How much rates vary
Facilitymedian $34 · 10th to 90th $26 to $42Professionalmedian $85 · 10th to 90th $26 to $148
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 $25.70 Median $38.02 Typical High $102.33 | Facility | None | $25.70 | $38.02 | $102.33 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $16.60 Median $45.71 Typical High $69.18 | Facility | TC · Technical part | $16.60 | $45.71 | $69.18 |
Aetna Setting Professional Modifier None (both parts) Typical Low $25.70 Median $25.70 Typical High $112.20 | Professional | None (both parts) | $25.70 | $25.70 | $112.20 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $9.55 Median $9.55 Typical High $34.67 | Professional | 26 · Professional part | $9.55 | $9.55 | $34.67 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $16.60 Median $16.60 Typical High $21.88 | Professional | TC · Technical part | $16.60 | $16.60 | $21.88 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $85.11 Median $100.00 Typical High $165.96 | Professional | None (both parts) | $85.11 | $100.00 | $165.96 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $9.77 Median $11.48 Typical High $19.05 | Professional | 26 · Professional part | $9.77 | $11.48 | $19.05 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $87.10 Typical High $147.91 | Professional | TC · Technical part | $74.13 | $87.10 | $147.91 |
Cigna Setting Facility Modifier None Typical Low $33.88 Median $33.88 Typical High $33.88 | Facility | None | $33.88 | $33.88 | $33.88 |
Cigna Setting Professional Modifier None (both parts) Typical Low $25.12 Median $30.20 Typical High $60.26 | Professional | None (both parts) | $25.12 | $30.20 | $60.26 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $9.12 Median $10.96 Typical High $20.89 | Professional | 26 · Professional part | $9.12 | $10.96 | $20.89 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $16.60 Median $19.05 Typical High $38.90 | Professional | TC · Technical part | $16.60 | $19.05 | $38.90 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $31.62 Median $33.88 Typical High $33.88 | Facility | None | $31.62 | $33.88 | $33.88 |
Medical Mutual of Ohio Setting Professional Modifier None (both parts) Typical Low $26.30 Median $29.51 Typical High $57.54 | Professional | None (both parts) | $26.30 | $29.51 | $57.54 |
Medical Mutual of Ohio Setting Professional Modifier 26 · Professional part Typical Low $9.55 Median $10.96 Typical High $20.89 | Professional | 26 · Professional part | $9.55 | $10.96 | $20.89 |
Medical Mutual of Ohio Setting Professional Modifier TC · Technical part Typical Low $16.60 Median $19.05 Typical High $37.15 | Professional | TC · Technical part | $16.60 | $19.05 | $37.15 |
Molina Setting Professional Modifier None (both parts) Typical Low $6.76 Median $9.55 Typical High $89.13 | Professional | None (both parts) | $6.76 | $9.55 | $89.13 |
SummaCare Setting Professional Modifier None (both parts) Typical Low $123.03 Median $134.90 Typical High $186.21 | Professional | None (both parts) | $123.03 | $134.90 | $186.21 |
SummaCare Setting Professional Modifier 26 · Professional part Typical Low $9.55 Median $10.47 Typical High $14.45 | Professional | 26 · Professional part | $9.55 | $10.47 | $14.45 |
SummaCare Setting Professional Modifier TC · Technical part Typical Low $112.20 Median $123.03 Typical High $169.82 | Professional | TC · Technical part | $112.20 | $123.03 | $169.82 |
United Setting Professional Modifier None (both parts) Typical Low $33.11 Median $72.44 Typical High $190.55 | Professional | None (both parts) | $33.11 | $72.44 | $190.55 |
United Setting Professional Modifier 26 · Professional part Typical Low $8.32 Median $10.96 Typical High $19.95 | Professional | 26 · Professional part | $8.32 | $10.96 | $19.95 |
United Setting Professional Modifier TC · Technical part Typical Low $23.44 Median $69.18 Typical High $173.78 | Professional | TC · Technical part | $23.44 | $69.18 | $173.78 |
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 $14.45 Median $20.89 Typical High $34.67 | Facility | 52 · Reduced service | $14.45 | $20.89 | $34.67 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $5.75 Median $8.32 Typical High $13.80 | Facility | 53 · Discontinued | $5.75 | $8.32 | $13.80 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $20.89 Median $30.20 Typical High $56.23 | Facility | FX · Film X-ray | $20.89 | $30.20 | $56.23 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $12.88 Median $12.88 Typical High $54.95 | Professional | 52 · Reduced service | $12.88 | $12.88 | $54.95 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.25 Median $5.25 Typical High $22.39 | Professional | 53 · Discontinued | $5.25 | $5.25 | $22.39 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $20.89 Median $20.89 Typical High $23.44 | Professional | FX · Film X-ray | $20.89 | $20.89 | $23.44 |
Where Ohio sits
The same service costs 4.7 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· 8th of 51
$79.43
AK $110FL $23.44
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.