How much rates vary
Facilitymedian $240 · 10th to 90th $166 to $324Professionalmedian $95 · 10th to 90th $56 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 $165.96 Median $223.87 Typical High $323.59 | Facility | None | $165.96 | $223.87 | $323.59 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $42.66 Median $95.50 Typical High $123.03 | Facility | 26 · Professional part | $42.66 | $95.50 | $123.03 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $97.72 Median $144.54 Typical High $213.80 | Facility | TC · Technical part | $97.72 | $144.54 | $213.80 |
Aetna Setting Professional Modifier None (both parts) Typical Low $89.13 Median $89.13 Typical High $269.15 | Professional | None (both parts) | $89.13 | $89.13 | $269.15 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $36.31 Typical High $112.20 | Professional | 26 · Professional part | $36.31 | $36.31 | $112.20 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $52.48 Median $52.48 Typical High $114.82 | Professional | TC · Technical part | $52.48 | $52.48 | $114.82 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $51.29 Typical High $51.29 | Professional | 26 · Professional part | $51.29 | $51.29 | $51.29 |
Anthem BCBS Setting Facility Modifier None Typical Low $177.83 Median $204.17 Typical High $239.88 | Facility | None | $177.83 | $204.17 | $239.88 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $83.18 Median $104.71 Typical High $147.91 | Professional | None (both parts) | $83.18 | $104.71 | $147.91 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $38.90 Typical High $56.23 | Professional | 26 · Professional part | $35.48 | $38.90 | $56.23 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $66.07 Typical High $102.33 | Professional | TC · Technical part | $66.07 | $66.07 | $102.33 |
CareSource Setting Facility Modifier None Typical Low $46.77 Median $112.20 Typical High $147.91 | Facility | None | $46.77 | $112.20 | $147.91 |
CareSource Setting Professional Modifier None (both parts) Typical Low $38.90 Median $38.90 Typical High $44.67 | Professional | None (both parts) | $38.90 | $38.90 | $44.67 |
Cigna Setting Facility Modifier None Typical Low $302.00 Median $323.59 Typical High $323.59 | Facility | None | $302.00 | $323.59 | $323.59 |
Cigna Setting Professional Modifier None (both parts) Typical Low $85.11 Median $89.13 Typical High $186.21 | Professional | None (both parts) | $85.11 | $89.13 | $186.21 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $33.11 Typical High $66.07 | Professional | 26 · Professional part | $31.62 | $33.11 | $66.07 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $53.70 Median $56.23 Typical High $120.23 | Professional | TC · Technical part | $53.70 | $56.23 | $120.23 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $302.00 Median $323.59 Typical High $323.59 | Facility | None | $302.00 | $323.59 | $323.59 |
Medical Mutual of Ohio Setting Professional Modifier None (both parts) Typical Low $85.11 Median $89.13 Typical High $186.21 | Professional | None (both parts) | $85.11 | $89.13 | $186.21 |
Medical Mutual of Ohio Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $33.11 Typical High $66.07 | Professional | 26 · Professional part | $32.36 | $33.11 | $66.07 |
Medical Mutual of Ohio Setting Professional Modifier TC · Technical part Typical Low $53.70 Median $56.23 Typical High $120.23 | Professional | TC · Technical part | $53.70 | $56.23 | $120.23 |
Molina Setting Professional Modifier None (both parts) Typical Low $39.81 Median $83.18 Typical High $138.04 | Professional | None (both parts) | $39.81 | $83.18 | $138.04 |
SummaCare Setting Professional Modifier None (both parts) Typical Low $93.33 Median $93.33 Typical High $109.65 | Professional | None (both parts) | $93.33 | $93.33 | $109.65 |
SummaCare Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $38.02 Typical High $44.67 | Professional | 26 · Professional part | $38.02 | $38.02 | $44.67 |
SummaCare Setting Professional Modifier TC · Technical part Typical Low $54.95 Median $54.95 Typical High $63.10 | Professional | TC · Technical part | $54.95 | $54.95 | $63.10 |
United Setting Professional Modifier None (both parts) Typical Low $75.86 Median $95.50 Typical High $125.89 | Professional | None (both parts) | $75.86 | $95.50 | $125.89 |
United Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $33.88 Typical High $44.67 | Professional | 26 · Professional part | $23.44 | $33.88 | $44.67 |
United Setting Professional Modifier TC · Technical part Typical Low $50.12 Median $61.66 Typical High $81.28 | Professional | TC · Technical part | $50.12 | $61.66 | $81.28 |
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 $45.71 Median $85.11 Typical High $112.20 | Facility | 52 · Reduced service | $45.71 | $85.11 | $112.20 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $18.62 Median $33.88 Typical High $45.71 | Facility | 53 · Discontinued | $18.62 | $33.88 | $45.71 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $70.79 Median $134.90 Typical High $177.83 | Facility | FX · Film X-ray | $70.79 | $134.90 | $177.83 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $44.67 Median $44.67 Typical High $72.44 | Professional | 52 · Reduced service | $44.67 | $44.67 | $72.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $17.78 Median $17.78 Typical High $28.84 | Professional | 53 · Discontinued | $17.78 | $17.78 | $28.84 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $70.79 Median $70.79 Typical High $70.79 | Professional | FX · Film X-ray | $70.79 | $70.79 | $70.79 |
Where Ohio sits
The same service costs 4.5 times more in Alaska than in Texas. 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· 44th of 51
$95.50
AK $295TX $66.07
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.