How much rates vary
Facilitymedian $214 · 10th to 90th $110 to $263Professionalmedian $120 · 10th to 90th $63 to $186
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 $239.88 Typical High $275.42 | Facility | None | $109.65 | $239.88 | $275.42 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $48.98 Median $134.90 Typical High $208.93 | Facility | TC · Technical part | $48.98 | $134.90 | $208.93 |
Aetna Setting Professional Modifier None (both parts) Typical Low $109.65 Median $109.65 Typical High $275.42 | Professional | None (both parts) | $109.65 | $109.65 | $275.42 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $61.66 Typical High $190.55 | Professional | 26 · Professional part | $61.66 | $61.66 | $190.55 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $48.98 Median $48.98 Typical High $53.70 | Professional | TC · Technical part | $48.98 | $48.98 | $53.70 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $120.23 Median $134.90 Typical High $194.98 | Professional | None (both parts) | $120.23 | $134.90 | $194.98 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $74.13 Typical High $104.71 | Professional | 26 · Professional part | $69.18 | $74.13 | $104.71 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $48.98 Median $61.66 Typical High $91.20 | Professional | TC · Technical part | $48.98 | $61.66 | $91.20 |
CareSource Setting Facility Modifier None Typical Low $61.66 Median $134.90 Typical High $173.78 | Facility | None | $61.66 | $134.90 | $173.78 |
CareSource Setting Professional Modifier None (both parts) Typical Low $52.48 Median $52.48 Typical High $60.26 | Professional | None (both parts) | $52.48 | $52.48 | $60.26 |
Cigna Setting Facility Modifier None Typical Low $204.17 Median $213.80 Typical High $213.80 | Facility | None | $204.17 | $213.80 | $213.80 |
Cigna Setting Professional Modifier None (both parts) Typical Low $109.65 Median $114.82 Typical High $229.09 | Professional | None (both parts) | $109.65 | $114.82 | $229.09 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $63.10 Typical High $125.89 | Professional | 26 · Professional part | $60.26 | $63.10 | $125.89 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $48.98 Median $51.29 Typical High $100.00 | Professional | TC · Technical part | $48.98 | $51.29 | $100.00 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $204.17 Median $213.80 Typical High $213.80 | Facility | None | $204.17 | $213.80 | $213.80 |
Medical Mutual of Ohio Setting Professional Modifier None (both parts) Typical Low $109.65 Median $114.82 Typical High $223.87 | Professional | None (both parts) | $109.65 | $114.82 | $223.87 |
Medical Mutual of Ohio Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $63.10 Typical High $125.89 | Professional | 26 · Professional part | $60.26 | $63.10 | $125.89 |
Medical Mutual of Ohio Setting Professional Modifier TC · Technical part Typical Low $48.98 Median $51.29 Typical High $100.00 | Professional | TC · Technical part | $48.98 | $51.29 | $100.00 |
Molina Setting Professional Modifier None (both parts) Typical Low $38.90 Median $61.66 Typical High $107.15 | Professional | None (both parts) | $38.90 | $61.66 | $107.15 |
SummaCare Setting Professional Modifier None (both parts) Typical Low $144.54 Median $144.54 Typical High $169.82 | Professional | None (both parts) | $144.54 | $144.54 | $169.82 |
SummaCare Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $66.07 Typical High $77.62 | Professional | 26 · Professional part | $66.07 | $66.07 | $77.62 |
SummaCare Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $79.43 Typical High $93.33 | Professional | TC · Technical part | $79.43 | $79.43 | $93.33 |
United Setting Professional Modifier None (both parts) Typical Low $85.11 Median $128.82 Typical High $199.53 | Professional | None (both parts) | $85.11 | $128.82 | $199.53 |
United Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $64.57 Typical High $95.50 | Professional | 26 · Professional part | $44.67 | $64.57 | $95.50 |
United Setting Professional Modifier TC · Technical part Typical Low $42.66 Median $66.07 Typical High $102.33 | Professional | TC · Technical part | $42.66 | $66.07 | $102.33 |
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 $54.95 Median $97.72 Typical High $131.83 | Facility | 52 · Reduced service | $54.95 | $97.72 | $131.83 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $21.88 Median $39.81 Typical High $52.48 | Facility | 53 · Discontinued | $21.88 | $39.81 | $52.48 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $89.13 Median $158.49 Typical High $190.55 | Facility | FX · Film X-ray | $89.13 | $158.49 | $190.55 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $54.95 Median $54.95 Typical High $83.18 | Professional | 52 · Reduced service | $54.95 | $54.95 | $83.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $21.88 Median $21.88 Typical High $33.11 | Professional | 53 · Discontinued | $21.88 | $21.88 | $33.11 |
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 |
Where Ohio sits
The same service costs 4.5 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
$120
AK $372FL $83.18
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.