How much rates vary
Facilitymedian $200 · 10th to 90th $83 to $692Professionalmedian $72 · 10th to 90th $38 to $123
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 $58.88 Median $165.96 Typical High $213.80 | Facility | None | $58.88 | $165.96 | $213.80 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $30.20 Median $60.26 Typical High $109.65 | Facility | 26 · Professional part | $30.20 | $60.26 | $109.65 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $36.31 Median $81.28 Typical High $104.71 | Facility | TC · Technical part | $36.31 | $81.28 | $104.71 |
Aetna Setting Professional Modifier None (both parts) Typical Low $58.88 Median $89.13 Typical High $213.80 | Professional | None (both parts) | $58.88 | $89.13 | $213.80 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $42.66 Typical High $102.33 | Professional | 26 · Professional part | $30.20 | $42.66 | $102.33 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $29.51 Median $44.67 Typical High $100.00 | Professional | TC · Technical part | $29.51 | $44.67 | $100.00 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $50.12 Median $89.13 Typical High $89.13 | Professional | None (both parts) | $50.12 | $89.13 | $89.13 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $38.02 Typical High $48.98 | Professional | 26 · Professional part | $25.12 | $38.02 | $48.98 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $51.29 Median $72.44 Typical High $117.49 | Professional | None (both parts) | $51.29 | $72.44 | $117.49 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $35.48 Typical High $57.54 | Professional | 26 · Professional part | $30.90 | $35.48 | $57.54 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $34.67 Median $42.66 Typical High $72.44 | Professional | TC · Technical part | $34.67 | $42.66 | $72.44 |
Aultcare Setting Professional Modifier None (both parts) Typical Low $72.44 Median $91.20 Typical High $128.82 | Professional | None (both parts) | $72.44 | $91.20 | $128.82 |
CareSource Setting Professional Modifier None (both parts) Typical Low $30.90 Median $39.81 Typical High $77.62 | Professional | None (both parts) | $30.90 | $39.81 | $77.62 |
Cigna Setting Facility Modifier None Typical Low $91.20 Median $173.78 Typical High $251.19 | Facility | None | $91.20 | $173.78 | $251.19 |
Cigna Setting Professional Modifier None (both parts) Typical Low $60.26 Median $81.28 Typical High $158.49 | Professional | None (both parts) | $60.26 | $81.28 | $158.49 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $40.74 Typical High $74.13 | Professional | 26 · Professional part | $30.90 | $40.74 | $74.13 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $29.51 Median $41.69 Typical High $83.18 | Professional | TC · Technical part | $29.51 | $41.69 | $83.18 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $165.96 Median $436.52 Typical High $1,778.28 | Facility | None | $165.96 | $436.52 | $1,778.28 |
Medical Mutual of Ohio Setting Professional Modifier None (both parts) Typical Low $60.26 Median $91.20 Typical High $190.55 | Professional | None (both parts) | $60.26 | $91.20 | $190.55 |
Medical Mutual of Ohio Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $57.54 Typical High $91.20 | Professional | 26 · Professional part | $31.62 | $57.54 | $91.20 |
Medical Mutual of Ohio Setting Professional Modifier TC · Technical part Typical Low $29.51 Median $40.74 Typical High $83.18 | Professional | TC · Technical part | $29.51 | $40.74 | $83.18 |
Molina Setting Professional Modifier None (both parts) Typical Low $32.36 Median $51.29 Typical High $93.33 | Professional | None (both parts) | $32.36 | $51.29 | $93.33 |
SummaCare Setting Professional Modifier None (both parts) Typical Low $66.07 Median $85.11 Typical High $138.04 | Professional | None (both parts) | $66.07 | $85.11 | $138.04 |
SummaCare Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $42.66 Typical High $61.66 | Professional | 26 · Professional part | $33.11 | $42.66 | $61.66 |
SummaCare Setting Professional Modifier TC · Technical part Typical Low $33.11 Median $42.66 Typical High $75.86 | Professional | TC · Technical part | $33.11 | $42.66 | $75.86 |
United Setting Facility Modifier None Typical Low $275.42 Median $323.59 Typical High $457.09 | Facility | None | $275.42 | $323.59 | $457.09 |
United Setting Professional Modifier None (both parts) Typical Low $51.29 Median $75.86 Typical High $141.25 | Professional | None (both parts) | $51.29 | $75.86 | $141.25 |
United Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $34.67 Typical High $69.18 | Professional | 26 · Professional part | $23.44 | $34.67 | $69.18 |
United Setting Professional Modifier TC · Technical part Typical Low $30.20 Median $38.02 Typical High $85.11 | Professional | TC · Technical part | $30.20 | $38.02 | $85.11 |
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 $29.51 Median $40.74 Typical High $70.79 | Facility | 52 · Reduced service | $29.51 | $40.74 | $70.79 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $12.02 Median $16.22 Typical High $28.18 | Facility | 53 · Discontinued | $12.02 | $16.22 | $28.18 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $47.86 Median $70.79 Typical High $100.00 | Facility | FX · Film X-ray | $47.86 | $70.79 | $100.00 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $29.51 Median $29.51 Typical High $141.25 | Professional | 52 · Reduced service | $29.51 | $29.51 | $141.25 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.02 Median $12.02 Typical High $57.54 | Professional | 53 · Discontinued | $12.02 | $12.02 | $57.54 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $47.86 Median $47.86 Typical High $70.79 | Professional | FX · Film X-ray | $47.86 | $47.86 | $70.79 |
Where Ohio sits
The same service costs 4.7 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· 42nd of 51
$72.44
AK $257FL $54.95
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.