · Technical part Typical Low $18.62 Median $25.70 Typical High $35.48 | Professional | TC · Technical part | $18.62 | $25.70 | $35.48 |
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 $20.89 Median $30.20 Typical High $53.70 | Professional | None (both parts) | $20.89 | $30.20 | $53.70 |
United Setting Professional Modifier 26 · Professional part Typical Low $5.62 Median $8.51 Typical High $15.49 | Professional | 26 · Professional part | $5.62 | $8.51 | $15.49 |
United Setting Professional Modifier TC · Technical part Typical Low $14.13 Median $21.88 Typical High $41.69 | Professional | TC · Technical part | $14.13 | $21.88 | $41.69 |
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 $17.78 Median $37.15 Typical High $120.23 | Facility | 52 · Reduced service | $17.78 | $37.15 | $120.23 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $7.08 Median $14.79 Typical High $48.98 | Facility | 53 · Discontinued | $7.08 | $14.79 | $48.98 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $23.99 Median $72.44 Typical High $177.83 | Facility | FX · Film X-ray | $23.99 | $72.44 | $177.83 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $15.14 Median $15.14 Typical High $38.90 | Professional | 52 · Reduced service | $15.14 | $15.14 | $38.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.03 Median $6.03 Typical High $15.49 | Professional | 53 · Discontinued | $6.03 | $6.03 | $15.49 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $23.99 Median $23.99 Typical High $26.92 | Professional | FX · Film X-ray | $23.99 | $23.99 | $26.92 |
Where Ohio sits
The same service costs 6.0 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· 42nd of 51
$30.90
VT $155FL $25.70
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.