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 $194.98 Median $457.09 Typical High $1,258.93 | Facility | None | $194.98 | $457.09 | $1,258.93 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $63.10 Median $114.82 Typical High $213.80 | Facility | 26 · Professional part | $63.10 | $114.82 | $213.80 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $112.20 Median $234.42 Typical High $346.74 | Facility | TC · Technical part | $112.20 | $234.42 | $346.74 |
Aetna Setting Professional Modifier None (both parts) Typical Low $158.49 Median $234.42 Typical High $676.08 | Professional | None (both parts) | $158.49 | $234.42 | $676.08 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $63.10 Typical High $208.93 | Professional | 26 · Professional part | $61.66 | $63.10 | $208.93 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $125.89 Typical High $323.59 | Professional | TC · Technical part | $97.72 | $125.89 | $323.59 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $107.15 Median $117.49 Typical High $131.83 | Professional | None (both parts) | $107.15 | $117.49 | $131.83 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $81.28 Typical High $95.50 | Professional | 26 · Professional part | $46.77 | $81.28 | $95.50 |
Anthem BCBS Setting Facility Modifier None Typical Low $426.58 Median $501.19 Typical High $588.84 | Facility | None | $426.58 | $501.19 | $588.84 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $186.21 Median $239.88 Typical High $398.11 | Professional | None (both parts) | $186.21 | $239.88 | $398.11 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $66.07 Typical High $112.20 | Professional | 26 · Professional part | $63.10 | $66.07 | $112.20 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $120.23 Median $177.83 Typical High $295.12 | Professional | TC · Technical part | $120.23 | $177.83 | $295.12 |
Aultcare Setting Facility Modifier None Typical Low $831.76 Median $831.76 Typical High $831.76 | Facility | None | $831.76 | $831.76 | $831.76 |
Aultcare Setting Professional Modifier None (both parts) Typical Low $173.78 Median $181.97 Typical High $302.00 | Professional | None (both parts) | $173.78 | $181.97 | $302.00 |
CareSource Setting Professional Modifier None (both parts) Typical Low $57.54 Median $95.50 Typical High $186.21 | Professional | None (both parts) | $57.54 | $95.50 | $186.21 |
Cigna Setting Facility Modifier None Typical Low $281.84 Median $436.52 Typical High $870.96 | Facility | None | $281.84 | $436.52 | $870.96 |
Cigna Setting Professional Modifier None (both parts) Typical Low $162.18 Median $213.80 Typical High $501.19 | Professional | None (both parts) | $162.18 | $213.80 | $501.19 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $72.44 Typical High $128.82 | Professional | 26 · Professional part | $57.54 | $72.44 | $128.82 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $141.25 Typical High $354.81 | Professional | TC · Technical part | $100.00 | $141.25 | $354.81 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $309.03 Median $602.56 Typical High $1,258.93 | Facility | None | $309.03 | $602.56 | $1,258.93 |
Medical Mutual of Ohio Setting Professional Modifier None (both parts) Typical Low $162.18 Median $213.80 Typical High $501.19 | Professional | None (both parts) | $162.18 | $213.80 | $501.19 |
Medical Mutual of Ohio Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $95.50 Typical High $190.55 | Professional | 26 · Professional part | $60.26 | $95.50 | $190.55 |
Medical Mutual of Ohio Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $141.25 Typical High $363.08 | Professional | TC · Technical part | $100.00 | $141.25 | $363.08 |
Molina Setting Professional Modifier None (both parts) Typical Low $45.71 Median $125.89 Typical High $199.53 | Professional | None (both parts) | $45.71 | $125.89 | $199.53 |
SummaCare Setting Professional Modifier None (both parts) Typical Low $104.71 Median $114.82 Typical High $234.42 | Professional | None (both parts) | $104.71 | $114.82 | $234.42 |
SummaCare Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $63.10 Typical High $109.65 | Professional | 26 · Professional part | $57.54 | $63.10 | $109.65 |
SummaCare Setting Professional Modifier TC · Technical part Typical Low $47.86 Median $52.48 Typical High $104.71 | Professional | TC · Technical part | $47.86 | $52.48 | $104.71 |
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 $162.18 Median $223.87 Typical High $407.38 | Professional | None (both parts) | $162.18 | $223.87 | $407.38 |
United Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $64.57 Typical High $125.89 | Professional | 26 · Professional part | $42.66 | $64.57 | $125.89 |
United Setting Professional Modifier TC · Technical part Typical Low $107.15 Median $165.96 Typical High $269.15 | Professional | TC · Technical part | $107.15 | $165.96 | $269.15 |
8 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 $85.11 Median $199.53 Typical High $275.42 | Facility | 52 · Reduced service | $85.11 | $199.53 | $275.42 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $34.67 Median $79.43 Typical High $109.65 | Facility | 53 · Discontinued | $34.67 | $79.43 | $109.65 |
Aetna Setting Facility Modifier CT · Older CT scanner Typical Low $134.90 Median $338.84 Typical High $426.58 | Facility | CT · Older CT scanner | $134.90 | $338.84 | $426.58 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $128.82 Median $316.23 Typical High $398.11 | Facility | FX · Film X-ray | $128.82 | $316.23 | $398.11 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $79.43 Median $79.43 Typical High $354.81 | Professional | 52 · Reduced service | $79.43 | $79.43 | $354.81 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $32.36 Median $32.36 Typical High $141.25 | Professional | 53 · Discontinued | $32.36 | $32.36 | $141.25 |
Aetna Setting Professional Modifier CT · Older CT scanner Typical Low $134.90 Median $134.90 Typical High $190.55 | Professional | CT · Older CT scanner | $134.90 | $134.90 | $190.55 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $128.82 Median $128.82 Typical High $177.83 | Professional | FX · Film X-ray | $128.82 | $128.82 | $177.83 |
Where Ohio sits
The same service costs 6.2 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
$195
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.