How much rates vary
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 $44.67 Median $81.28 Typical High $323.59 | Facility | None | $44.67 | $81.28 | $323.59 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $12.88 Median $23.99 Typical High $42.66 | Facility | 26 · Professional part | $12.88 | $23.99 | $42.66 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $31.62 Median $63.10 Typical High $134.90 | Facility | TC · Technical part | $31.62 | $63.10 | $134.90 |
Aetna Setting Professional Modifier None (both parts) Typical Low $39.81 Median $44.67 Typical High $134.90 | Professional | None (both parts) | $39.81 | $44.67 | $134.90 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $12.02 Median $12.88 Typical High $42.66 | Professional | 26 · Professional part | $12.02 | $12.88 | $42.66 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $28.18 Median $31.62 Typical High $63.10 | Professional | TC · Technical part | $28.18 | $31.62 | $63.10 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $35.48 Median $35.48 Typical High $35.48 | Professional | None (both parts) | $35.48 | $35.48 | $35.48 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $10.23 Median $10.23 Typical High $22.39 | Professional | 26 · Professional part | $10.23 | $10.23 | $22.39 |
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 $33.11 Median $40.74 Typical High $69.18 | Professional | None (both parts) | $33.11 | $40.74 | $69.18 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $14.13 Median $14.79 Typical High $23.99 | Professional | 26 · Professional part | $14.13 | $14.79 | $23.99 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $21.38 Median $27.54 Typical High $48.98 | Professional | TC · Technical part | $21.38 | $27.54 | $48.98 |
Aultcare Setting Professional Modifier None (both parts) Typical Low $50.12 Median $50.12 Typical High $53.70 | Professional | None (both parts) | $50.12 | $50.12 | $53.70 |
Cigna Setting Facility Modifier None Typical Low $87.10 Median $112.20 Typical High $363.08 | Facility | None | $87.10 | $112.20 | $363.08 |
Cigna Setting Professional Modifier None (both parts) Typical Low $39.81 Median $48.98 Typical High $89.13 | Professional | None (both parts) | $39.81 | $48.98 | $89.13 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $12.59 Median $15.14 Typical High $27.54 | Professional | 26 · Professional part | $12.59 | $15.14 | $27.54 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $27.54 Median $33.88 Typical High $63.10 | Professional | TC · Technical part | $27.54 | $33.88 | $63.10 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $87.10 Median $123.03 Typical High $363.08 | Facility | None | $87.10 | $123.03 | $363.08 |
Medical Mutual of Ohio Setting Professional Modifier None (both parts) Typical Low $39.81 Median $47.86 Typical High $87.10 | Professional | None (both parts) | $39.81 | $47.86 | $87.10 |
Medical Mutual of Ohio Setting Professional Modifier 26 · Professional part Typical Low $12.88 Median $15.14 Typical High $30.90 | Professional | 26 · Professional part | $12.88 | $15.14 | $30.90 |
Medical Mutual of Ohio Setting Professional Modifier TC · Technical part Typical Low $27.54 Median $33.88 Typical High $63.10 | Professional | TC · Technical part | $27.54 | $33.88 | $63.10 |
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 $13.49 Median $14.45 Typical High $21.38 | Professional | 26 · Professional part | $13.49 | $14.45 | $21.38 |
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 $31.62 Median $46.77 Typical High $83.18 | Professional | None (both parts) | $31.62 | $46.77 | $83.18 |
United Setting Professional Modifier 26 · Professional part Typical Low $9.12 Median $14.45 Typical High $26.92 | Professional | 26 · Professional part | $9.12 | $14.45 | $26.92 |
United Setting Professional Modifier TC · Technical part Typical Low $20.89 Median $30.90 Typical High $58.88 | Professional | TC · Technical part | $20.89 | $30.90 | $58.88 |
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 $25.70 Median $64.57 Typical High $162.18 | Facility | 52 · Reduced service | $25.70 | $64.57 | $162.18 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $10.47 Median $25.70 Typical High $66.07 | Facility | 53 · Discontinued | $10.47 | $25.70 | $66.07 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $35.48 Median $102.33 Typical High $239.88 | Facility | FX · Film X-ray | $35.48 | $102.33 | $239.88 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $22.39 Median $22.39 Typical High $67.61 | Professional | 52 · Reduced service | $22.39 | $22.39 | $67.61 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.91 Median $8.91 Typical High $26.92 | Professional | 53 · Discontinued | $8.91 | $8.91 | $26.92 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $35.48 Median $35.48 Typical High $39.81 | Professional | FX · Film X-ray | $35.48 | $35.48 | $39.81 |
Where Ohio sits
The same service costs 4.1 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· 44th of 51
$44.67
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.