How much rates vary
Facilitymedian $62 · 10th to 90th $49 to $240Professionalmedian $141 · 10th to 90th $62 to $219
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $61.66 Median $61.66 Typical High $239.88 | Facility | None | $61.66 | $61.66 | $239.88 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $38.90 Median $107.15 Typical High $165.96 | Facility | TC · Technical part | $38.90 | $107.15 | $165.96 |
Aetna Setting Professional Modifier None (both parts) Typical Low $61.66 Median $61.66 Typical High $177.83 | Professional | None (both parts) | $61.66 | $61.66 | $177.83 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $22.39 Median $22.39 Typical High $61.66 | Professional | 26 · Professional part | $22.39 | $22.39 | $61.66 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $38.90 Median $38.90 Typical High $69.18 | Professional | TC · Technical part | $38.90 | $38.90 | $69.18 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $30.20 Typical High $37.15 | Professional | 26 · Professional part | $25.12 | $30.20 | $37.15 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $125.89 Median $173.78 Typical High $234.42 | Professional | None (both parts) | $125.89 | $173.78 | $234.42 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $38.02 Typical High $52.48 | Professional | 26 · Professional part | $33.11 | $38.02 | $52.48 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $134.90 Typical High $190.55 | Professional | TC · Technical part | $91.20 | $134.90 | $190.55 |
CareSource Setting Facility Modifier None Typical Low $28.18 Median $77.62 Typical High $204.17 | Facility | None | $28.18 | $77.62 | $204.17 |
CareSource Setting Professional Modifier None (both parts) Typical Low $23.99 Median $23.99 Typical High $26.92 | Professional | None (both parts) | $23.99 | $23.99 | $26.92 |
Cigna Setting Professional Modifier None (both parts) Typical Low $75.86 Median $91.20 Typical High $173.78 | Professional | None (both parts) | $75.86 | $91.20 | $173.78 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $33.11 Typical High $63.10 | Professional | 26 · Professional part | $26.92 | $33.11 | $63.10 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $47.86 Median $57.54 Typical High $114.82 | Professional | TC · Technical part | $47.86 | $57.54 | $114.82 |
Medical Mutual of Ohio Setting Professional Modifier None (both parts) Typical Low $75.86 Median $91.20 Typical High $173.78 | Professional | None (both parts) | $75.86 | $91.20 | $173.78 |
Medical Mutual of Ohio Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $33.11 Typical High $63.10 | Professional | 26 · Professional part | $27.54 | $33.11 | $63.10 |
Medical Mutual of Ohio Setting Professional Modifier TC · Technical part Typical Low $47.86 Median $57.54 Typical High $109.65 | Professional | TC · Technical part | $47.86 | $57.54 | $109.65 |
Molina Setting Professional Modifier None (both parts) Typical Low $26.30 Median $83.18 Typical High $123.03 | Professional | None (both parts) | $26.30 | $83.18 | $123.03 |
SummaCare Setting Professional Modifier None (both parts) Typical Low $50.12 Median $70.79 Typical High $70.79 | Professional | None (both parts) | $50.12 | $70.79 | $70.79 |
SummaCare Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $25.12 Typical High $28.84 | Professional | 26 · Professional part | $25.12 | $25.12 | $28.84 |
United Setting Professional Modifier None (both parts) Typical Low $107.15 Median $158.49 Typical High $213.80 | Professional | None (both parts) | $107.15 | $158.49 | $213.80 |
United Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $33.11 Typical High $42.66 | Professional | 26 · Professional part | $22.91 | $33.11 | $42.66 |
United Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $125.89 Typical High $173.78 | Professional | TC · Technical part | $83.18 | $125.89 | $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 $30.90 Median $53.70 Typical High $95.50 | Facility | 52 · Reduced service | $30.90 | $53.70 | $95.50 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $12.30 Median $21.38 Typical High $38.02 | Facility | 53 · Discontinued | $12.30 | $21.38 | $38.02 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $48.98 Median $93.33 Typical High $131.83 | Facility | FX · Film X-ray | $48.98 | $93.33 | $131.83 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $30.90 Median $30.90 Typical High $53.70 | Professional | 52 · Reduced service | $30.90 | $30.90 | $53.70 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.30 Median $12.30 Typical High $21.38 | Professional | 53 · Discontinued | $12.30 | $12.30 | $21.38 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $48.98 Median $48.98 Typical High $48.98 | Professional | FX · Film X-ray | $48.98 | $48.98 | $48.98 |
Where Ohio sits
The same service costs 6.6 times more in Nebraska 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· 19th of 51
$138
NE $363FL $54.95
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.