How much rates vary
Facilitymedian $117 · 10th to 90th $65 to $324Professionalmedian $41 · 10th to 90th $28 to $72
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 $57.54 Median $117.49 Typical High $302.00 | Facility | None | $57.54 | $117.49 | $302.00 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $15.14 Median $34.67 Typical High $47.86 | Facility | 26 · Professional part | $15.14 | $34.67 | $47.86 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $39.81 Median $70.79 Typical High $120.23 | Facility | TC · Technical part | $39.81 | $70.79 | $120.23 |
Aetna Setting Professional Modifier None (both parts) Typical Low $39.81 Median $44.67 Typical High $123.03 | Professional | None (both parts) | $39.81 | $44.67 | $123.03 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $12.59 Median $13.80 Typical High $42.66 | Professional | 26 · Professional part | $12.59 | $13.80 | $42.66 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $25.70 Median $29.51 Typical High $81.28 | Professional | TC · Technical part | $25.70 | $29.51 | $81.28 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $36.31 Median $57.54 Typical High $57.54 | Professional | None (both parts) | $36.31 | $57.54 | $57.54 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $12.30 Median $16.22 Typical High $17.78 | Professional | 26 · Professional part | $12.30 | $16.22 | $17.78 |
Ambetter Setting Professional Modifier TC · Technical part Typical Low $30.20 Median $30.20 Typical High $40.74 | Professional | TC · Technical part | $30.20 | $30.20 | $40.74 |
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 $24.55 Median $37.15 Typical High $64.57 | Professional | None (both parts) | $24.55 | $37.15 | $64.57 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $13.18 Median $14.45 Typical High $23.44 | Professional | 26 · Professional part | $13.18 | $14.45 | $23.44 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $21.88 Median $24.55 Typical High $44.67 | Professional | TC · Technical part | $21.88 | $24.55 | $44.67 |
Aultcare Setting Professional Modifier None (both parts) Typical Low $50.12 Median $50.12 Typical High $79.43 | Professional | None (both parts) | $50.12 | $50.12 | $79.43 |
CareSource Setting Professional Modifier None (both parts) Typical Low $12.30 Median $30.20 Typical High $51.29 | Professional | None (both parts) | $12.30 | $30.20 | $51.29 |
Cigna Setting Facility Modifier None Typical Low $66.07 Median $107.15 Typical High $363.08 | Facility | None | $66.07 | $107.15 | $363.08 |
Cigna Setting Professional Modifier None (both parts) Typical Low $36.31 Median $47.86 Typical High $81.28 | Professional | None (both parts) | $36.31 | $47.86 | $81.28 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $12.30 Median $14.45 Typical High $28.18 | Professional | 26 · Professional part | $12.30 | $14.45 | $28.18 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $25.70 Median $31.62 Typical High $54.95 | Professional | TC · Technical part | $25.70 | $31.62 | $54.95 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $66.07 Median $134.90 Typical High $363.08 | Facility | None | $66.07 | $134.90 | $363.08 |
Medical Mutual of Ohio Setting Professional Modifier None (both parts) Typical Low $36.31 Median $45.71 Typical High $81.28 | Professional | None (both parts) | $36.31 | $45.71 | $81.28 |
Medical Mutual of Ohio Setting Professional Modifier 26 · Professional part Typical Low $12.59 Median $19.05 Typical High $42.66 | Professional | 26 · Professional part | $12.59 | $19.05 | $42.66 |
Medical Mutual of Ohio Setting Professional Modifier TC · Technical part Typical Low $25.70 Median $31.62 Typical High $54.95 | Professional | TC · Technical part | $25.70 | $31.62 | $54.95 |
Molina Setting Professional Modifier None (both parts) Typical Low $26.92 Median $38.90 Typical High $54.95 | Professional | None (both parts) | $26.92 | $38.90 | $54.95 |
SummaCare Setting Professional Modifier None (both parts) Typical Low $45.71 Median $50.12 Typical High $69.18 | Professional | None (both parts) | $45.71 | $50.12 | $69.18 |
SummaCare Setting Professional Modifier 26 · Professional part Typical Low $13.18 Median $14.45 Typical High $23.44 | Professional | 26 · Professional part | $13.18 | $14.45 | $23.44 |
SummaCare Setting Professional Modifier TC · Technical part Typical Low $32.36 Median $35.48 Typical High $48.98 | Professional | TC · Technical part | $32.36 | $35.48 | $48.98 |
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 $28.84 Median $42.66 Typical High $75.86 | Professional | None (both parts) | $28.84 | $42.66 | $75.86 |
United Setting Professional Modifier 26 · Professional part Typical Low $9.12 Median $14.13 Typical High $25.12 | Professional | 26 · Professional part | $9.12 | $14.13 | $25.12 |
United Setting Professional Modifier TC · Technical part Typical Low $18.20 Median $28.84 Typical High $54.95 | Professional | TC · Technical part | $18.20 | $28.84 | $54.95 |
4 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 $24.55 Median $58.88 Typical High $162.18 | Facility | 52 · Reduced service | $24.55 | $58.88 | $162.18 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $33.88 Median $95.50 Typical High $239.88 | Facility | FX · Film X-ray | $33.88 | $95.50 | $239.88 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $20.89 Median $20.89 Typical High $67.61 | Professional | 52 · Reduced service | $20.89 | $20.89 | $67.61 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $33.88 Median $33.88 Typical High $37.15 | Professional | FX · Film X-ray | $33.88 | $33.88 | $37.15 |
Where Ohio sits
The same service costs 4.0 times more in Alaska than in Utah. 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· 45th of 51
$41.69
AK $132UT $33.11
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.