How much rates vary
Facilitymedian $158 · 10th to 90th $58 to $324Professionalmedian $35 · 10th to 90th $26 to $62
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 $36.31 Median $87.10 Typical High $223.87 | Facility | None | $36.31 | $87.10 | $223.87 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $8.13 Median $15.14 Typical High $29.51 | Facility | 26 · Professional part | $8.13 | $15.14 | $29.51 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $28.84 Median $60.26 Typical High $89.13 | Facility | TC · Technical part | $28.84 | $60.26 | $89.13 |
Aetna Setting Professional Modifier None (both parts) Typical Low $33.11 Median $41.69 Typical High $97.72 | Professional | None (both parts) | $33.11 | $41.69 | $97.72 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $7.94 Median $9.77 Typical High $26.92 | Professional | 26 · Professional part | $7.94 | $9.77 | $26.92 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $24.55 Median $30.20 Typical High $72.44 | Professional | TC · Technical part | $24.55 | $30.20 | $72.44 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $25.70 Median $30.20 Typical High $45.71 | Professional | None (both parts) | $25.70 | $30.20 | $45.71 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $6.76 Median $7.59 Typical High $14.79 | Professional | 26 · Professional part | $6.76 | $7.59 | $14.79 |
Ambetter Setting Professional Modifier 50 · Both sides Typical Low $38.02 Median $42.66 Typical High $44.67 | Professional | 50 · Both sides | $38.02 | $42.66 | $44.67 |
Ambetter Setting Professional Modifier TC · Technical part Typical Low $23.44 Median $26.30 Typical High $41.69 | Professional | TC · Technical part | $23.44 | $26.30 | $41.69 |
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 $24.55 Median $29.51 Typical High $53.70 | Professional | None (both parts) | $24.55 | $29.51 | $53.70 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $8.71 Median $10.72 Typical High $26.92 | Professional | 26 · Professional part | $8.71 | $10.72 | $26.92 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $39.81 Median $42.66 Typical High $75.86 | Professional | 50 · Both sides | $39.81 | $42.66 | $75.86 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $17.78 Median $19.50 Typical High $38.90 | Professional | TC · Technical part | $17.78 | $19.50 | $38.90 |
Aultcare Setting Professional Modifier None (both parts) Typical Low $40.74 Median $43.65 Typical High $70.79 | Professional | None (both parts) | $40.74 | $43.65 | $70.79 |
CareSource Setting Professional Modifier None (both parts) Typical Low $7.94 Median $26.92 Typical High $43.65 | Professional | None (both parts) | $7.94 | $26.92 | $43.65 |
Cigna Setting Facility Modifier None Typical Low $70.79 Median $95.50 Typical High $295.12 | Facility | None | $70.79 | $95.50 | $295.12 |
Cigna Setting Professional Modifier None (both parts) Typical Low $29.51 Median $38.02 Typical High $67.61 | Professional | None (both parts) | $29.51 | $38.02 | $67.61 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $7.94 Median $9.77 Typical High $17.38 | Professional | 26 · Professional part | $7.94 | $9.77 | $17.38 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $21.88 Median $28.18 Typical High $51.29 | Professional | TC · Technical part | $21.88 | $28.18 | $51.29 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $93.33 Median $223.87 Typical High $380.19 | Facility | None | $93.33 | $223.87 | $380.19 |
Medical Mutual of Ohio Setting Professional Modifier None (both parts) Typical Low $29.51 Median $37.15 Typical High $104.71 | Professional | None (both parts) | $29.51 | $37.15 | $104.71 |
Medical Mutual of Ohio Setting Professional Modifier 26 · Professional part Typical Low $6.92 Median $15.14 Typical High $25.70 | Professional | 26 · Professional part | $6.92 | $15.14 | $25.70 |
Medical Mutual of Ohio Setting Professional Modifier TC · Technical part Typical Low $22.39 Median $30.90 Typical High $81.28 | Professional | TC · Technical part | $22.39 | $30.90 | $81.28 |
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 $37.15 Median $45.71 Typical High $67.61 | Professional | None (both parts) | $37.15 | $45.71 | $67.61 |
SummaCare Setting Professional Modifier 26 · Professional part Typical Low $8.91 Median $10.96 Typical High $16.98 | Professional | 26 · Professional part | $8.91 | $10.96 | $16.98 |
SummaCare Setting Professional Modifier TC · Technical part Typical Low $28.18 Median $34.67 Typical High $51.29 | Professional | TC · Technical part | $28.18 | $34.67 | $51.29 |
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 $22.91 Median $33.88 Typical High $60.26 | Professional | None (both parts) | $22.91 | $33.88 | $60.26 |
United Setting Professional Modifier 26 · Professional part Typical Low $5.89 Median $8.91 Typical High $16.60 | Professional | 26 · Professional part | $5.89 | $8.91 | $16.60 |
United Setting Professional Modifier TC · Technical part Typical Low $15.85 Median $24.55 Typical High $46.77 | Professional | TC · Technical part | $15.85 | $24.55 | $46.77 |
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 $20.42 Median $44.67 Typical High $120.23 | Facility | 52 · Reduced service | $20.42 | $44.67 | $120.23 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $8.13 Median $17.78 Typical High $48.98 | Facility | 53 · Discontinued | $8.13 | $17.78 | $48.98 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $27.54 Median $85.11 Typical High $177.83 | Facility | FX · Film X-ray | $27.54 | $85.11 | $177.83 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $17.38 Median $17.38 Typical High $51.29 | Professional | 52 · Reduced service | $17.38 | $17.38 | $51.29 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.92 Median $6.92 Typical High $20.42 | Professional | 53 · Discontinued | $6.92 | $6.92 | $20.42 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $27.54 Median $27.54 Typical High $30.90 | Professional | FX · Film X-ray | $27.54 | $27.54 | $30.90 |
Where Ohio sits
The same service costs 13.5 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
$35.48
VT $389FL $28.84
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.