How much rates vary
Facilitymedian $76 · 10th to 90th $45 to $302Professionalmedian $36 · 10th to 90th $25 to $63
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 $41.69 Median $67.61 Typical High $109.65 | Facility | None | $41.69 | $67.61 | $109.65 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $13.49 Median $25.70 Typical High $47.86 | Facility | 26 · Professional part | $13.49 | $25.70 | $47.86 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $26.92 Median $51.29 Typical High $75.86 | Facility | TC · Technical part | $26.92 | $51.29 | $75.86 |
Aetna Setting Professional Modifier None (both parts) Typical Low $35.48 Median $36.31 Typical High $107.15 | Professional | None (both parts) | $35.48 | $36.31 | $107.15 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $13.18 Median $13.49 Typical High $43.65 | Professional | 26 · Professional part | $13.18 | $13.49 | $43.65 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $21.88 Median $22.39 Typical High $57.54 | Professional | TC · Technical part | $21.88 | $22.39 | $57.54 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $25.70 Median $31.62 Typical High $33.11 | Professional | None (both parts) | $25.70 | $31.62 | $33.11 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $10.72 Median $13.80 Typical High $19.05 | Professional | 26 · Professional part | $10.72 | $13.80 | $19.05 |
Anthem BCBS Setting Facility Modifier None Typical Low $75.86 Median $89.13 Typical High $104.71 | Facility | None | $75.86 | $89.13 | $104.71 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $21.88 Median $33.11 Typical High $52.48 | Professional | None (both parts) | $21.88 | $33.11 | $52.48 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $14.13 Median $16.98 Typical High $26.30 | Professional | 26 · Professional part | $14.13 | $16.98 | $26.30 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $16.22 Median $19.95 Typical High $33.11 | Professional | TC · Technical part | $16.22 | $19.95 | $33.11 |
Aultcare Setting Professional Modifier None (both parts) Typical Low $43.65 Median $46.77 Typical High $75.86 | Professional | None (both parts) | $43.65 | $46.77 | $75.86 |
CareSource Setting Facility Modifier None Typical Low $16.60 Median $33.88 Typical High $45.71 | Facility | None | $16.60 | $33.88 | $45.71 |
CareSource Setting Professional Modifier None (both parts) Typical Low $12.59 Median $23.44 Typical High $42.66 | Professional | None (both parts) | $12.59 | $23.44 | $42.66 |
Cigna Setting Facility Modifier None Typical Low $56.23 Median $60.26 Typical High $60.26 | Facility | None | $56.23 | $60.26 | $60.26 |
Cigna Setting Professional Modifier None (both parts) Typical Low $31.62 Median $34.67 Typical High $64.57 | Professional | None (both parts) | $31.62 | $34.67 | $64.57 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $13.18 Median $14.13 Typical High $28.84 | Professional | 26 · Professional part | $13.18 | $14.13 | $28.84 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $18.62 Median $20.42 Typical High $38.90 | Professional | TC · Technical part | $18.62 | $20.42 | $38.90 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $60.26 Median $239.88 Typical High $537.03 | Facility | None | $60.26 | $239.88 | $537.03 |
Medical Mutual of Ohio Setting Professional Modifier None (both parts) Typical Low $31.62 Median $33.11 Typical High $64.57 | Professional | None (both parts) | $31.62 | $33.11 | $64.57 |
Medical Mutual of Ohio Setting Professional Modifier 26 · Professional part Typical Low $13.18 Median $16.60 Typical High $41.69 | Professional | 26 · Professional part | $13.18 | $16.60 | $41.69 |
Medical Mutual of Ohio Setting Professional Modifier TC · Technical part Typical Low $19.05 Median $19.50 Typical High $38.02 | Professional | TC · Technical part | $19.05 | $19.50 | $38.02 |
Molina Setting Professional Modifier None (both parts) Typical Low $25.70 Median $38.90 Typical High $54.95 | Professional | None (both parts) | $25.70 | $38.90 | $54.95 |
SummaCare Setting Professional Modifier None (both parts) Typical Low $32.36 Median $39.81 Typical High $63.10 | Professional | None (both parts) | $32.36 | $39.81 | $63.10 |
SummaCare Setting Professional Modifier 26 · Professional part Typical Low $14.13 Median $15.14 Typical High $27.54 | Professional | 26 · Professional part | $14.13 | $15.14 | $27.54 |
SummaCare Setting Professional Modifier TC · Technical part Typical Low $16.60 Median $25.70 Typical High $40.74 | Professional | TC · Technical part | $16.60 | $25.70 | $40.74 |
United Setting Professional Modifier None (both parts) Typical Low $24.55 Median $36.31 Typical High $61.66 | Professional | None (both parts) | $24.55 | $36.31 | $61.66 |
United Setting Professional Modifier 26 · Professional part Typical Low $10.23 Median $14.79 Typical High $26.30 | Professional | 26 · Professional part | $10.23 | $14.79 | $26.30 |
United Setting Professional Modifier TC · Technical part Typical Low $14.13 Median $19.95 Typical High $36.31 | Professional | TC · Technical part | $14.13 | $19.95 | $36.31 |
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 $19.50 Median $36.31 Typical High $47.86 | Facility | 52 · Reduced service | $19.50 | $36.31 | $47.86 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $7.94 Median $14.45 Typical High $19.50 | Facility | 53 · Discontinued | $7.94 | $14.45 | $19.50 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $28.84 Median $57.54 Typical High $75.86 | Facility | FX · Film X-ray | $28.84 | $57.54 | $75.86 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $17.78 Median $17.78 Typical High $50.12 | Professional | 52 · Reduced service | $17.78 | $17.78 | $50.12 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.24 Median $7.24 Typical High $20.42 | Professional | 53 · Discontinued | $7.24 | $7.24 | $20.42 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $28.84 Median $28.84 Typical High $28.84 | Professional | FX · Film X-ray | $28.84 | $28.84 | $28.84 |
Where Ohio sits
The same service costs 4.1 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
$36.31
AK $117FL $28.84
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.