How much rates vary
Facilitymedian $200 · 10th to 90th $120 to $372Professionalmedian $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 $109.65 Median $194.98 Typical High $323.59 | Facility | None | $109.65 | $194.98 | $323.59 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $32.36 Median $74.13 Typical High $95.50 | Facility | 26 · Professional part | $32.36 | $74.13 | $95.50 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $64.57 Median $107.15 Typical High $158.49 | Facility | TC · Technical part | $64.57 | $107.15 | $158.49 |
Aetna Setting Professional Modifier None (both parts) Typical Low $63.10 Median $66.07 Typical High $251.19 | Professional | None (both parts) | $63.10 | $66.07 | $251.19 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $24.55 Median $26.92 Typical High $95.50 | Professional | 26 · Professional part | $24.55 | $26.92 | $95.50 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $37.15 Median $38.90 Typical High $117.49 | Professional | TC · Technical part | $37.15 | $38.90 | $117.49 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $53.70 Median $66.07 Typical High $85.11 | Professional | None (both parts) | $53.70 | $66.07 | $85.11 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $27.54 Typical High $27.54 | Professional | 26 · Professional part | $22.91 | $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 $60.26 Median $79.43 Typical High $120.23 | Professional | None (both parts) | $60.26 | $79.43 | $120.23 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $37.15 Typical High $57.54 | Professional | 26 · Professional part | $31.62 | $37.15 | $57.54 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $39.81 Median $41.69 Typical High $67.61 | Professional | TC · Technical part | $39.81 | $41.69 | $67.61 |
Aultcare Setting Professional Modifier None (both parts) Typical Low $85.11 Median $85.11 Typical High $85.11 | Professional | None (both parts) | $85.11 | $85.11 | $85.11 |
CareSource Setting Professional Modifier None (both parts) Typical Low $25.70 Median $41.69 Typical High $75.86 | Professional | None (both parts) | $25.70 | $41.69 | $75.86 |
Cigna Setting Facility Modifier None Typical Low $117.49 Median $134.90 Typical High $363.08 | Facility | None | $117.49 | $134.90 | $363.08 |
Cigna Setting Professional Modifier None (both parts) Typical Low $63.10 Median $72.44 Typical High $144.54 | Professional | None (both parts) | $63.10 | $72.44 | $144.54 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $28.18 Typical High $53.70 | Professional | 26 · Professional part | $25.70 | $28.18 | $53.70 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $38.02 Median $42.66 Typical High $85.11 | Professional | TC · Technical part | $38.02 | $42.66 | $85.11 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $128.82 Median $218.78 Typical High $616.60 | Facility | None | $128.82 | $218.78 | $616.60 |
Medical Mutual of Ohio Setting Professional Modifier None (both parts) Typical Low $63.10 Median $66.07 Typical High $141.25 | Professional | None (both parts) | $63.10 | $66.07 | $141.25 |
Medical Mutual of Ohio Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $34.67 Typical High $56.23 | Professional | 26 · Professional part | $26.30 | $34.67 | $56.23 |
Medical Mutual of Ohio Setting Professional Modifier TC · Technical part Typical Low $38.02 Median $39.81 Typical High $81.28 | Professional | TC · Technical part | $38.02 | $39.81 | $81.28 |
Molina Setting Professional Modifier None (both parts) Typical Low $30.20 Median $52.48 Typical High $95.50 | Professional | None (both parts) | $30.20 | $52.48 | $95.50 |
SummaCare Setting Professional Modifier None (both parts) Typical Low $69.18 Median $69.18 Typical High $100.00 | Professional | None (both parts) | $69.18 | $69.18 | $100.00 |
SummaCare Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $28.18 Typical High $42.66 | Professional | 26 · Professional part | $28.18 | $28.18 | $42.66 |
SummaCare Setting Professional Modifier TC · Technical part Typical Low $40.74 Median $40.74 Typical High $57.54 | Professional | TC · Technical part | $40.74 | $40.74 | $57.54 |
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 $54.95 Median $74.13 Typical High $125.89 | Professional | None (both parts) | $54.95 | $74.13 | $125.89 |
United Setting Professional Modifier 26 · Professional part Typical Low $19.05 Median $28.84 Typical High $51.29 | Professional | 26 · Professional part | $19.05 | $28.84 | $51.29 |
United Setting Professional Modifier TC · Technical part Typical Low $36.31 Median $44.67 Typical High $75.86 | Professional | TC · Technical part | $36.31 | $44.67 | $75.86 |
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 $33.88 Median $79.43 Typical High $162.18 | Facility | 52 · Reduced service | $33.88 | $79.43 | $162.18 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $13.49 Median $31.62 Typical High $66.07 | Facility | 53 · Discontinued | $13.49 | $31.62 | $66.07 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $52.48 Median $125.89 Typical High $239.88 | Facility | FX · Film X-ray | $52.48 | $125.89 | $239.88 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $33.11 Median $33.11 Typical High $165.96 | Professional | 52 · Reduced service | $33.11 | $33.11 | $165.96 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $13.18 Median $13.18 Typical High $66.07 | Professional | 53 · Discontinued | $13.18 | $13.18 | $66.07 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $52.48 Median $52.48 Typical High $52.48 | Professional | FX · Film X-ray | $52.48 | $52.48 | $52.48 |
Where Ohio sits
The same service costs 4.4 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· 43rd of 51
$72.44
AK $214UT $48.98
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.