How much rates vary
Facilitymedian $129 · 10th to 90th $98 to $275Professionalmedian $98 · 10th to 90th $56 to $174
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 $97.72 Median $147.91 Typical High $275.42 | Facility | None | $97.72 | $147.91 | $275.42 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $37.15 Median $85.11 Typical High $117.49 | Facility | 26 · Professional part | $37.15 | $85.11 | $117.49 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $81.28 Median $138.04 Typical High $208.93 | Facility | TC · Technical part | $81.28 | $138.04 | $208.93 |
Aetna Setting Professional Modifier None (both parts) Typical Low $81.28 Median $81.28 Typical High $275.42 | Professional | None (both parts) | $81.28 | $81.28 | $275.42 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $30.20 Typical High $117.49 | Professional | 26 · Professional part | $30.20 | $30.20 | $117.49 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $51.29 Median $51.29 Typical High $151.36 | Professional | TC · Technical part | $51.29 | $51.29 | $151.36 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $83.18 Median $100.00 Typical High $162.18 | Professional | None (both parts) | $83.18 | $100.00 | $162.18 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $38.90 Typical High $66.07 | Professional | 26 · Professional part | $35.48 | $38.90 | $66.07 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $57.54 Median $61.66 Typical High $102.33 | Professional | TC · Technical part | $57.54 | $61.66 | $102.33 |
CareSource Setting Facility Modifier None Typical Low $38.90 Median $102.33 Typical High $141.25 | Facility | None | $38.90 | $102.33 | $141.25 |
Cigna Setting Facility Modifier None Typical Low $100.00 Median $107.15 Typical High $107.15 | Facility | None | $100.00 | $107.15 | $107.15 |
Cigna Setting Professional Modifier None (both parts) Typical Low $81.28 Median $95.50 Typical High $194.98 | Professional | None (both parts) | $81.28 | $95.50 | $194.98 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $35.48 Typical High $74.13 | Professional | 26 · Professional part | $30.20 | $35.48 | $74.13 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $51.29 Median $60.26 Typical High $123.03 | Professional | TC · Technical part | $51.29 | $60.26 | $123.03 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $100.00 Median $107.15 Typical High $107.15 | Facility | None | $100.00 | $107.15 | $107.15 |
Medical Mutual of Ohio Setting Professional Modifier None (both parts) Typical Low $81.28 Median $95.50 Typical High $194.98 | Professional | None (both parts) | $81.28 | $95.50 | $194.98 |
Medical Mutual of Ohio Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $35.48 Typical High $74.13 | Professional | 26 · Professional part | $30.20 | $35.48 | $74.13 |
Medical Mutual of Ohio Setting Professional Modifier TC · Technical part Typical Low $51.29 Median $58.88 Typical High $123.03 | Professional | TC · Technical part | $51.29 | $58.88 | $123.03 |
Molina Setting Professional Modifier None (both parts) Typical Low $27.54 Median $43.65 Typical High $57.54 | Professional | None (both parts) | $27.54 | $43.65 | $57.54 |
SummaCare Setting Professional Modifier None (both parts) Typical Low $112.20 Median $117.49 Typical High $177.83 | Professional | None (both parts) | $112.20 | $117.49 | $177.83 |
SummaCare Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $34.67 Typical High $51.29 | Professional | 26 · Professional part | $33.11 | $34.67 | $51.29 |
SummaCare Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $79.43 Typical High $109.65 | Professional | TC · Technical part | $79.43 | $79.43 | $109.65 |
United Setting Professional Modifier None (both parts) Typical Low $67.61 Median $107.15 Typical High $213.80 | Professional | None (both parts) | $67.61 | $107.15 | $213.80 |
United Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $35.48 Typical High $61.66 | Professional | 26 · Professional part | $22.91 | $35.48 | $61.66 |
United Setting Professional Modifier TC · Technical part Typical Low $43.65 Median $72.44 Typical High $154.88 | Professional | TC · Technical part | $43.65 | $72.44 | $154.88 |
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 $44.67 Median $64.57 Typical High $107.15 | Facility | 52 · Reduced service | $44.67 | $64.57 | $107.15 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $17.78 Median $25.70 Typical High $42.66 | Facility | 53 · Discontinued | $17.78 | $25.70 | $42.66 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $64.57 Median $95.50 Typical High $173.78 | Facility | FX · Film X-ray | $64.57 | $95.50 | $173.78 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $40.74 Median $40.74 Typical High $239.88 | Professional | 52 · Reduced service | $40.74 | $40.74 | $239.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $16.22 Median $16.22 Typical High $95.50 | Professional | 53 · Discontinued | $16.22 | $16.22 | $95.50 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $64.57 Median $64.57 Typical High $95.50 | Professional | FX · Film X-ray | $64.57 | $64.57 | $95.50 |
Where Ohio sits
The same service costs 4.2 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· 37th of 51
$97.72
AK $263FL $63.10
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.