How much rates vary
Facilitymedian $107 · 10th to 90th $68 to $302Professionalmedian $105 · 10th to 90th $42 to $200
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 $89.13 Median $165.96 Typical High $302.00 | Facility | None | $89.13 | $165.96 | $302.00 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $75.86 Median $177.83 Typical High $223.87 | Facility | 26 · Professional part | $75.86 | $177.83 | $223.87 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $42.66 Median $69.18 Typical High $102.33 | Facility | TC · Technical part | $42.66 | $69.18 | $102.33 |
Aetna Setting Professional Modifier None (both parts) Typical Low $89.13 Median $89.13 Typical High $302.00 | Professional | None (both parts) | $89.13 | $89.13 | $302.00 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $64.57 Typical High $223.87 | Professional | 26 · Professional part | $64.57 | $64.57 | $223.87 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $25.12 Median $25.12 Typical High $77.62 | Professional | TC · Technical part | $25.12 | $25.12 | $77.62 |
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 $117.49 Median $162.18 Typical High $245.47 | Professional | None (both parts) | $117.49 | $162.18 | $245.47 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $74.13 Median $85.11 Typical High $141.25 | Professional | 26 · Professional part | $74.13 | $85.11 | $141.25 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $35.48 Median $75.86 Typical High $109.65 | Professional | TC · Technical part | $35.48 | $75.86 | $109.65 |
CareSource Setting Facility Modifier None Typical Low $32.36 Median $114.82 Typical High $436.52 | Facility | None | $32.36 | $114.82 | $436.52 |
Cigna Setting Facility Modifier None Typical Low $63.10 Median $67.61 Typical High $67.61 | Facility | None | $63.10 | $67.61 | $67.61 |
Cigna Setting Professional Modifier None (both parts) Typical Low $85.11 Median $107.15 Typical High $281.84 | Professional | None (both parts) | $85.11 | $107.15 | $281.84 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $74.13 Typical High $144.54 | Professional | 26 · Professional part | $63.10 | $74.13 | $144.54 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $21.38 Median $30.20 Typical High $93.33 | Professional | TC · Technical part | $21.38 | $30.20 | $93.33 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $63.10 Median $67.61 Typical High $67.61 | Facility | None | $63.10 | $67.61 | $67.61 |
Medical Mutual of Ohio Setting Professional Modifier None (both parts) Typical Low $85.11 Median $107.15 Typical High $295.12 | Professional | None (both parts) | $85.11 | $107.15 | $295.12 |
Medical Mutual of Ohio Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $72.44 Typical High $151.36 | Professional | 26 · Professional part | $63.10 | $72.44 | $151.36 |
Medical Mutual of Ohio Setting Professional Modifier TC · Technical part Typical Low $21.38 Median $29.51 Typical High $81.28 | Professional | TC · Technical part | $21.38 | $29.51 | $81.28 |
Molina Setting Professional Modifier None (both parts) Typical Low $36.31 Median $81.28 Typical High $141.25 | Professional | None (both parts) | $36.31 | $81.28 | $141.25 |
SummaCare Setting Professional Modifier None (both parts) Typical Low $97.72 Median $97.72 Typical High $162.18 | Professional | None (both parts) | $97.72 | $97.72 | $162.18 |
SummaCare Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $69.18 Typical High $104.71 | Professional | 26 · Professional part | $69.18 | $69.18 | $104.71 |
SummaCare Setting Professional Modifier TC · Technical part Typical Low $27.54 Median $27.54 Typical High $52.48 | Professional | TC · Technical part | $27.54 | $27.54 | $52.48 |
United Setting Professional Modifier None (both parts) Typical Low $81.28 Median $117.49 Typical High $251.19 | Professional | None (both parts) | $81.28 | $117.49 | $251.19 |
United Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $70.79 Typical High $131.83 | Professional | 26 · Professional part | $47.86 | $70.79 | $131.83 |
United Setting Professional Modifier TC · Technical part Typical Low $21.38 Median $31.62 Typical High $97.72 | Professional | TC · Technical part | $21.38 | $31.62 | $97.72 |
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 $28.84 Median $44.67 Typical High $53.70 | Facility | 52 · Reduced service | $28.84 | $44.67 | $53.70 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $11.48 Median $17.78 Typical High $21.38 | Facility | 53 · Discontinued | $11.48 | $17.78 | $21.38 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $46.77 Median $60.26 Typical High $85.11 | Facility | FX · Film X-ray | $46.77 | $60.26 | $85.11 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $38.02 Median $44.67 Typical High $213.80 | Professional | 52 · Reduced service | $38.02 | $44.67 | $213.80 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $15.14 Median $18.20 Typical High $85.11 | Professional | 53 · Discontinued | $15.14 | $18.20 | $85.11 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $69.18 Median $72.44 Typical High $72.44 | Professional | FX · Film X-ray | $69.18 | $72.44 | $72.44 |
Where Ohio sits
The same service costs 5.2 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· 37th of 51
$105
AK $309TX $58.88
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.