How much rates vary
Facilitymedian $145 · 10th to 90th $66 to $363Professionalmedian $45 · 10th to 90th $31 to $83
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 $46.77 Median $120.23 Typical High $302.00 | Facility | None | $46.77 | $120.23 | $302.00 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $14.79 Median $26.92 Typical High $53.70 | Facility | 26 · Professional part | $14.79 | $26.92 | $53.70 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $33.88 Median $77.62 Typical High $107.15 | Facility | TC · Technical part | $33.88 | $77.62 | $107.15 |
Aetna Setting Professional Modifier None (both parts) Typical Low $44.67 Median $51.29 Typical High $147.91 | Professional | None (both parts) | $44.67 | $51.29 | $147.91 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $14.13 Median $15.49 Typical High $53.70 | Professional | 26 · Professional part | $14.13 | $15.49 | $53.70 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $30.20 Median $33.11 Typical High $87.10 | Professional | TC · Technical part | $30.20 | $33.11 | $87.10 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $32.36 Median $46.77 Typical High $46.77 | Professional | None (both parts) | $32.36 | $46.77 | $46.77 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $11.75 Median $12.59 Typical High $26.92 | Professional | 26 · Professional part | $11.75 | $12.59 | $26.92 |
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 $29.51 Median $42.66 Typical High $72.44 | Professional | None (both parts) | $29.51 | $42.66 | $72.44 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $15.85 Median $16.98 Typical High $29.51 | Professional | 26 · Professional part | $15.85 | $16.98 | $29.51 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $19.50 Median $25.70 Typical High $51.29 | Professional | TC · Technical part | $19.50 | $25.70 | $51.29 |
Aultcare Setting Professional Modifier None (both parts) Typical Low $53.70 Median $56.23 Typical High $93.33 | Professional | None (both parts) | $53.70 | $56.23 | $93.33 |
CareSource Setting Professional Modifier None (both parts) Typical Low $14.45 Median $32.36 Typical High $57.54 | Professional | None (both parts) | $14.45 | $32.36 | $57.54 |
Cigna Setting Facility Modifier None Typical Low $97.72 Median $114.82 Typical High $363.08 | Facility | None | $97.72 | $114.82 | $363.08 |
Cigna Setting Professional Modifier None (both parts) Typical Low $41.69 Median $51.29 Typical High $95.50 | Professional | None (both parts) | $41.69 | $51.29 | $95.50 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $14.45 Median $16.98 Typical High $31.62 | Professional | 26 · Professional part | $14.45 | $16.98 | $31.62 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $27.54 Median $34.67 Typical High $64.57 | Professional | TC · Technical part | $27.54 | $34.67 | $64.57 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $97.72 Median $239.88 Typical High $524.81 | Facility | None | $97.72 | $239.88 | $524.81 |
Medical Mutual of Ohio Setting Professional Modifier None (both parts) Typical Low $41.69 Median $51.29 Typical High $91.20 | Professional | None (both parts) | $41.69 | $51.29 | $91.20 |
Medical Mutual of Ohio Setting Professional Modifier 26 · Professional part Typical Low $12.02 Median $19.95 Typical High $47.86 | Professional | 26 · Professional part | $12.02 | $19.95 | $47.86 |
Medical Mutual of Ohio Setting Professional Modifier TC · Technical part Typical Low $27.54 Median $34.67 Typical High $64.57 | Professional | TC · Technical part | $27.54 | $34.67 | $64.57 |
Molina Setting Professional Modifier None (both parts) Typical Low $26.92 Median $38.90 Typical High $54.95 | Professional | None (both parts) | $26.92 | $38.90 | $54.95 |
SummaCare Setting Professional Modifier None (both parts) Typical Low $48.98 Median $52.48 Typical High $87.10 | Professional | None (both parts) | $48.98 | $52.48 | $87.10 |
SummaCare Setting Professional Modifier 26 · Professional part Typical Low $15.49 Median $16.98 Typical High $28.18 | Professional | 26 · Professional part | $15.49 | $16.98 | $28.18 |
SummaCare Setting Professional Modifier TC · Technical part Typical Low $33.11 Median $36.31 Typical High $60.26 | Professional | TC · Technical part | $33.11 | $36.31 | $60.26 |
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 $34.67 Median $48.98 Typical High $89.13 | Professional | None (both parts) | $34.67 | $48.98 | $89.13 |
United Setting Professional Modifier 26 · Professional part Typical Low $10.47 Median $16.22 Typical High $30.20 | Professional | 26 · Professional part | $10.47 | $16.22 | $30.20 |
United Setting Professional Modifier TC · Technical part Typical Low $21.38 Median $31.62 Typical High $58.88 | Professional | TC · Technical part | $21.38 | $31.62 | $58.88 |
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 $26.92 Median $64.57 Typical High $162.18 | Facility | 52 · Reduced service | $26.92 | $64.57 | $162.18 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $10.96 Median $25.70 Typical High $66.07 | Facility | 53 · Discontinued | $10.96 | $25.70 | $66.07 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $37.15 Median $104.71 Typical High $239.88 | Facility | FX · Film X-ray | $37.15 | $104.71 | $239.88 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $23.44 Median $23.44 Typical High $70.79 | Professional | 52 · Reduced service | $23.44 | $23.44 | $70.79 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $9.33 Median $9.33 Typical High $28.84 | Professional | 53 · Discontinued | $9.33 | $9.33 | $28.84 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $37.15 Median $37.15 Typical High $41.69 | Professional | FX · Film X-ray | $37.15 | $37.15 | $41.69 |
Where Ohio sits
The same service costs 4.5 times more in Alaska than in Utah. 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· 45th of 51
$45.71
AK $148UT $33.11
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.