How much rates vary
Facilitymedian $200 · 10th to 90th $148 to $269Professionalmedian $89 · 10th to 90th $60 to $166
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 $199.53 Typical High $269.15 | Facility | None | $89.13 | $199.53 | $269.15 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $25.12 Median $75.86 Typical High $93.33 | Facility | 26 · Professional part | $25.12 | $75.86 | $93.33 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $64.57 Median $144.54 Typical High $194.98 | Facility | TC · Technical part | $64.57 | $144.54 | $194.98 |
Aetna Setting Professional Modifier None (both parts) Typical Low $72.44 Median $181.97 Typical High $269.15 | Professional | None (both parts) | $72.44 | $181.97 | $269.15 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $64.57 Typical High $97.72 | Professional | 26 · Professional part | $25.12 | $64.57 | $97.72 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $47.86 Median $114.82 Typical High $177.83 | Professional | TC · Technical part | $47.86 | $114.82 | $177.83 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $20.42 Median $20.42 Typical High $44.67 | Professional | 26 · Professional part | $20.42 | $20.42 | $44.67 |
Anthem BCBS Setting Facility Modifier None Typical Low $154.88 Median $181.97 Typical High $213.80 | Facility | None | $154.88 | $181.97 | $213.80 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $67.61 Median $81.28 Typical High $138.04 | Professional | None (both parts) | $67.61 | $81.28 | $138.04 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $32.36 Typical High $63.10 | Professional | 26 · Professional part | $27.54 | $32.36 | $63.10 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $43.65 Median $51.29 Typical High $87.10 | Professional | TC · Technical part | $43.65 | $51.29 | $87.10 |
Cigna Setting Facility Modifier None Typical Low $162.18 Median $162.18 Typical High $162.18 | Facility | None | $162.18 | $162.18 | $162.18 |
Cigna Setting Professional Modifier None (both parts) Typical Low $74.13 Median $95.50 Typical High $223.87 | Professional | None (both parts) | $74.13 | $95.50 | $223.87 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $33.88 Typical High $70.79 | Professional | 26 · Professional part | $25.70 | $33.88 | $70.79 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $47.86 Median $63.10 Typical High $151.36 | Professional | TC · Technical part | $47.86 | $63.10 | $151.36 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $162.18 Median $162.18 Typical High $457.09 | Facility | None | $162.18 | $162.18 | $457.09 |
Medical Mutual of Ohio Setting Professional Modifier None (both parts) Typical Low $74.13 Median $95.50 Typical High $204.17 | Professional | None (both parts) | $74.13 | $95.50 | $204.17 |
Medical Mutual of Ohio Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $35.48 Typical High $83.18 | Professional | 26 · Professional part | $25.70 | $35.48 | $83.18 |
Medical Mutual of Ohio Setting Professional Modifier TC · Technical part Typical Low $47.86 Median $63.10 Typical High $134.90 | Professional | TC · Technical part | $47.86 | $63.10 | $134.90 |
Molina Setting Professional Modifier None (both parts) Typical Low $44.67 Median $93.33 Typical High $141.25 | Professional | None (both parts) | $44.67 | $93.33 | $141.25 |
SummaCare Setting Professional Modifier None (both parts) Typical Low $81.28 Median $102.33 Typical High $147.91 | Professional | None (both parts) | $81.28 | $102.33 | $147.91 |
United Setting Professional Modifier None (both parts) Typical Low $69.18 Median $91.20 Typical High $208.93 | Professional | None (both parts) | $69.18 | $91.20 | $208.93 |
United Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $32.36 Typical High $72.44 | Professional | 26 · Professional part | $22.91 | $32.36 | $72.44 |
United Setting Professional Modifier TC · Technical part Typical Low $45.71 Median $61.66 Typical High $138.04 | Professional | TC · Technical part | $45.71 | $61.66 | $138.04 |
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 $41.69 Median $74.13 Typical High $100.00 | Facility | 52 · Reduced service | $41.69 | $74.13 | $100.00 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $16.60 Median $29.51 Typical High $40.74 | Facility | 53 · Discontinued | $16.60 | $29.51 | $40.74 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $58.88 Median $117.49 Typical High $162.18 | Facility | FX · Film X-ray | $58.88 | $117.49 | $162.18 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $36.31 Median $36.31 Typical High $131.83 | Professional | 52 · Reduced service | $36.31 | $36.31 | $131.83 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $14.45 Median $14.45 Typical High $52.48 | Professional | 53 · Discontinued | $14.45 | $14.45 | $52.48 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $58.88 Median $58.88 Typical High $144.54 | Professional | FX · Film X-ray | $58.88 | $58.88 | $144.54 |
Where Ohio sits
The same service costs 4.6 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· 34th of 51
$91.20
AK $302FL $66.07
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.