How much rates vary
Facilitymedian $30 · 10th to 90th $10 to $74Professionalmedian $12 · 10th to 90th $9 to $22
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 $9.12 Median $33.88 Typical High $67.61 | Facility | None | $9.12 | $33.88 | $67.61 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $7.41 Median $21.88 Typical High $26.92 | Facility | 26 · Professional part | $7.41 | $21.88 | $26.92 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $4.79 Median $10.23 Typical High $14.45 | Facility | TC · Technical part | $4.79 | $10.23 | $14.45 |
Aetna Setting Professional Modifier None (both parts) Typical Low $10.72 Median $10.72 Typical High $37.15 | Professional | None (both parts) | $10.72 | $10.72 | $37.15 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $7.41 Median $7.41 Typical High $25.12 | Professional | 26 · Professional part | $7.41 | $7.41 | $25.12 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $3.39 Median $3.39 Typical High $9.33 | Professional | TC · Technical part | $3.39 | $3.39 | $9.33 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $8.91 Median $12.30 Typical High $12.30 | Professional | None (both parts) | $8.91 | $12.30 | $12.30 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $9.77 Median $9.77 Typical High $10.47 | Professional | 26 · Professional part | $9.77 | $9.77 | $10.47 |
Anthem BCBS Setting Facility Modifier None Typical Low $57.54 Median $67.61 Typical High $79.43 | Facility | None | $57.54 | $67.61 | $79.43 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $10.47 Median $12.59 Typical High $19.95 | Professional | None (both parts) | $10.47 | $12.59 | $19.95 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $8.51 Median $10.47 Typical High $14.45 | Professional | 26 · Professional part | $8.51 | $10.47 | $14.45 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $1.95 Median $2.57 Typical High $5.01 | Professional | TC · Technical part | $1.95 | $2.57 | $5.01 |
CareSource Setting Professional Modifier None (both parts) Typical Low $3.31 Median $7.76 Typical High $12.88 | Professional | None (both parts) | $3.31 | $7.76 | $12.88 |
Cigna Setting Facility Modifier None Typical Low $10.23 Median $15.49 Typical High $87.10 | Facility | None | $10.23 | $15.49 | $87.10 |
Cigna Setting Professional Modifier None (both parts) Typical Low $10.72 Median $12.30 Typical High $22.91 | Professional | None (both parts) | $10.72 | $12.30 | $22.91 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $7.24 Median $8.13 Typical High $17.38 | Professional | 26 · Professional part | $7.24 | $8.13 | $17.38 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $3.16 Median $3.55 Typical High $7.76 | Professional | TC · Technical part | $3.16 | $3.55 | $7.76 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $11.22 Median $15.85 Typical High $100.00 | Facility | None | $11.22 | $15.85 | $100.00 |
Medical Mutual of Ohio Setting Professional Modifier None (both parts) Typical Low $10.72 Median $11.22 Typical High $22.91 | Professional | None (both parts) | $10.72 | $11.22 | $22.91 |
Medical Mutual of Ohio Setting Professional Modifier 26 · Professional part Typical Low $7.08 Median $7.59 Typical High $17.38 | Professional | 26 · Professional part | $7.08 | $7.59 | $17.38 |
Medical Mutual of Ohio Setting Professional Modifier TC · Technical part Typical Low $3.31 Median $3.47 Typical High $7.41 | Professional | TC · Technical part | $3.31 | $3.47 | $7.41 |
Molina Setting Professional Modifier None (both parts) Typical Low $2.88 Median $6.03 Typical High $9.55 | Professional | None (both parts) | $2.88 | $6.03 | $9.55 |
SummaCare Setting Professional Modifier None (both parts) Typical Low $11.75 Median $15.49 Typical High $18.20 | Professional | None (both parts) | $11.75 | $15.49 | $18.20 |
SummaCare Setting Professional Modifier 26 · Professional part Typical Low $7.76 Median $10.23 Typical High $12.30 | Professional | 26 · Professional part | $7.76 | $10.23 | $12.30 |
SummaCare Setting Professional Modifier TC · Technical part Typical Low $3.89 Median $5.25 Typical High $6.03 | Professional | TC · Technical part | $3.89 | $5.25 | $6.03 |
United Setting Facility Modifier None Typical Low $58.88 Median $69.18 Typical High $97.72 | Facility | None | $58.88 | $69.18 | $97.72 |
United Setting Professional Modifier None (both parts) Typical Low $8.32 Median $12.30 Typical High $21.38 | Professional | None (both parts) | $8.32 | $12.30 | $21.38 |
United Setting Professional Modifier 26 · Professional part Typical Low $6.03 Median $8.51 Typical High $14.45 | Professional | 26 · Professional part | $6.03 | $8.51 | $14.45 |
United Setting Professional Modifier TC · Technical part Typical Low $2.29 Median $3.89 Typical High $6.76 | Professional | TC · Technical part | $2.29 | $3.89 | $6.76 |
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 $3.89 Median $6.92 Typical High $37.15 | Facility | 52 · Reduced service | $3.89 | $6.92 | $37.15 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $1.55 Median $2.75 Typical High $14.79 | Facility | 53 · Discontinued | $1.55 | $2.75 | $14.79 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $6.17 Median $10.96 Typical High $54.95 | Facility | FX · Film X-ray | $6.17 | $10.96 | $54.95 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $5.37 Median $5.37 Typical High $19.95 | Professional | 52 · Reduced service | $5.37 | $5.37 | $19.95 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.14 Median $2.14 Typical High $7.94 | Professional | 53 · Discontinued | $2.14 | $2.14 | $7.94 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $8.71 Median $8.71 Typical High $8.71 | Professional | FX · Film X-ray | $8.71 | $8.71 | $8.71 |
Ambetter Setting Professional Modifier 59 · Distinct service Typical Low $8.91 Median $8.91 Typical High $8.91 | Professional | 59 · Distinct service | $8.91 | $8.91 | $8.91 |
Where Ohio sits
The same service costs 3.9 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· 43rd of 51
$12.30
AK $35.48FL $9.12
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.