How much rates vary
Facilitymedian $178 · 10th to 90th $76 to $363Professionalmedian $72 · 10th to 90th $38 to $115
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 $61.66 Median $147.91 Typical High $302.00 | Facility | None | $61.66 | $147.91 | $302.00 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $27.54 Median $50.12 Typical High $91.20 | Facility | 26 · Professional part | $27.54 | $50.12 | $91.20 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $33.11 Median $74.13 Typical High $158.49 | Facility | TC · Technical part | $33.11 | $74.13 | $158.49 |
Aetna Setting Professional Modifier None (both parts) Typical Low $53.70 Median $64.57 Typical High $239.88 | Professional | None (both parts) | $53.70 | $64.57 | $239.88 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $26.30 Typical High $87.10 | Professional | 26 · Professional part | $26.30 | $26.30 | $87.10 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $27.54 Median $28.18 Typical High $97.72 | Professional | TC · Technical part | $27.54 | $28.18 | $97.72 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $39.81 Median $45.71 Typical High $46.77 | Professional | None (both parts) | $39.81 | $45.71 | $46.77 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $22.91 Typical High $44.67 | Professional | 26 · Professional part | $21.88 | $22.91 | $44.67 |
Ambetter Setting Professional Modifier TC · Technical part Typical Low $27.54 Median $27.54 Typical High $27.54 | Professional | TC · Technical part | $27.54 | $27.54 | $27.54 |
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 $58.88 Median $74.13 Typical High $117.49 | Professional | None (both parts) | $58.88 | $74.13 | $117.49 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $28.84 Typical High $44.67 | Professional | 26 · Professional part | $27.54 | $28.84 | $44.67 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $38.90 Median $45.71 Typical High $75.86 | Professional | TC · Technical part | $38.90 | $45.71 | $75.86 |
Aultcare Setting Professional Modifier None (both parts) Typical Low $67.61 Median $70.79 Typical High $117.49 | Professional | None (both parts) | $67.61 | $70.79 | $117.49 |
CareSource Setting Professional Modifier None (both parts) Typical Low $25.70 Median $34.67 Typical High $64.57 | Professional | None (both parts) | $25.70 | $34.67 | $64.57 |
Cigna Setting Facility Modifier None Typical Low $87.10 Median $151.36 Typical High $363.08 | Facility | None | $87.10 | $151.36 | $363.08 |
Cigna Setting Professional Modifier None (both parts) Typical Low $63.10 Median $72.44 Typical High $147.91 | Professional | None (both parts) | $63.10 | $72.44 | $147.91 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $27.54 Typical High $50.12 | Professional | 26 · Professional part | $25.70 | $27.54 | $50.12 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $33.88 Median $44.67 Typical High $87.10 | Professional | TC · Technical part | $33.88 | $44.67 | $87.10 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $107.15 Median $213.80 Typical High $407.38 | Facility | None | $107.15 | $213.80 | $407.38 |
Medical Mutual of Ohio Setting Professional Modifier None (both parts) Typical Low $64.57 Median $72.44 Typical High $147.91 | Professional | None (both parts) | $64.57 | $72.44 | $147.91 |
Medical Mutual of Ohio Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $29.51 Typical High $67.61 | Professional | 26 · Professional part | $25.70 | $29.51 | $67.61 |
Medical Mutual of Ohio Setting Professional Modifier TC · Technical part Typical Low $34.67 Median $44.67 Typical High $87.10 | Professional | TC · Technical part | $34.67 | $44.67 | $87.10 |
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 $42.66 Median $46.77 Typical High $120.23 | Professional | None (both parts) | $42.66 | $46.77 | $120.23 |
SummaCare Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $26.92 Typical High $46.77 | Professional | 26 · Professional part | $26.92 | $26.92 | $46.77 |
SummaCare Setting Professional Modifier TC · Technical part Typical Low $15.85 Median $15.85 Typical High $35.48 | Professional | TC · Technical part | $15.85 | $15.85 | $35.48 |
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 $56.23 Median $77.62 Typical High $120.23 | Professional | None (both parts) | $56.23 | $77.62 | $120.23 |
United Setting Professional Modifier 26 · Professional part Typical Low $18.62 Median $28.18 Typical High $51.29 | Professional | 26 · Professional part | $18.62 | $28.18 | $51.29 |
United Setting Professional Modifier TC · Technical part Typical Low $37.15 Median $51.29 Typical High $79.43 | Professional | TC · Technical part | $37.15 | $51.29 | $79.43 |
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 $26.92 Median $56.23 Typical High $162.18 | Facility | 52 · Reduced service | $26.92 | $56.23 | $162.18 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $10.72 Median $22.39 Typical High $66.07 | Facility | 53 · Discontinued | $10.72 | $22.39 | $66.07 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $42.66 Median $89.13 Typical High $239.88 | Facility | FX · Film X-ray | $42.66 | $89.13 | $239.88 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $26.92 Median $26.92 Typical High $131.83 | Professional | 52 · Reduced service | $26.92 | $26.92 | $131.83 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.72 Median $10.72 Typical High $52.48 | Professional | 53 · Discontinued | $10.72 | $10.72 | $52.48 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $42.66 Median $42.66 Typical High $42.66 | Professional | FX · Film X-ray | $42.66 | $42.66 | $42.66 |
Where Ohio sits
The same service costs 4.1 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· 41st of 51
$72.44
AK $195TX $47.86
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.