How much rates vary
Facilitymedian $31 · 10th to 90th $13 to $363Professionalmedian $12 · 10th to 90th $6 to $29
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 $6.92 Median $245.47 Typical High $323.59 | Facility | None | $6.92 | $245.47 | $323.59 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $4.27 Median $11.75 Typical High $18.20 | Facility | TC · Technical part | $4.27 | $11.75 | $18.20 |
Aetna Setting Professional Modifier None (both parts) Typical Low $6.92 Median $6.92 Typical High $72.44 | Professional | None (both parts) | $6.92 | $6.92 | $72.44 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $2.63 Median $2.63 Typical High $32.36 | Professional | 26 · Professional part | $2.63 | $2.63 | $32.36 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $4.27 Median $4.27 Typical High $5.62 | Professional | TC · Technical part | $4.27 | $4.27 | $5.62 |
Anthem BCBS Setting Facility Modifier None Typical Low $257.04 Median $295.12 Typical High $346.74 | Facility | None | $257.04 | $295.12 | $346.74 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $6.61 Median $14.13 Typical High $27.54 | Professional | None (both parts) | $6.61 | $14.13 | $27.54 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $2.82 Median $3.47 Typical High $14.13 | Professional | 26 · Professional part | $2.82 | $3.47 | $14.13 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $6.61 Median $12.30 Typical High $16.22 | Professional | TC · Technical part | $6.61 | $12.30 | $16.22 |
Cigna Setting Facility Modifier None Typical Low $12.59 Median $15.49 Typical High $363.08 | Facility | None | $12.59 | $15.49 | $363.08 |
Cigna Setting Professional Modifier None (both parts) Typical Low $6.31 Median $8.71 Typical High $27.54 | Professional | None (both parts) | $6.31 | $8.71 | $27.54 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $2.51 Median $3.02 Typical High $5.75 | Professional | 26 · Professional part | $2.51 | $3.02 | $5.75 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $3.72 Median $5.50 Typical High $22.91 | Professional | TC · Technical part | $3.72 | $5.50 | $22.91 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $12.59 Median $16.22 Typical High $363.08 | Facility | None | $12.59 | $16.22 | $363.08 |
Medical Mutual of Ohio Setting Professional Modifier None (both parts) Typical Low $6.31 Median $8.32 Typical High $29.51 | Professional | None (both parts) | $6.31 | $8.32 | $29.51 |
Medical Mutual of Ohio Setting Professional Modifier 26 · Professional part Typical Low $2.57 Median $3.02 Typical High $5.50 | Professional | 26 · Professional part | $2.57 | $3.02 | $5.50 |
Medical Mutual of Ohio Setting Professional Modifier TC · Technical part Typical Low $3.72 Median $5.25 Typical High $16.22 | Professional | TC · Technical part | $3.72 | $5.25 | $16.22 |
Molina Setting Professional Modifier None (both parts) Typical Low $2.24 Median $2.63 Typical High $6.61 | Professional | None (both parts) | $2.24 | $2.63 | $6.61 |
SummaCare Setting Professional Modifier None (both parts) Typical Low $7.59 Median $8.32 Typical High $14.45 | Professional | None (both parts) | $7.59 | $8.32 | $14.45 |
SummaCare Setting Professional Modifier 26 · Professional part Typical Low $2.75 Median $3.02 Typical High $4.27 | Professional | 26 · Professional part | $2.75 | $3.02 | $4.27 |
SummaCare Setting Professional Modifier TC · Technical part Typical Low $4.79 Median $5.25 Typical High $10.47 | Professional | TC · Technical part | $4.79 | $5.25 | $10.47 |
United Setting Facility Modifier None Typical Low $213.80 Median $251.19 Typical High $354.81 | Facility | None | $213.80 | $251.19 | $354.81 |
United Setting Professional Modifier None (both parts) Typical Low $6.46 Median $10.00 Typical High $30.90 | Professional | None (both parts) | $6.46 | $10.00 | $30.90 |
United Setting Professional Modifier 26 · Professional part Typical Low $1.86 Median $2.95 Typical High $5.37 | Professional | 26 · Professional part | $1.86 | $2.95 | $5.37 |
United Setting Professional Modifier TC · Technical part Typical Low $3.72 Median $6.46 Typical High $23.44 | Professional | TC · Technical part | $3.72 | $6.46 | $23.44 |
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 $3.72 Median $8.71 Typical High $162.18 | Facility | 52 · Reduced service | $3.72 | $8.71 | $162.18 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $1.51 Median $3.47 Typical High $66.07 | Facility | 53 · Discontinued | $1.51 | $3.47 | $66.07 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $5.50 Median $13.80 Typical High $239.88 | Facility | FX · Film X-ray | $5.50 | $13.80 | $239.88 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $3.47 Median $3.47 Typical High $36.31 | Professional | 52 · Reduced service | $3.47 | $3.47 | $36.31 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.38 Median $1.38 Typical High $14.45 | Professional | 53 · Discontinued | $1.38 | $1.38 | $14.45 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $5.50 Median $5.50 Typical High $6.46 | Professional | FX · Film X-ray | $5.50 | $5.50 | $6.46 |
Where Ohio sits
The same service costs 4.2 times more in Kansas 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· 15th of 51
$12.59
KS $23.99FL $5.75
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.