How much rates vary
Facilitymedian $214 · 10th to 90th $105 to $407Professionalmedian $83 · 10th to 90th $49 to $151
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 $85.11 Median $208.93 Typical High $302.00 | Facility | None | $85.11 | $208.93 | $302.00 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $30.20 Median $56.23 Typical High $109.65 | Facility | 26 · Professional part | $30.20 | $56.23 | $109.65 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $52.48 Median $120.23 Typical High $158.49 | Facility | TC · Technical part | $52.48 | $120.23 | $158.49 |
Aetna Setting Professional Modifier None (both parts) Typical Low $75.86 Median $83.18 Typical High $251.19 | Professional | None (both parts) | $75.86 | $83.18 | $251.19 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $30.20 Typical High $100.00 | Professional | 26 · Professional part | $29.51 | $30.20 | $100.00 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $45.71 Median $50.12 Typical High $125.89 | Professional | TC · Technical part | $45.71 | $50.12 | $125.89 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $52.48 Median $77.62 Typical High $89.13 | Professional | None (both parts) | $52.48 | $77.62 | $89.13 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $30.90 Typical High $50.12 | Professional | 26 · Professional part | $23.99 | $30.90 | $50.12 |
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 $48.98 Median $83.18 Typical High $125.89 | Professional | None (both parts) | $48.98 | $83.18 | $125.89 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $35.48 Typical High $54.95 | Professional | 26 · Professional part | $33.11 | $35.48 | $54.95 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $48.98 Median $48.98 Typical High $79.43 | Professional | TC · Technical part | $48.98 | $48.98 | $79.43 |
Aultcare Setting Professional Modifier None (both parts) Typical Low $89.13 Median $89.13 Typical High $154.88 | Professional | None (both parts) | $89.13 | $89.13 | $154.88 |
Aultcare Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $34.67 Typical High $60.26 | Professional | 26 · Professional part | $34.67 | $34.67 | $60.26 |
Aultcare Setting Professional Modifier TC · Technical part Typical Low $53.70 Median $53.70 Typical High $93.33 | Professional | TC · Technical part | $53.70 | $53.70 | $93.33 |
CareSource Setting Professional Modifier None (both parts) Typical Low $28.84 Median $47.86 Typical High $89.13 | Professional | None (both parts) | $28.84 | $47.86 | $89.13 |
Cigna Setting Facility Modifier None Typical Low $141.25 Median $165.96 Typical High $380.19 | Facility | None | $141.25 | $165.96 | $380.19 |
Cigna Setting Professional Modifier None (both parts) Typical Low $74.13 Median $83.18 Typical High $165.96 | Professional | None (both parts) | $74.13 | $83.18 | $165.96 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $31.62 Typical High $60.26 | Professional | 26 · Professional part | $29.51 | $31.62 | $60.26 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $43.65 Median $51.29 Typical High $104.71 | Professional | TC · Technical part | $43.65 | $51.29 | $104.71 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $134.90 Median $234.42 Typical High $549.54 | Facility | None | $134.90 | $234.42 | $549.54 |
Medical Mutual of Ohio Setting Professional Modifier None (both parts) Typical Low $66.07 Median $107.15 Typical High $165.96 | Professional | None (both parts) | $66.07 | $107.15 | $165.96 |
Medical Mutual of Ohio Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $58.88 Typical High $91.20 | Professional | 26 · Professional part | $30.20 | $58.88 | $91.20 |
Medical Mutual of Ohio Setting Professional Modifier TC · Technical part Typical Low $43.65 Median $56.23 Typical High $141.25 | Professional | TC · Technical part | $43.65 | $56.23 | $141.25 |
Molina Setting Professional Modifier None (both parts) Typical Low $41.69 Median $89.13 Typical High $144.54 | Professional | None (both parts) | $41.69 | $89.13 | $144.54 |
SummaCare Setting Professional Modifier None (both parts) Typical Low $79.43 Median $85.11 Typical High $131.83 | Professional | None (both parts) | $79.43 | $85.11 | $131.83 |
SummaCare Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $34.67 Typical High $57.54 | Professional | 26 · Professional part | $31.62 | $34.67 | $57.54 |
SummaCare Setting Professional Modifier TC · Technical part Typical Low $48.98 Median $51.29 Typical High $75.86 | Professional | TC · Technical part | $48.98 | $51.29 | $75.86 |
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 $61.66 Median $83.18 Typical High $144.54 | Professional | None (both parts) | $61.66 | $83.18 | $144.54 |
United Setting Professional Modifier 26 · Professional part Typical Low $21.38 Median $32.36 Typical High $58.88 | Professional | 26 · Professional part | $21.38 | $32.36 | $58.88 |
United Setting Professional Modifier TC · Technical part Typical Low $39.81 Median $52.48 Typical High $91.20 | Professional | TC · Technical part | $39.81 | $52.48 | $91.20 |
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 $40.74 Median $93.33 Typical High $162.18 | Facility | 52 · Reduced service | $40.74 | $93.33 | $162.18 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $16.22 Median $38.02 Typical High $66.07 | Facility | 53 · Discontinued | $16.22 | $38.02 | $66.07 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $60.26 Median $151.36 Typical High $239.88 | Facility | FX · Film X-ray | $60.26 | $151.36 | $239.88 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $38.02 Median $38.02 Typical High $131.83 | Professional | 52 · Reduced service | $38.02 | $38.02 | $131.83 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $15.14 Median $15.14 Typical High $52.48 | Professional | 53 · Discontinued | $15.14 | $15.14 | $52.48 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $60.26 Median $60.26 Typical High $60.26 | Professional | FX · Film X-ray | $60.26 | $60.26 | $60.26 |
Ambetter Setting Professional Modifier SA · Nurse practitioner Typical Low $52.48 Median $52.48 Typical High $52.48 | Professional | SA · Nurse practitioner | $52.48 | $52.48 | $52.48 |
Where Ohio sits
The same service costs 3.6 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
$83.18
AK $245TX $67.61
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.