How much rates vary
Facilitymedian $316 · 10th to 90th $170 to $603Professionalmedian $115 · 10th to 90th $59 to $200
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 $134.90 Median $316.23 Typical High $489.78 | Facility | None | $134.90 | $316.23 | $489.78 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $42.66 Median $69.18 Typical High $123.03 | Facility | 26 · Professional part | $42.66 | $69.18 | $123.03 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $93.33 Median $208.93 Typical High $269.15 | Facility | TC · Technical part | $93.33 | $208.93 | $269.15 |
Aetna Setting Professional Modifier None (both parts) Typical Low $109.65 Median $117.49 Typical High $407.38 | Professional | None (both parts) | $109.65 | $117.49 | $407.38 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $37.15 Typical High $117.49 | Professional | 26 · Professional part | $33.88 | $37.15 | $117.49 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $77.62 Typical High $234.42 | Professional | TC · Technical part | $75.86 | $77.62 | $234.42 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $109.65 Median $109.65 Typical High $109.65 | Professional | None (both parts) | $109.65 | $109.65 | $109.65 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $52.48 Typical High $52.48 | Professional | 26 · Professional part | $29.51 | $52.48 | $52.48 |
Anthem BCBS Setting Facility Modifier None Typical Low $416.87 Median $489.78 Typical High $575.44 | Facility | None | $416.87 | $489.78 | $575.44 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $60.26 Median $89.13 Typical High $158.49 | Professional | None (both parts) | $60.26 | $89.13 | $158.49 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $37.15 Typical High $61.66 | Professional | 26 · Professional part | $34.67 | $37.15 | $61.66 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $44.67 Median $57.54 Typical High $109.65 | Professional | TC · Technical part | $44.67 | $57.54 | $109.65 |
Aultcare Setting Professional Modifier None (both parts) Typical Low $131.83 Median $147.91 Typical High $229.09 | Professional | None (both parts) | $131.83 | $147.91 | $229.09 |
CareSource Setting Professional Modifier None (both parts) Typical Low $36.31 Median $77.62 Typical High $138.04 | Professional | None (both parts) | $36.31 | $77.62 | $138.04 |
Cigna Setting Facility Modifier None Typical Low $234.42 Median $275.42 Typical High $602.56 | Facility | None | $234.42 | $275.42 | $602.56 |
Cigna Setting Professional Modifier None (both parts) Typical Low $100.00 Median $125.89 Typical High $229.09 | Professional | None (both parts) | $100.00 | $125.89 | $229.09 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $40.74 Typical High $74.13 | Professional | 26 · Professional part | $33.11 | $40.74 | $74.13 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $67.61 Median $85.11 Typical High $158.49 | Professional | TC · Technical part | $67.61 | $85.11 | $158.49 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $234.42 Median $363.08 Typical High $691.83 | Facility | None | $234.42 | $363.08 | $691.83 |
Medical Mutual of Ohio Setting Professional Modifier None (both parts) Typical Low $100.00 Median $120.23 Typical High $229.09 | Professional | None (both parts) | $100.00 | $120.23 | $229.09 |
Medical Mutual of Ohio Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $53.70 Typical High $109.65 | Professional | 26 · Professional part | $37.15 | $53.70 | $109.65 |
Medical Mutual of Ohio Setting Professional Modifier TC · Technical part Typical Low $67.61 Median $85.11 Typical High $154.88 | Professional | TC · Technical part | $67.61 | $85.11 | $154.88 |
Molina Setting Professional Modifier None (both parts) Typical Low $44.67 Median $128.82 Typical High $199.53 | Professional | None (both parts) | $44.67 | $128.82 | $199.53 |
SummaCare Setting Professional Modifier None (both parts) Typical Low $120.23 Median $131.83 Typical High $223.87 | Professional | None (both parts) | $120.23 | $131.83 | $223.87 |
SummaCare Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $42.66 Typical High $74.13 | Professional | 26 · Professional part | $38.90 | $42.66 | $74.13 |
SummaCare Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $89.13 Typical High $151.36 | Professional | TC · Technical part | $81.28 | $89.13 | $151.36 |
United Setting Facility Modifier None Typical Low $363.08 Median $416.87 Typical High $602.56 | Facility | None | $363.08 | $416.87 | $602.56 |
United Setting Professional Modifier None (both parts) Typical Low $79.43 Median $117.49 Typical High $213.80 | Professional | None (both parts) | $79.43 | $117.49 | $213.80 |
United Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $38.90 Typical High $72.44 | Professional | 26 · Professional part | $25.12 | $38.90 | $72.44 |
United Setting Professional Modifier TC · Technical part Typical Low $48.98 Median $77.62 Typical High $144.54 | Professional | TC · Technical part | $48.98 | $77.62 | $144.54 |
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 $66.07 Median $158.49 Typical High $269.15 | Facility | 52 · Reduced service | $66.07 | $158.49 | $269.15 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $26.30 Median $63.10 Typical High $107.15 | Facility | 53 · Discontinued | $26.30 | $63.10 | $107.15 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $91.20 Median $251.19 Typical High $389.05 | Facility | FX · Film X-ray | $91.20 | $251.19 | $389.05 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $57.54 Median $57.54 Typical High $251.19 | Professional | 52 · Reduced service | $57.54 | $57.54 | $251.19 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $22.91 Median $22.91 Typical High $102.33 | Professional | 53 · Discontinued | $22.91 | $22.91 | $102.33 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $91.20 Median $91.20 Typical High $104.71 | Professional | FX · Film X-ray | $91.20 | $91.20 | $104.71 |
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· 42nd of 51
$115
AK $363FL $97.72
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.