How much rates vary
Facilitymedian $166 · 10th to 90th $38 to $257Professionalmedian $56 · 10th to 90th $26 to $141
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 $134.90 Median $181.97 Typical High $257.04 | Facility | None | $134.90 | $181.97 | $257.04 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $36.31 Median $85.11 Typical High $117.49 | Facility | 26 · Professional part | $36.31 | $85.11 | $117.49 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $79.43 Median $123.03 Typical High $181.97 | Facility | TC · Technical part | $79.43 | $123.03 | $181.97 |
Aetna Setting Professional Modifier None (both parts) Typical Low $75.86 Median $75.86 Typical High $257.04 | Professional | None (both parts) | $75.86 | $75.86 | $257.04 |
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 $44.67 Median $44.67 Typical High $125.89 | Professional | TC · Technical part | $44.67 | $44.67 | $125.89 |
Anthem BCBS Setting Facility Modifier None Typical Low $141.25 Median $165.96 Typical High $194.98 | Facility | None | $141.25 | $165.96 | $194.98 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $25.70 Median $45.71 Typical High $95.50 | Professional | None (both parts) | $25.70 | $45.71 | $95.50 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $19.50 Median $20.42 Typical High $43.65 | Professional | 26 · Professional part | $19.50 | $20.42 | $43.65 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $25.70 Median $27.54 Typical High $63.10 | Professional | TC · Technical part | $25.70 | $27.54 | $63.10 |
CareSource Setting Facility Modifier None Typical Low $38.90 Median $93.33 Typical High $131.83 | Facility | None | $38.90 | $93.33 | $131.83 |
Cigna Setting Facility Modifier None Typical Low $35.48 Median $38.02 Typical High $38.02 | Facility | None | $35.48 | $38.02 | $38.02 |
Cigna Setting Professional Modifier None (both parts) Typical Low $63.10 Median $72.44 Typical High $147.91 | Professional | None (both parts) | $63.10 | $72.44 | $147.91 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $31.62 Typical High $66.07 | Professional | 26 · Professional part | $28.18 | $31.62 | $66.07 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $33.88 Median $38.02 Typical High $91.20 | Professional | TC · Technical part | $33.88 | $38.02 | $91.20 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $35.48 Median $38.02 Typical High $741.31 | Facility | None | $35.48 | $38.02 | $741.31 |
Medical Mutual of Ohio Setting Professional Modifier None (both parts) Typical Low $63.10 Median $74.13 Typical High $147.91 | Professional | None (both parts) | $63.10 | $74.13 | $147.91 |
Medical Mutual of Ohio Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $31.62 Typical High $66.07 | Professional | 26 · Professional part | $29.51 | $31.62 | $66.07 |
Medical Mutual of Ohio Setting Professional Modifier TC · Technical part Typical Low $36.31 Median $38.02 Typical High $91.20 | Professional | TC · Technical part | $36.31 | $38.02 | $91.20 |
Molina Setting Professional Modifier None (both parts) Typical Low $30.20 Median $53.70 Typical High $144.54 | Professional | None (both parts) | $30.20 | $53.70 | $144.54 |
SummaCare Setting Professional Modifier None (both parts) Typical Low $81.28 Median $85.11 Typical High $138.04 | Professional | None (both parts) | $81.28 | $85.11 | $138.04 |
SummaCare Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $34.67 Typical High $56.23 | Professional | 26 · Professional part | $33.11 | $34.67 | $56.23 |
SummaCare Setting Professional Modifier TC · Technical part Typical Low $47.86 Median $50.12 Typical High $83.18 | Professional | TC · Technical part | $47.86 | $50.12 | $83.18 |
United Setting Professional Modifier None (both parts) Typical Low $38.02 Median $75.86 Typical High $151.36 | Professional | None (both parts) | $38.02 | $75.86 | $151.36 |
United Setting Professional Modifier 26 · Professional part Typical Low $13.80 Median $33.11 Typical High $61.66 | Professional | 26 · Professional part | $13.80 | $33.11 | $61.66 |
United Setting Professional Modifier TC · Technical part Typical Low $23.99 Median $43.65 Typical High $91.20 | Professional | TC · Technical part | $23.99 | $43.65 | $91.20 |
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 $38.90 Median $69.18 Typical High $95.50 | Facility | 52 · Reduced service | $38.90 | $69.18 | $95.50 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $15.85 Median $27.54 Typical High $38.02 | Facility | 53 · Discontinued | $15.85 | $27.54 | $38.02 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $60.26 Median $109.65 Typical High $151.36 | Facility | FX · Film X-ray | $60.26 | $109.65 | $151.36 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $38.02 Median $38.02 Typical High $123.03 | Professional | 52 · Reduced service | $38.02 | $38.02 | $123.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $15.14 Median $15.14 Typical High $48.98 | Professional | 53 · Discontinued | $15.14 | $15.14 | $48.98 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $60.26 Median $60.26 Typical High $107.15 | Professional | FX · Film X-ray | $60.26 | $60.26 | $107.15 |
Where Ohio sits
The same service costs 5.9 times more in Alaska than in Texas. 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· 46th of 51
$58.88
AK $245TX $41.69
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.