How much rates vary
Facilitymedian $145 · 10th to 90th $100 to $302Professionalmedian $95 · 10th to 90th $41 to $178
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 $83.18 Median $229.09 Typical High $302.00 | Facility | None | $83.18 | $229.09 | $302.00 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $44.67 Median $138.04 Typical High $169.82 | Facility | 26 · Professional part | $44.67 | $138.04 | $169.82 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $45.71 Median $107.15 Typical High $154.88 | Facility | TC · Technical part | $45.71 | $107.15 | $154.88 |
Aetna Setting Professional Modifier None (both parts) Typical Low $83.18 Median $83.18 Typical High $302.00 | Professional | None (both parts) | $83.18 | $83.18 | $302.00 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $44.67 Typical High $169.82 | Professional | 26 · Professional part | $43.65 | $44.67 | $169.82 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $38.02 Median $38.02 Typical High $104.71 | Professional | TC · Technical part | $38.02 | $38.02 | $104.71 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $69.18 Median $89.13 Typical High $89.13 | Professional | None (both parts) | $69.18 | $89.13 | $89.13 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $48.98 Typical High $48.98 | Professional | 26 · Professional part | $48.98 | $48.98 | $48.98 |
Anthem BCBS Setting Facility Modifier None Typical Low $123.03 Median $144.54 Typical High $169.82 | Facility | None | $123.03 | $144.54 | $169.82 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $81.28 Median $112.20 Typical High $208.93 | Professional | None (both parts) | $81.28 | $112.20 | $208.93 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $67.61 Typical High $131.83 | Professional | 26 · Professional part | $52.48 | $67.61 | $131.83 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $42.66 Median $45.71 Typical High $70.79 | Professional | TC · Technical part | $42.66 | $45.71 | $70.79 |
Aultcare Setting Professional Modifier None (both parts) Typical Low $97.72 Median $97.72 Typical High $102.33 | Professional | None (both parts) | $97.72 | $97.72 | $102.33 |
Cigna Setting Facility Modifier None Typical Low $128.82 Median $138.04 Typical High $138.04 | Facility | None | $128.82 | $138.04 | $138.04 |
Cigna Setting Professional Modifier None (both parts) Typical Low $81.28 Median $91.20 Typical High $181.97 | Professional | None (both parts) | $81.28 | $91.20 | $181.97 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $48.98 Typical High $91.20 | Professional | 26 · Professional part | $44.67 | $48.98 | $91.20 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $36.31 Median $41.69 Typical High $93.33 | Professional | TC · Technical part | $36.31 | $41.69 | $93.33 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $128.82 Median $138.04 Typical High $234.42 | Facility | None | $128.82 | $138.04 | $234.42 |
Medical Mutual of Ohio Setting Professional Modifier None (both parts) Typical Low $81.28 Median $91.20 Typical High $181.97 | Professional | None (both parts) | $81.28 | $91.20 | $181.97 |
Medical Mutual of Ohio Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $53.70 Typical High $138.04 | Professional | 26 · Professional part | $45.71 | $53.70 | $138.04 |
Medical Mutual of Ohio Setting Professional Modifier TC · Technical part Typical Low $36.31 Median $38.02 Typical High $93.33 | Professional | TC · Technical part | $36.31 | $38.02 | $93.33 |
Molina Setting Professional Modifier None (both parts) Typical Low $30.90 Median $54.95 Typical High $144.54 | Professional | None (both parts) | $30.90 | $54.95 | $144.54 |
SummaCare Setting Professional Modifier None (both parts) Typical Low $87.10 Median $87.10 Typical High $131.83 | Professional | None (both parts) | $87.10 | $87.10 | $131.83 |
SummaCare Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $47.86 Typical High $72.44 | Professional | 26 · Professional part | $47.86 | $47.86 | $72.44 |
SummaCare Setting Professional Modifier TC · Technical part Typical Low $39.81 Median $39.81 Typical High $66.07 | Professional | TC · Technical part | $39.81 | $39.81 | $66.07 |
United Setting Professional Modifier None (both parts) Typical Low $67.61 Median $93.33 Typical High $162.18 | Professional | None (both parts) | $67.61 | $93.33 | $162.18 |
United Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $48.98 Typical High $89.13 | Professional | 26 · Professional part | $32.36 | $48.98 | $89.13 |
United Setting Professional Modifier TC · Technical part Typical Low $34.67 Median $42.66 Typical High $74.13 | Professional | TC · Technical part | $34.67 | $42.66 | $74.13 |
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 $41.69 Median $58.88 Typical High $79.43 | Facility | 52 · Reduced service | $41.69 | $58.88 | $79.43 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $16.60 Median $23.44 Typical High $31.62 | Facility | 53 · Discontinued | $16.60 | $23.44 | $31.62 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $66.07 Median $95.50 Typical High $128.82 | Facility | FX · Film X-ray | $66.07 | $95.50 | $128.82 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $41.69 Median $41.69 Typical High $186.21 | Professional | 52 · Reduced service | $41.69 | $41.69 | $186.21 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $16.60 Median $16.60 Typical High $74.13 | Professional | 53 · Discontinued | $16.60 | $16.60 | $74.13 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $66.07 Median $66.07 Typical High $66.07 | Professional | FX · Film X-ray | $66.07 | $66.07 | $66.07 |
Where Ohio sits
The same service costs 4.2 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· 39th of 51
$95.50
AK $275TX $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.