How much rates vary
Facilitymedian $141 · 10th to 90th $62 to $324Professionalmedian $55 · 10th to 90th $34 to $102
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 $51.29 Median $141.25 Typical High $302.00 | Facility | None | $51.29 | $141.25 | $302.00 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $21.38 Median $61.66 Typical High $75.86 | Facility | 26 · Professional part | $21.38 | $61.66 | $75.86 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $38.90 Median $67.61 Typical High $97.72 | Facility | TC · Technical part | $38.90 | $67.61 | $97.72 |
Aetna Setting Professional Modifier None (both parts) Typical Low $43.65 Median $43.65 Typical High $194.98 | Professional | None (both parts) | $43.65 | $43.65 | $194.98 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $21.38 Median $21.38 Typical High $107.15 | Professional | 26 · Professional part | $21.38 | $21.38 | $107.15 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $22.39 Median $22.39 Typical High $75.86 | Professional | TC · Technical part | $22.39 | $22.39 | $75.86 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $41.69 Median $41.69 Typical High $41.69 | Professional | None (both parts) | $41.69 | $41.69 | $41.69 |
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 $47.86 Median $67.61 Typical High $104.71 | Professional | None (both parts) | $47.86 | $67.61 | $104.71 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $30.90 Typical High $47.86 | Professional | 26 · Professional part | $26.92 | $30.90 | $47.86 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $31.62 Median $37.15 Typical High $58.88 | Professional | TC · Technical part | $31.62 | $37.15 | $58.88 |
Cigna Setting Facility Modifier None Typical Low $69.18 Median $117.49 Typical High $363.08 | Facility | None | $69.18 | $117.49 | $363.08 |
Cigna Setting Professional Modifier None (both parts) Typical Low $42.66 Median $51.29 Typical High $123.03 | Professional | None (both parts) | $42.66 | $51.29 | $123.03 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $20.89 Median $23.99 Typical High $52.48 | Professional | 26 · Professional part | $20.89 | $23.99 | $52.48 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $21.38 Median $25.70 Typical High $72.44 | Professional | TC · Technical part | $21.38 | $25.70 | $72.44 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $74.13 Median $134.90 Typical High $363.08 | Facility | None | $74.13 | $134.90 | $363.08 |
Medical Mutual of Ohio Setting Professional Modifier None (both parts) Typical Low $42.66 Median $47.86 Typical High $123.03 | Professional | None (both parts) | $42.66 | $47.86 | $123.03 |
Medical Mutual of Ohio Setting Professional Modifier 26 · Professional part Typical Low $20.89 Median $21.38 Typical High $52.48 | Professional | 26 · Professional part | $20.89 | $21.38 | $52.48 |
Medical Mutual of Ohio Setting Professional Modifier TC · Technical part Typical Low $21.38 Median $23.44 Typical High $72.44 | Professional | TC · Technical part | $21.38 | $23.44 | $72.44 |
Molina Setting Professional Modifier None (both parts) Typical Low $26.30 Median $38.90 Typical High $54.95 | Professional | None (both parts) | $26.30 | $38.90 | $54.95 |
SummaCare Setting Professional Modifier None (both parts) Typical Low $46.77 Median $46.77 Typical High $72.44 | Professional | None (both parts) | $46.77 | $46.77 | $72.44 |
SummaCare Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $22.91 Typical High $34.67 | Professional | 26 · Professional part | $22.91 | $22.91 | $34.67 |
SummaCare Setting Professional Modifier TC · Technical part Typical Low $24.55 Median $24.55 Typical High $37.15 | Professional | TC · Technical part | $24.55 | $24.55 | $37.15 |
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 $41.69 Median $54.95 Typical High $89.13 | Professional | None (both parts) | $41.69 | $54.95 | $89.13 |
United Setting Professional Modifier 26 · Professional part Typical Low $18.20 Median $25.70 Typical High $41.69 | Professional | 26 · Professional part | $18.20 | $25.70 | $41.69 |
United Setting Professional Modifier TC · Technical part Typical Low $21.38 Median $29.51 Typical High $52.48 | Professional | TC · Technical part | $21.38 | $29.51 | $52.48 |
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 $21.88 Median $45.71 Typical High $162.18 | Facility | 52 · Reduced service | $21.88 | $45.71 | $162.18 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $8.71 Median $18.20 Typical High $66.07 | Facility | 53 · Discontinued | $8.71 | $18.20 | $66.07 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $34.67 Median $72.44 Typical High $239.88 | Facility | FX · Film X-ray | $34.67 | $72.44 | $239.88 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $21.88 Median $21.88 Typical High $100.00 | Professional | 52 · Reduced service | $21.88 | $21.88 | $100.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.71 Median $8.71 Typical High $39.81 | Professional | 53 · Discontinued | $8.71 | $8.71 | $39.81 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $34.67 Median $34.67 Typical High $34.67 | Professional | FX · Film X-ray | $34.67 | $34.67 | $34.67 |
Where Ohio sits
The same service costs 4.5 times more in Alaska than in Utah. 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
$54.95
AK $141UT $31.62
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.