How much rates vary
Facilitymedian $324 · 10th to 90th $166 to $646Professionalmedian $112 · 10th to 90th $59 to $209
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 $245.47 Typical High $371.54 | Facility | None | $109.65 | $245.47 | $371.54 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $31.62 Median $58.88 Typical High $117.49 | Facility | 26 · Professional part | $31.62 | $58.88 | $117.49 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $83.18 Median $190.55 Typical High $269.15 | Facility | TC · Technical part | $83.18 | $190.55 | $269.15 |
Aetna Setting Professional Modifier None (both parts) Typical Low $109.65 Median $117.49 Typical High $323.59 | Professional | None (both parts) | $109.65 | $117.49 | $323.59 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $31.62 Typical High $104.71 | Professional | 26 · Professional part | $31.62 | $31.62 | $104.71 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $83.18 Typical High $218.78 | Professional | TC · Technical part | $79.43 | $83.18 | $218.78 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $79.43 Median $95.50 Typical High $120.23 | Professional | None (both parts) | $79.43 | $95.50 | $120.23 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $33.11 Typical High $52.48 | Professional | 26 · Professional part | $25.12 | $33.11 | $52.48 |
Ambetter Setting Professional Modifier TC · Technical part Typical Low $52.48 Median $70.79 Typical High $120.23 | Professional | TC · Technical part | $52.48 | $70.79 | $120.23 |
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 $95.50 Typical High $151.36 | Professional | None (both parts) | $58.88 | $95.50 | $151.36 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $37.15 Typical High $57.54 | Professional | 26 · Professional part | $34.67 | $37.15 | $57.54 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $57.54 Median $63.10 Typical High $109.65 | Professional | TC · Technical part | $57.54 | $63.10 | $109.65 |
Aultcare Setting Professional Modifier None (both parts) Typical Low $125.89 Median $125.89 Typical High $218.78 | Professional | None (both parts) | $125.89 | $125.89 | $218.78 |
Aultcare Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $36.31 Typical High $64.57 | Professional | 26 · Professional part | $36.31 | $36.31 | $64.57 |
Aultcare Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $91.20 Typical High $158.49 | Professional | TC · Technical part | $91.20 | $91.20 | $158.49 |
CareSource Setting Professional Modifier None (both parts) Typical Low $30.90 Median $79.43 Typical High $134.90 | Professional | None (both parts) | $30.90 | $79.43 | $134.90 |
Cigna Setting Facility Modifier None Typical Low $239.88 Median $269.15 Typical High $446.68 | Facility | None | $239.88 | $269.15 | $446.68 |
Cigna Setting Professional Modifier None (both parts) Typical Low $104.71 Median $112.20 Typical High $199.53 | Professional | None (both parts) | $104.71 | $112.20 | $199.53 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $33.11 Typical High $63.10 | Professional | 26 · Professional part | $30.90 | $33.11 | $63.10 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $77.62 Typical High $144.54 | Professional | TC · Technical part | $70.79 | $77.62 | $144.54 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $245.47 Median $407.38 Typical High $741.31 | Facility | None | $245.47 | $407.38 | $741.31 |
Medical Mutual of Ohio Setting Professional Modifier None (both parts) Typical Low $97.72 Median $154.88 Typical High $218.78 | Professional | None (both parts) | $97.72 | $154.88 | $218.78 |
Medical Mutual of Ohio Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $75.86 Typical High $112.20 | Professional | 26 · Professional part | $31.62 | $75.86 | $112.20 |
Medical Mutual of Ohio Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $85.11 Typical High $218.78 | Professional | TC · Technical part | $70.79 | $85.11 | $218.78 |
Molina Setting Professional Modifier None (both parts) Typical Low $42.66 Median $125.89 Typical High $194.98 | Professional | None (both parts) | $42.66 | $125.89 | $194.98 |
SummaCare Setting Professional Modifier None (both parts) Typical Low $114.82 Median $125.89 Typical High $194.98 | Professional | None (both parts) | $114.82 | $125.89 | $194.98 |
SummaCare Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $37.15 Typical High $60.26 | Professional | 26 · Professional part | $33.11 | $37.15 | $60.26 |
SummaCare Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $85.11 Typical High $141.25 | Professional | TC · Technical part | $81.28 | $85.11 | $141.25 |
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 $75.86 Median $117.49 Typical High $208.93 | Professional | None (both parts) | $75.86 | $117.49 | $208.93 |
United Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $34.67 Typical High $61.66 | Professional | 26 · Professional part | $22.91 | $34.67 | $61.66 |
United Setting Professional Modifier TC · Technical part Typical Low $53.70 Median $81.28 Typical High $147.91 | Professional | TC · Technical part | $53.70 | $81.28 | $147.91 |
9 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 $64.57 Median $123.03 Typical High $165.96 | Facility | 52 · Reduced service | $64.57 | $123.03 | $165.96 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $25.70 Median $48.98 Typical High $67.61 | Facility | 53 · Discontinued | $25.70 | $48.98 | $67.61 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $89.13 Median $194.98 Typical High $269.15 | Facility | FX · Film X-ray | $89.13 | $194.98 | $269.15 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $54.95 Median $54.95 Typical High $162.18 | Professional | 52 · Reduced service | $54.95 | $54.95 | $162.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $22.39 Median $22.39 Typical High $64.57 | Professional | 53 · Discontinued | $22.39 | $22.39 | $64.57 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $89.13 Median $89.13 Typical High $89.13 | Professional | FX · Film X-ray | $89.13 | $89.13 | $89.13 |
Ambetter Setting Professional Modifier AQ · Shortage area physician Typical Low $112.20 Median $112.20 Typical High $112.20 | Professional | AQ · Shortage area physician | $112.20 | $112.20 | $112.20 |
Ambetter Setting Professional Modifier SA · Nurse practitioner Typical Low $79.43 Median $79.43 Typical High $131.83 | Professional | SA · Nurse practitioner | $79.43 | $79.43 | $131.83 |
Ambetter Setting Professional Modifier SB · Nurse midwife Typical Low $74.13 Median $74.13 Typical High $74.13 | Professional | SB · Nurse midwife | $74.13 | $74.13 | $74.13 |
Where Ohio sits
The same service costs 3.6 times more in Alaska than in Florida. 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· 44th of 51
$112
AK $355FL $97.72
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.