How much rates vary
Facilitymedian $263 · 10th to 90th $141 to $407Professionalmedian $102 · 10th to 90th $63 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 $117.49 Median $245.47 Typical High $346.74 | Facility | None | $117.49 | $245.47 | $346.74 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $39.81 Median $72.44 Typical High $144.54 | Facility | 26 · Professional part | $39.81 | $72.44 | $144.54 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $74.13 Median $173.78 Typical High $218.78 | Facility | TC · Technical part | $74.13 | $173.78 | $218.78 |
Aetna Setting Professional Modifier None (both parts) Typical Low $102.33 Median $104.71 Typical High $281.84 | Professional | None (both parts) | $102.33 | $104.71 | $281.84 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $38.90 Typical High $120.23 | Professional | 26 · Professional part | $38.90 | $38.90 | $120.23 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $63.10 Typical High $177.83 | Professional | TC · Technical part | $61.66 | $63.10 | $177.83 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $74.13 Median $89.13 Typical High $123.03 | Professional | None (both parts) | $74.13 | $89.13 | $123.03 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $41.69 Typical High $72.44 | Professional | 26 · Professional part | $33.88 | $41.69 | $72.44 |
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 $70.79 Median $91.20 Typical High $144.54 | Professional | None (both parts) | $70.79 | $91.20 | $144.54 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $46.77 Typical High $69.18 | Professional | 26 · Professional part | $30.20 | $46.77 | $69.18 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $40.74 Median $45.71 Typical High $87.10 | Professional | TC · Technical part | $40.74 | $45.71 | $87.10 |
Aultcare Setting Professional Modifier None (both parts) Typical Low $120.23 Median $120.23 Typical High $208.93 | Professional | None (both parts) | $120.23 | $120.23 | $208.93 |
Aultcare Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $45.71 Typical High $79.43 | Professional | 26 · Professional part | $45.71 | $45.71 | $79.43 |
Aultcare Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $74.13 Typical High $128.82 | Professional | TC · Technical part | $74.13 | $74.13 | $128.82 |
CareSource Setting Professional Modifier None (both parts) Typical Low $38.02 Median $64.57 Typical High $120.23 | Professional | None (both parts) | $38.02 | $64.57 | $120.23 |
Cigna Setting Facility Modifier None Typical Low $190.55 Median $213.80 Typical High $407.38 | Facility | None | $190.55 | $213.80 | $407.38 |
Cigna Setting Professional Modifier None (both parts) Typical Low $93.33 Median $104.71 Typical High $204.17 | Professional | None (both parts) | $93.33 | $104.71 | $204.17 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $41.69 Typical High $79.43 | Professional | 26 · Professional part | $38.02 | $41.69 | $79.43 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $56.23 Median $63.10 Typical High $123.03 | Professional | TC · Technical part | $56.23 | $63.10 | $123.03 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $181.97 Median $281.84 Typical High $537.03 | Facility | None | $181.97 | $281.84 | $537.03 |
Medical Mutual of Ohio Setting Professional Modifier None (both parts) Typical Low $91.20 Median $138.04 Typical High $208.93 | Professional | None (both parts) | $91.20 | $138.04 | $208.93 |
Medical Mutual of Ohio Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $75.86 Typical High $120.23 | Professional | 26 · Professional part | $38.90 | $75.86 | $120.23 |
Medical Mutual of Ohio Setting Professional Modifier TC · Technical part Typical Low $51.29 Median $63.10 Typical High $186.21 | Professional | TC · Technical part | $51.29 | $63.10 | $186.21 |
Molina Setting Professional Modifier None (both parts) Typical Low $42.66 Median $89.13 Typical High $144.54 | Professional | None (both parts) | $42.66 | $89.13 | $144.54 |
SummaCare Setting Professional Modifier None (both parts) Typical Low $109.65 Median $117.49 Typical High $173.78 | Professional | None (both parts) | $109.65 | $117.49 | $173.78 |
SummaCare Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $46.77 Typical High $77.62 | Professional | 26 · Professional part | $41.69 | $46.77 | $77.62 |
SummaCare Setting Professional Modifier TC · Technical part Typical Low $67.61 Median $70.79 Typical High $107.15 | Professional | TC · Technical part | $67.61 | $70.79 | $107.15 |
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 $72.44 Median $109.65 Typical High $194.98 | Professional | None (both parts) | $72.44 | $109.65 | $194.98 |
United Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $42.66 Typical High $75.86 | Professional | 26 · Professional part | $28.18 | $42.66 | $75.86 |
United Setting Professional Modifier TC · Technical part Typical Low $41.69 Median $66.07 Typical High $117.49 | Professional | TC · Technical part | $41.69 | $66.07 | $117.49 |
8 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 $56.23 Median $123.03 Typical High $162.18 | Facility | 52 · Reduced service | $56.23 | $123.03 | $162.18 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $22.39 Median $48.98 Typical High $66.07 | Facility | 53 · Discontinued | $22.39 | $48.98 | $66.07 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $81.28 Median $194.98 Typical High $239.88 | Facility | FX · Film X-ray | $81.28 | $194.98 | $239.88 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $51.29 Median $51.29 Typical High $125.89 | Professional | 52 · Reduced service | $51.29 | $51.29 | $125.89 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $20.42 Median $20.42 Typical High $50.12 | Professional | 53 · Discontinued | $20.42 | $20.42 | $50.12 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $81.28 Median $81.28 Typical High $81.28 | Professional | FX · Film X-ray | $81.28 | $81.28 | $81.28 |
Ambetter Setting Professional Modifier SA · Nurse practitioner Typical Low $70.79 Median $70.79 Typical High $89.13 | Professional | SA · Nurse practitioner | $70.79 | $70.79 | $89.13 |
Ambetter Setting Professional Modifier SB · Nurse midwife Typical Low $70.79 Median $70.79 Typical High $70.79 | Professional | SB · Nurse midwife | $70.79 | $70.79 | $70.79 |
Where Ohio sits
The same service costs 4.6 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· 46th of 51
$102
AK $331UT $72.44
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.