How much rates vary
Facilitymedian $126 · 10th to 90th $49 to $324Professionalmedian $56 · 10th to 90th $38 to $120
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 $44.67 Median $125.89 Typical High $302.00 | Facility | None | $44.67 | $125.89 | $302.00 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $35.48 Median $79.43 Typical High $114.82 | Facility | 26 · Professional part | $35.48 | $79.43 | $114.82 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $28.18 Median $45.71 Typical High $79.43 | Facility | TC · Technical part | $28.18 | $45.71 | $79.43 |
Aetna Setting Professional Modifier None (both parts) Typical Low $45.71 Median $45.71 Typical High $194.98 | Professional | None (both parts) | $45.71 | $45.71 | $194.98 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $28.84 Typical High $114.82 | Professional | 26 · Professional part | $28.84 | $28.84 | $114.82 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $16.60 Median $16.60 Typical High $54.95 | Professional | TC · Technical part | $16.60 | $16.60 | $54.95 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $37.15 Median $47.86 Typical High $60.26 | Professional | None (both parts) | $37.15 | $47.86 | $60.26 |
Anthem BCBS Setting Facility Modifier None Typical Low $257.04 Median $295.12 Typical High $346.74 | Facility | None | $257.04 | $295.12 | $346.74 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $51.29 Median $91.20 Typical High $128.82 | Professional | None (both parts) | $51.29 | $91.20 | $128.82 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $58.88 Typical High $97.72 | Professional | 26 · Professional part | $38.02 | $58.88 | $97.72 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $26.30 Median $39.81 Typical High $60.26 | Professional | TC · Technical part | $26.30 | $39.81 | $60.26 |
CareSource Setting Professional Modifier None (both parts) Typical Low $15.49 Median $30.90 Typical High $53.70 | Professional | None (both parts) | $15.49 | $30.90 | $53.70 |
Cigna Setting Facility Modifier None Typical Low $50.12 Median $85.11 Typical High $363.08 | Facility | None | $50.12 | $85.11 | $363.08 |
Cigna Setting Professional Modifier None (both parts) Typical Low $45.71 Median $53.70 Typical High $147.91 | Professional | None (both parts) | $45.71 | $53.70 | $147.91 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $32.36 Typical High $87.10 | Professional | 26 · Professional part | $28.84 | $32.36 | $87.10 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $17.78 Median $19.05 Typical High $69.18 | Professional | TC · Technical part | $17.78 | $19.05 | $69.18 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $54.95 Median $114.82 Typical High $363.08 | Facility | None | $54.95 | $114.82 | $363.08 |
Medical Mutual of Ohio Setting Professional Modifier None (both parts) Typical Low $45.71 Median $51.29 Typical High $147.91 | Professional | None (both parts) | $45.71 | $51.29 | $147.91 |
Medical Mutual of Ohio Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $29.51 Typical High $87.10 | Professional | 26 · Professional part | $28.84 | $29.51 | $87.10 |
Medical Mutual of Ohio Setting Professional Modifier TC · Technical part Typical Low $17.78 Median $19.05 Typical High $67.61 | Professional | TC · Technical part | $17.78 | $19.05 | $67.61 |
Molina Setting Professional Modifier None (both parts) Typical Low $30.20 Median $51.29 Typical High $95.50 | Professional | None (both parts) | $30.20 | $51.29 | $95.50 |
SummaCare Setting Professional Modifier None (both parts) Typical Low $48.98 Median $48.98 Typical High $72.44 | Professional | None (both parts) | $48.98 | $48.98 | $72.44 |
SummaCare Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $30.90 Typical High $46.77 | Professional | 26 · Professional part | $30.90 | $30.90 | $46.77 |
SummaCare Setting Professional Modifier TC · Technical part Typical Low $17.78 Median $17.78 Typical High $26.30 | Professional | TC · Technical part | $17.78 | $17.78 | $26.30 |
United Setting Facility Modifier None Typical Low $213.80 Median $251.19 Typical High $354.81 | Facility | None | $213.80 | $251.19 | $354.81 |
United Setting Professional Modifier None (both parts) Typical Low $45.71 Median $67.61 Typical High $112.20 | Professional | None (both parts) | $45.71 | $67.61 | $112.20 |
United Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $37.15 Typical High $58.88 | Professional | 26 · Professional part | $27.54 | $37.15 | $58.88 |
United Setting Professional Modifier TC · Technical part Typical Low $17.38 Median $33.11 Typical High $56.23 | Professional | TC · Technical part | $17.38 | $33.11 | $56.23 |
7 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 $19.05 Median $33.88 Typical High $162.18 | Facility | 52 · Reduced service | $19.05 | $33.88 | $162.18 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $7.59 Median $13.49 Typical High $66.07 | Facility | 53 · Discontinued | $7.59 | $13.49 | $66.07 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $30.20 Median $53.70 Typical High $239.88 | Facility | FX · Film X-ray | $30.20 | $53.70 | $239.88 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $22.91 Median $22.91 Typical High $100.00 | Professional | 52 · Reduced service | $22.91 | $22.91 | $100.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $9.12 Median $9.12 Typical High $40.74 | Professional | 53 · Discontinued | $9.12 | $9.12 | $40.74 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $36.31 Median $36.31 Typical High $36.31 | Professional | FX · Film X-ray | $36.31 | $36.31 | $36.31 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $102.33 Median $141.25 Typical High $213.80 | Professional | 50 · Both sides | $102.33 | $141.25 | $213.80 |
Where Ohio sits
The same service costs 3.8 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· 43rd of 51
$57.54
AK $151TX $39.81
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.