How much rates vary
Facilitymedian $95 · 10th to 90th $78 to $316Professionalmedian $95 · 10th to 90th $76 to $151
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 $77.62 Median $102.33 Typical High $316.23 | Facility | None | $77.62 | $102.33 | $316.23 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $24.55 Median $74.13 Typical High $91.20 | Facility | 26 · Professional part | $24.55 | $74.13 | $91.20 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $79.43 Median $190.55 Typical High $288.40 | Facility | TC · Technical part | $79.43 | $190.55 | $288.40 |
Aetna Setting Professional Modifier None (both parts) Typical Low $93.33 Median $93.33 Typical High $257.04 | Professional | None (both parts) | $93.33 | $93.33 | $257.04 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $24.55 Median $24.55 Typical High $83.18 | Professional | 26 · Professional part | $24.55 | $24.55 | $83.18 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $69.18 Typical High $79.43 | Professional | TC · Technical part | $69.18 | $69.18 | $79.43 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $24.55 Median $24.55 Typical High $32.36 | Professional | 26 · Professional part | $24.55 | $24.55 | $32.36 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $93.33 Median $95.50 Typical High $144.54 | Professional | None (both parts) | $93.33 | $95.50 | $144.54 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $29.51 Typical High $40.74 | Professional | 26 · Professional part | $26.92 | $29.51 | $40.74 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $66.07 Typical High $104.71 | Professional | TC · Technical part | $66.07 | $66.07 | $104.71 |
CareSource Setting Facility Modifier None Typical Low $31.62 Median $120.23 Typical High $165.96 | Facility | None | $31.62 | $120.23 | $165.96 |
CareSource Setting Professional Modifier None (both parts) Typical Low $26.30 Median $26.30 Typical High $30.20 | Professional | None (both parts) | $26.30 | $26.30 | $30.20 |
Cigna Setting Facility Modifier None Typical Low $79.43 Median $85.11 Typical High $85.11 | Facility | None | $79.43 | $85.11 | $85.11 |
Cigna Setting Professional Modifier None (both parts) Typical Low $93.33 Median $100.00 Typical High $194.98 | Professional | None (both parts) | $93.33 | $100.00 | $194.98 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $24.55 Median $25.70 Typical High $50.12 | Professional | 26 · Professional part | $24.55 | $25.70 | $50.12 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $72.44 Typical High $144.54 | Professional | TC · Technical part | $69.18 | $72.44 | $144.54 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $79.43 Median $85.11 Typical High $85.11 | Facility | None | $79.43 | $85.11 | $85.11 |
Medical Mutual of Ohio Setting Professional Modifier None (both parts) Typical Low $93.33 Median $100.00 Typical High $194.98 | Professional | None (both parts) | $93.33 | $100.00 | $194.98 |
Medical Mutual of Ohio Setting Professional Modifier 26 · Professional part Typical Low $24.55 Median $25.70 Typical High $50.12 | Professional | 26 · Professional part | $24.55 | $25.70 | $50.12 |
Medical Mutual of Ohio Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $72.44 Typical High $141.25 | Professional | TC · Technical part | $69.18 | $72.44 | $141.25 |
Molina Setting Professional Modifier None (both parts) Typical Low $21.38 Median $32.36 Typical High $100.00 | Professional | None (both parts) | $21.38 | $32.36 | $100.00 |
SummaCare Setting Professional Modifier None (both parts) Typical Low $112.20 Median $112.20 Typical High $131.83 | Professional | None (both parts) | $112.20 | $112.20 | $131.83 |
SummaCare Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $25.70 Typical High $30.20 | Professional | 26 · Professional part | $25.70 | $25.70 | $30.20 |
SummaCare Setting Professional Modifier TC · Technical part Typical Low $87.10 Median $87.10 Typical High $100.00 | Professional | TC · Technical part | $87.10 | $87.10 | $100.00 |
United Setting Professional Modifier None (both parts) Typical Low $87.10 Median $114.82 Typical High $151.36 | Professional | None (both parts) | $87.10 | $114.82 | $151.36 |
United Setting Professional Modifier 26 · Professional part Typical Low $17.78 Median $25.70 Typical High $33.11 | Professional | 26 · Professional part | $17.78 | $25.70 | $33.11 |
United Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $87.10 Typical High $117.49 | Professional | TC · Technical part | $69.18 | $87.10 | $117.49 |
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 $38.90 Median $79.43 Typical High $144.54 | Facility | 52 · Reduced service | $38.90 | $79.43 | $144.54 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $15.49 Median $31.62 Typical High $57.54 | Facility | 53 · Discontinued | $15.49 | $31.62 | $57.54 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $61.66 Median $125.89 Typical High $234.42 | Facility | FX · Film X-ray | $61.66 | $125.89 | $234.42 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $46.77 Median $46.77 Typical High $74.13 | Professional | 52 · Reduced service | $46.77 | $46.77 | $74.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $18.62 Median $18.62 Typical High $29.51 | Professional | 53 · Discontinued | $18.62 | $18.62 | $29.51 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $74.13 Median $74.13 Typical High $74.13 | Professional | FX · Film X-ray | $74.13 | $74.13 | $74.13 |
Where Ohio sits
The same service costs 4.0 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· 48th of 51
$95.50
AK $302FL $75.86
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.