How much rates vary
Facilitymedian $115 · 10th to 90th $69 to $1,096Professionalmedian $50 · 10th to 90th $32 to $93
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 $45.71 Median $107.15 Typical High $1,023.29 | Facility | None | $45.71 | $107.15 | $1,023.29 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $14.79 Median $40.74 Typical High $53.70 | Facility | 26 · Professional part | $14.79 | $40.74 | $53.70 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $30.20 Median $63.10 Typical High $97.72 | Facility | TC · Technical part | $30.20 | $63.10 | $97.72 |
Aetna Setting Professional Modifier None (both parts) Typical Low $38.90 Median $51.29 Typical High $131.83 | Professional | None (both parts) | $38.90 | $51.29 | $131.83 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $13.49 Median $14.79 Typical High $53.70 | Professional | 26 · Professional part | $13.49 | $14.79 | $53.70 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $23.99 Median $29.51 Typical High $72.44 | Professional | TC · Technical part | $23.99 | $29.51 | $72.44 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $11.75 Median $20.89 Typical High $25.70 | Professional | 26 · Professional part | $11.75 | $20.89 | $25.70 |
Anthem BCBS Setting Facility Modifier None Typical Low $870.96 Median $1,000.00 Typical High $1,174.90 | Facility | None | $870.96 | $1,000.00 | $1,174.90 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $44.67 Median $58.88 Typical High $91.20 | Professional | None (both parts) | $44.67 | $58.88 | $91.20 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $15.85 Median $17.38 Typical High $28.18 | Professional | 26 · Professional part | $15.85 | $17.38 | $28.18 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $29.51 Median $40.74 Typical High $63.10 | Professional | TC · Technical part | $29.51 | $40.74 | $63.10 |
Aultcare Setting Professional Modifier None (both parts) Typical Low $45.71 Median $45.71 Typical High $51.29 | Professional | None (both parts) | $45.71 | $45.71 | $51.29 |
Cigna Setting Facility Modifier None Typical Low $74.13 Median $87.10 Typical High $1,202.26 | Facility | None | $74.13 | $87.10 | $1,202.26 |
Cigna Setting Professional Modifier None (both parts) Typical Low $34.67 Median $46.77 Typical High $112.20 | Professional | None (both parts) | $34.67 | $46.77 | $112.20 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $14.45 Median $17.38 Typical High $32.36 | Professional | 26 · Professional part | $14.45 | $17.38 | $32.36 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $20.89 Median $29.51 Typical High $70.79 | Professional | TC · Technical part | $20.89 | $29.51 | $70.79 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $74.13 Median $114.82 Typical High $1,202.26 | Facility | None | $74.13 | $114.82 | $1,202.26 |
Medical Mutual of Ohio Setting Professional Modifier None (both parts) Typical Low $35.48 Median $44.67 Typical High $117.49 | Professional | None (both parts) | $35.48 | $44.67 | $117.49 |
Medical Mutual of Ohio Setting Professional Modifier 26 · Professional part Typical Low $14.45 Median $18.20 Typical High $40.74 | Professional | 26 · Professional part | $14.45 | $18.20 | $40.74 |
Medical Mutual of Ohio Setting Professional Modifier TC · Technical part Typical Low $20.89 Median $28.18 Typical High $79.43 | Professional | TC · Technical part | $20.89 | $28.18 | $79.43 |
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 $40.74 Median $44.67 Typical High $81.28 | Professional | None (both parts) | $40.74 | $44.67 | $81.28 |
SummaCare Setting Professional Modifier 26 · Professional part Typical Low $15.49 Median $16.98 Typical High $23.99 | Professional | 26 · Professional part | $15.49 | $16.98 | $23.99 |
SummaCare Setting Professional Modifier TC · Technical part Typical Low $25.70 Median $28.18 Typical High $54.95 | Professional | TC · Technical part | $25.70 | $28.18 | $54.95 |
United Setting Facility Modifier None Typical Low $724.44 Median $831.76 Typical High $1,202.26 | Facility | None | $724.44 | $831.76 | $1,202.26 |
United Setting Professional Modifier None (both parts) Typical Low $35.48 Median $48.98 Typical High $83.18 | Professional | None (both parts) | $35.48 | $48.98 | $83.18 |
United Setting Professional Modifier 26 · Professional part Typical Low $10.72 Median $16.22 Typical High $30.20 | Professional | 26 · Professional part | $10.72 | $16.22 | $30.20 |
United Setting Professional Modifier TC · Technical part Typical Low $19.95 Median $33.88 Typical High $61.66 | Professional | TC · Technical part | $19.95 | $33.88 | $61.66 |
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 $20.89 Median $48.98 Typical High $549.54 | Facility | 52 · Reduced service | $20.89 | $48.98 | $549.54 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $8.32 Median $19.50 Typical High $218.78 | Facility | 53 · Discontinued | $8.32 | $19.50 | $218.78 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $30.90 Median $77.62 Typical High $812.83 | Facility | FX · Film X-ray | $30.90 | $77.62 | $812.83 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $19.50 Median $19.50 Typical High $93.33 | Professional | 52 · Reduced service | $19.50 | $19.50 | $93.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.76 Median $7.76 Typical High $38.02 | Professional | 53 · Discontinued | $7.76 | $7.76 | $38.02 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $30.90 Median $30.90 Typical High $35.48 | Professional | FX · Film X-ray | $30.90 | $30.90 | $35.48 |
Where Ohio sits
The same service costs 3.8 times more in Alaska than in New York. 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· 35th of 51
$51.29
AK $115NY $30.20
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.