How much rates vary
Facilitymedian $83 · 10th to 90th $43 to $245Professionalmedian $30 · 10th to 90th $16 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 $34.67 Median $67.61 Typical High $223.87 | Facility | None | $34.67 | $67.61 | $223.87 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $7.59 Median $14.45 Typical High $28.18 | Facility | 26 · Professional part | $7.59 | $14.45 | $28.18 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $25.70 Median $53.70 Typical High $75.86 | Facility | TC · Technical part | $25.70 | $53.70 | $75.86 |
Aetna Setting Professional Modifier None (both parts) Typical Low $28.84 Median $34.67 Typical High $85.11 | Professional | None (both parts) | $28.84 | $34.67 | $85.11 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $7.41 Median $8.32 Typical High $25.12 | Professional | 26 · Professional part | $7.41 | $8.32 | $25.12 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $20.89 Median $22.91 Typical High $61.66 | Professional | TC · Technical part | $20.89 | $22.91 | $61.66 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $6.46 Median $23.99 Typical High $33.11 | Professional | None (both parts) | $6.46 | $23.99 | $33.11 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $6.31 Median $7.08 Typical High $12.88 | Professional | 26 · Professional part | $6.31 | $7.08 | $12.88 |
Ambetter Setting Professional Modifier TC · Technical part Typical Low $21.88 Median $21.88 Typical High $21.88 | Professional | TC · Technical part | $21.88 | $21.88 | $21.88 |
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 $16.22 Median $24.55 Typical High $42.66 | Professional | None (both parts) | $16.22 | $24.55 | $42.66 |
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 $15.85 Median $22.91 Typical High $37.15 | Professional | TC · Technical part | $15.85 | $22.91 | $37.15 |
Aultcare Setting Professional Modifier None (both parts) Typical Low $34.67 Median $34.67 Typical High $60.26 | Professional | None (both parts) | $34.67 | $34.67 | $60.26 |
CareSource Setting Professional Modifier None (both parts) Typical Low $7.24 Median $22.91 Typical High $37.15 | Professional | None (both parts) | $7.24 | $22.91 | $37.15 |
Cigna Setting Facility Modifier None Typical Low $58.88 Median $79.43 Typical High $295.12 | Facility | None | $58.88 | $79.43 | $295.12 |
Cigna Setting Professional Modifier None (both parts) Typical Low $25.70 Median $33.11 Typical High $60.26 | Professional | None (both parts) | $25.70 | $33.11 | $60.26 |
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 $19.50 Median $24.55 Typical High $44.67 | Professional | TC · Technical part | $19.50 | $24.55 | $44.67 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $58.88 Median $147.91 Typical High $302.00 | Facility | None | $58.88 | $147.91 | $302.00 |
Medical Mutual of Ohio Setting Professional Modifier None (both parts) Typical Low $26.92 Median $34.67 Typical High $75.86 | Professional | None (both parts) | $26.92 | $34.67 | $75.86 |
Medical Mutual of Ohio Setting Professional Modifier 26 · Professional part Typical Low $7.76 Median $10.96 Typical High $23.44 | Professional | 26 · Professional part | $7.76 | $10.96 | $23.44 |
Medical Mutual of Ohio Setting Professional Modifier TC · Technical part Typical Low $19.50 Median $23.99 Typical High $44.67 | Professional | TC · Technical part | $19.50 | $23.99 | $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 $29.51 Median $33.11 Typical High $50.12 | Professional | None (both parts) | $29.51 | $33.11 | $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 $20.89 Median $24.55 Typical High $34.67 | Professional | TC · Technical part | $20.89 | $24.55 | $34.67 |
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 $20.42 Median $30.20 Typical High $54.95 | Professional | None (both parts) | $20.42 | $30.20 | $54.95 |
United Setting Professional Modifier 26 · Professional part Typical Low $5.50 Median $8.51 Typical High $15.49 | Professional | 26 · Professional part | $5.50 | $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 |
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 $17.38 Median $41.69 Typical High $120.23 | Facility | 52 · Reduced service | $17.38 | $41.69 | $120.23 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $6.92 Median $16.98 Typical High $48.98 | Facility | 53 · Discontinued | $6.92 | $16.98 | $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 $42.66 | Professional | 52 · Reduced service | $15.14 | $15.14 | $42.66 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.03 Median $6.03 Typical High $16.98 | Professional | 53 · Discontinued | $6.03 | $6.03 | $16.98 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $23.99 Median $23.99 Typical High $26.30 | Professional | FX · Film X-ray | $23.99 | $23.99 | $26.30 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $37.15 Median $39.81 Typical High $69.18 | Professional | 50 · Both sides | $37.15 | $39.81 | $69.18 |
Where Ohio sits
The same service costs 3.8 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· 43rd of 51
$30.20
AK $95.50FL $25.12
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.