How much rates vary
Facilitymedian $676 · 10th to 90th $302 to $1,202Professionalmedian $224 · 10th to 90th $117 to $417
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 $251.19 Median $691.83 Typical High $1,258.93 | Facility | None | $251.19 | $691.83 | $1,258.93 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $57.54 Median $151.36 Typical High $229.09 | Facility | 26 · Professional part | $57.54 | $151.36 | $229.09 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $154.88 Median $338.84 Typical High $537.03 | Facility | TC · Technical part | $154.88 | $338.84 | $537.03 |
Aetna Setting Professional Modifier None (both parts) Typical Low $181.97 Median $257.04 Typical High $851.14 | Professional | None (both parts) | $181.97 | $257.04 | $851.14 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $58.88 Typical High $208.93 | Professional | 26 · Professional part | $54.95 | $58.88 | $208.93 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $125.89 Median $141.25 Typical High $501.19 | Professional | TC · Technical part | $125.89 | $141.25 | $501.19 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $40.74 Typical High $72.44 | Professional | 26 · Professional part | $40.74 | $40.74 | $72.44 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $213.80 Median $257.04 Typical High $436.52 | Professional | None (both parts) | $213.80 | $257.04 | $436.52 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $70.79 Typical High $117.49 | Professional | 26 · Professional part | $61.66 | $70.79 | $117.49 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $147.91 Median $190.55 Typical High $316.23 | Professional | TC · Technical part | $147.91 | $190.55 | $316.23 |
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 $194.98 Median $194.98 Typical High $338.84 | Professional | None (both parts) | $194.98 | $194.98 | $338.84 |
Cigna Setting Facility Modifier None Typical Low $363.08 Median $562.34 Typical High $870.96 | Facility | None | $363.08 | $562.34 | $870.96 |
Cigna Setting Professional Modifier None (both parts) Typical Low $186.21 Median $239.88 Typical High $575.44 | Professional | None (both parts) | $186.21 | $239.88 | $575.44 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $63.10 Typical High $131.83 | Professional | 26 · Professional part | $51.29 | $63.10 | $131.83 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $128.82 Median $173.78 Typical High $426.58 | Professional | TC · Technical part | $128.82 | $173.78 | $426.58 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $398.11 Median $660.69 Typical High $1,202.26 | Facility | None | $398.11 | $660.69 | $1,202.26 |
Medical Mutual of Ohio Setting Professional Modifier None (both parts) Typical Low $186.21 Median $239.88 Typical High $575.44 | Professional | None (both parts) | $186.21 | $239.88 | $575.44 |
Medical Mutual of Ohio Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $79.43 Typical High $204.17 | Professional | 26 · Professional part | $53.70 | $79.43 | $204.17 |
Medical Mutual of Ohio Setting Professional Modifier TC · Technical part Typical Low $128.82 Median $173.78 Typical High $467.74 | Professional | TC · Technical part | $128.82 | $173.78 | $467.74 |
Molina Setting Professional Modifier None (both parts) Typical Low $44.67 Median $162.18 Typical High $251.19 | Professional | None (both parts) | $44.67 | $162.18 | $251.19 |
SummaCare Setting Professional Modifier None (both parts) Typical Low $112.20 Median $123.03 Typical High $251.19 | Professional | None (both parts) | $112.20 | $123.03 | $251.19 |
SummaCare Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $56.23 Typical High $95.50 | Professional | 26 · Professional part | $51.29 | $56.23 | $95.50 |
SummaCare Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $67.61 Typical High $134.90 | Professional | TC · Technical part | $61.66 | $67.61 | $134.90 |
United Setting Facility Modifier None Typical Low $363.08 Median $416.87 Typical High $602.56 | Facility | None | $363.08 | $416.87 | $602.56 |
United Setting Professional Modifier None (both parts) Typical Low $181.97 Median $257.04 Typical High $467.74 | Professional | None (both parts) | $181.97 | $257.04 | $467.74 |
United Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $64.57 Typical High $112.20 | Professional | 26 · Professional part | $45.71 | $64.57 | $112.20 |
United Setting Professional Modifier TC · Technical part Typical Low $131.83 Median $194.98 Typical High $346.74 | Professional | TC · Technical part | $131.83 | $194.98 | $346.74 |
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 $109.65 Median $257.04 Typical High $446.68 | Facility | 52 · Reduced service | $109.65 | $257.04 | $446.68 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $44.67 Median $102.33 Typical High $177.83 | Facility | 53 · Discontinued | $44.67 | $102.33 | $177.83 |
Aetna Setting Facility Modifier CT · Older CT scanner Typical Low $154.88 Median $436.52 Typical High $691.83 | Facility | CT · Older CT scanner | $154.88 | $436.52 | $691.83 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $144.54 Median $407.38 Typical High $660.69 | Facility | FX · Film X-ray | $144.54 | $407.38 | $660.69 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $91.20 Median $91.20 Typical High $446.68 | Professional | 52 · Reduced service | $91.20 | $91.20 | $446.68 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $36.31 Median $36.31 Typical High $177.83 | Professional | 53 · Discontinued | $36.31 | $36.31 | $177.83 |
Aetna Setting Professional Modifier CT · Older CT scanner Typical Low $154.88 Median $154.88 Typical High $234.42 | Professional | CT · Older CT scanner | $154.88 | $154.88 | $234.42 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $144.54 Median $144.54 Typical High $218.78 | Professional | FX · Film X-ray | $144.54 | $144.54 | $218.78 |
Where Ohio sits
The same service costs 5.5 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
$229
AK $724UT $132
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.