How much rates vary
Facilitymedian $100 · 10th to 90th $47 to $245Professionalmedian $33 · 10th to 90th $24 to $59
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 $35.48 Median $83.18 Typical High $223.87 | Facility | None | $35.48 | $83.18 | $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 $27.54 Median $56.23 Typical High $79.43 | Facility | TC · Technical part | $27.54 | $56.23 | $79.43 |
Aetna Setting Professional Modifier None (both parts) Typical Low $30.20 Median $36.31 Typical High $97.72 | Professional | None (both parts) | $30.20 | $36.31 | $97.72 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $7.59 Median $9.12 Typical High $25.70 | Professional | 26 · Professional part | $7.59 | $9.12 | $25.70 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $22.39 Median $25.70 Typical High $66.07 | Professional | TC · Technical part | $22.39 | $25.70 | $66.07 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $26.92 Median $26.92 Typical High $60.26 | Professional | None (both parts) | $26.92 | $26.92 | $60.26 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $6.46 Median $6.92 Typical High $14.13 | Professional | 26 · Professional part | $6.46 | $6.92 | $14.13 |
Ambetter Setting Professional Modifier TC · Technical part Typical Low $21.88 Median $37.15 Typical High $42.66 | Professional | TC · Technical part | $21.88 | $37.15 | $42.66 |
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 $19.95 Median $26.30 Typical High $50.12 | Professional | None (both parts) | $19.95 | $26.30 | $50.12 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $7.94 Median $8.51 Typical High $14.45 | Professional | 26 · Professional part | $7.94 | $8.51 | $14.45 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $16.60 Median $23.44 Typical High $32.36 | Professional | TC · Technical part | $16.60 | $23.44 | $32.36 |
Aultcare Setting Professional Modifier None (both parts) Typical Low $37.15 Median $38.90 Typical High $64.57 | Professional | None (both parts) | $37.15 | $38.90 | $64.57 |
CareSource Setting Professional Modifier None (both parts) Typical Low $7.59 Median $23.99 Typical High $38.90 | Professional | None (both parts) | $7.59 | $23.99 | $38.90 |
Cigna Setting Facility Modifier None Typical Low $66.07 Median $85.11 Typical High $295.12 | Facility | None | $66.07 | $85.11 | $295.12 |
Cigna Setting Professional Modifier None (both parts) Typical Low $27.54 Median $34.67 Typical High $61.66 | Professional | None (both parts) | $27.54 | $34.67 | $61.66 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $7.59 Median $9.33 Typical High $17.78 | Professional | 26 · Professional part | $7.59 | $9.33 | $17.78 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $20.42 Median $26.30 Typical High $47.86 | Professional | TC · Technical part | $20.42 | $26.30 | $47.86 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $66.07 Median $151.36 Typical High $302.00 | Facility | None | $66.07 | $151.36 | $302.00 |
Medical Mutual of Ohio Setting Professional Modifier None (both parts) Typical Low $27.54 Median $33.88 Typical High $61.66 | Professional | None (both parts) | $27.54 | $33.88 | $61.66 |
Medical Mutual of Ohio Setting Professional Modifier 26 · Professional part Typical Low $7.76 Median $10.96 Typical High $22.91 | Professional | 26 · Professional part | $7.76 | $10.96 | $22.91 |
Medical Mutual of Ohio Setting Professional Modifier TC · Technical part Typical Low $20.42 Median $25.70 Typical High $47.86 | Professional | TC · Technical part | $20.42 | $25.70 | $47.86 |
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 $28.84 Median $33.88 Typical High $52.48 | Professional | None (both parts) | $28.84 | $33.88 | $52.48 |
SummaCare Setting Professional Modifier 26 · Professional part Typical Low $8.51 Median $8.91 Typical High $16.60 | Professional | 26 · Professional part | $8.51 | $8.91 | $16.60 |
SummaCare Setting Professional Modifier TC · Technical part Typical Low $19.95 Median $25.12 Typical High $38.02 | Professional | TC · Technical part | $19.95 | $25.12 | $38.02 |
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 $21.38 Median $31.62 Typical High $56.23 | Professional | None (both parts) | $21.38 | $31.62 | $56.23 |
United Setting Professional Modifier 26 · Professional part Typical Low $5.62 Median $8.71 Typical High $15.49 | Professional | 26 · Professional part | $5.62 | $8.71 | $15.49 |
United Setting Professional Modifier TC · Technical part Typical Low $14.79 Median $22.91 Typical High $43.65 | Professional | TC · Technical part | $14.79 | $22.91 | $43.65 |
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 $18.20 Median $45.71 Typical High $120.23 | Facility | 52 · Reduced service | $18.20 | $45.71 | $120.23 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $7.24 Median $18.20 Typical High $48.98 | Facility | 53 · Discontinued | $7.24 | $18.20 | $48.98 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $25.12 Median $77.62 Typical High $177.83 | Facility | FX · Film X-ray | $25.12 | $77.62 | $177.83 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $15.85 Median $15.85 Typical High $47.86 | Professional | 52 · Reduced service | $15.85 | $15.85 | $47.86 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.31 Median $6.31 Typical High $19.50 | Professional | 53 · Discontinued | $6.31 | $6.31 | $19.50 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $25.12 Median $25.12 Typical High $28.18 | Professional | FX · Film X-ray | $25.12 | $25.12 | $28.18 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $37.15 Median $39.81 Typical High $70.79 | Professional | 50 · Both sides | $37.15 | $39.81 | $70.79 |
Where Ohio sits
The same service costs 3.7 times more in Alaska 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· 39th of 51
$33.88
AK $100FL $26.92
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.