How much rates vary
Facilitymedian $87 · 10th to 90th $39 to $324Professionalmedian $30 · 10th to 90th $16 to $54
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 $30.90 Median $75.86 Typical High $302.00 | Facility | None | $30.90 | $75.86 | $302.00 |
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 $23.99 Median $51.29 Typical High $72.44 | Facility | TC · Technical part | $23.99 | $51.29 | $72.44 |
Aetna Setting Professional Modifier None (both parts) Typical Low $28.18 Median $33.88 Typical High $87.10 | Professional | None (both parts) | $28.18 | $33.88 | $87.10 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $7.41 Median $8.51 Typical High $26.30 | Professional | 26 · Professional part | $7.41 | $8.51 | $26.30 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $20.42 Median $22.39 Typical High $58.88 | Professional | TC · Technical part | $20.42 | $22.39 | $58.88 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $23.99 Median $24.55 Typical High $32.36 | Professional | None (both parts) | $23.99 | $24.55 | $32.36 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $6.31 Median $12.88 Typical High $14.45 | Professional | 26 · Professional part | $6.31 | $12.88 | $14.45 |
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 $16.22 Median $24.55 Typical High $40.74 | Professional | None (both parts) | $16.22 | $24.55 | $40.74 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $8.13 Median $8.51 Typical High $14.45 | Professional | 26 · Professional part | $8.13 | $8.51 | $14.45 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $16.22 Median $22.91 Typical High $35.48 | Professional | TC · Technical part | $16.22 | $22.91 | $35.48 |
Aultcare Setting Professional Modifier None (both parts) Typical Low $33.88 Median $38.02 Typical High $58.88 | Professional | None (both parts) | $33.88 | $38.02 | $58.88 |
CareSource Setting Facility Modifier None Typical Low $38.02 Median $38.02 Typical High $38.02 | Facility | None | $38.02 | $38.02 | $38.02 |
CareSource Setting Professional Modifier None (both parts) Typical Low $7.59 Median $21.88 Typical High $35.48 | Professional | None (both parts) | $7.59 | $21.88 | $35.48 |
Cigna Setting Facility Modifier None Typical Low $56.23 Median $77.62 Typical High $363.08 | Facility | None | $56.23 | $77.62 | $363.08 |
Cigna Setting Professional Modifier None (both parts) Typical Low $25.12 Median $32.36 Typical High $57.54 | Professional | None (both parts) | $25.12 | $32.36 | $57.54 |
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 $18.20 Median $23.44 Typical High $41.69 | Professional | TC · Technical part | $18.20 | $23.44 | $41.69 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $56.23 Median $162.18 Typical High $363.08 | Facility | None | $56.23 | $162.18 | $363.08 |
Medical Mutual of Ohio Setting Professional Modifier None (both parts) Typical Low $25.12 Median $31.62 Typical High $56.23 | Professional | None (both parts) | $25.12 | $31.62 | $56.23 |
Medical Mutual of Ohio Setting Professional Modifier 26 · Professional part Typical Low $7.76 Median $12.59 Typical High $25.12 | Professional | 26 · Professional part | $7.76 | $12.59 | $25.12 |
Medical Mutual of Ohio Setting Professional Modifier TC · Technical part Typical Low $18.62 Median $23.44 Typical High $39.81 | Professional | TC · Technical part | $18.62 | $23.44 | $39.81 |
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 $25.70 Median $30.90 Typical High $50.12 | Professional | None (both parts) | $25.70 | $30.90 | $50.12 |
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 $16.98 Median $22.39 Typical High $35.48 | Professional | TC · Technical part | $16.98 | $22.39 | $35.48 |
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 $19.95 Median $29.51 Typical High $52.48 | Professional | None (both parts) | $19.95 | $29.51 | $52.48 |
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 $13.49 Median $20.89 Typical High $39.81 | Professional | TC · Technical part | $13.49 | $20.89 | $39.81 |
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 $16.98 Median $43.65 Typical High $162.18 | Facility | 52 · Reduced service | $16.98 | $43.65 | $162.18 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $6.76 Median $17.38 Typical High $66.07 | Facility | 53 · Discontinued | $6.76 | $17.38 | $66.07 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $23.44 Median $70.79 Typical High $239.88 | Facility | FX · Film X-ray | $23.44 | $70.79 | $239.88 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $14.79 Median $14.79 Typical High $43.65 | Professional | 52 · Reduced service | $14.79 | $14.79 | $43.65 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.89 Median $5.89 Typical High $17.38 | Professional | 53 · Discontinued | $5.89 | $5.89 | $17.38 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $23.44 Median $23.44 Typical High $25.70 | Professional | FX · Film X-ray | $23.44 | $23.44 | $25.70 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $37.15 Median $38.90 Typical High $69.18 | Professional | 50 · Both sides | $37.15 | $38.90 | $69.18 |
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· 44th of 51
$29.51
AK $91.20FL $24.55
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.