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 $186.21 Median $512.86 Typical High $1,258.93 | Facility | None | $186.21 | $512.86 | $1,258.93 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $53.70 Median $147.91 Typical High $186.21 | Facility | 26 · Professional part | $53.70 | $147.91 | $186.21 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $114.82 Median $269.15 Typical High $338.84 | Facility | TC · Technical part | $114.82 | $269.15 | $338.84 |
Aetna Setting Professional Modifier None (both parts) Typical Low $151.36 Median $234.42 Typical High $812.83 | Professional | None (both parts) | $151.36 | $234.42 | $812.83 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $57.54 Typical High $181.97 | Professional | 26 · Professional part | $53.70 | $57.54 | $181.97 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $120.23 Typical High $331.13 | Professional | TC · Technical part | $97.72 | $120.23 | $331.13 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $114.82 Median $114.82 Typical High $125.89 | Professional | None (both parts) | $114.82 | $114.82 | $125.89 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $72.44 Typical High $93.33 | Professional | 26 · Professional part | $40.74 | $72.44 | $93.33 |
Anthem BCBS Setting Facility Modifier None Typical Low $691.83 Median $812.83 Typical High $954.99 | Facility | None | $691.83 | $812.83 | $954.99 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $186.21 Median $257.04 Typical High $416.87 | Professional | None (both parts) | $186.21 | $257.04 | $416.87 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $67.61 Typical High $112.20 | Professional | 26 · Professional part | $61.66 | $67.61 | $112.20 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $123.03 Median $190.55 Typical High $309.03 | Professional | TC · Technical part | $123.03 | $190.55 | $309.03 |
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 $165.96 Median $257.04 Typical High $288.40 | Professional | None (both parts) | $165.96 | $257.04 | $288.40 |
CareSource Setting Professional Modifier None (both parts) Typical Low $50.12 Median $95.50 Typical High $177.83 | Professional | None (both parts) | $50.12 | $95.50 | $177.83 |
Cigna Setting Facility Modifier None Typical Low $288.40 Median $446.68 Typical High $870.96 | Facility | None | $288.40 | $446.68 | $870.96 |
Cigna Setting Professional Modifier None (both parts) Typical Low $147.91 Median $186.21 Typical High $478.63 | Professional | None (both parts) | $147.91 | $186.21 | $478.63 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $63.10 Typical High $123.03 | Professional | 26 · Professional part | $51.29 | $63.10 | $123.03 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $117.49 Typical High $331.13 | Professional | TC · Technical part | $95.50 | $117.49 | $331.13 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $309.03 Median $645.65 Typical High $1,202.26 | Facility | None | $309.03 | $645.65 | $1,202.26 |
Medical Mutual of Ohio Setting Professional Modifier None (both parts) Typical Low $147.91 Median $177.83 Typical High $489.78 | Professional | None (both parts) | $147.91 | $177.83 | $489.78 |
Medical Mutual of Ohio Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $74.13 Typical High $158.49 | Professional | 26 · Professional part | $53.70 | $74.13 | $158.49 |
Medical Mutual of Ohio Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $114.82 Typical High $331.13 | Professional | TC · Technical part | $95.50 | $114.82 | $331.13 |
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 $97.72 Median $107.15 Typical High $218.78 | Professional | None (both parts) | $97.72 | $107.15 | $218.78 |
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 $47.86 Median $52.48 Typical High $107.15 | Professional | TC · Technical part | $47.86 | $52.48 | $107.15 |
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 $144.54 Median $218.78 Typical High $398.11 | Professional | None (both parts) | $144.54 | $218.78 | $398.11 |
United Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $60.26 Typical High $112.20 | Professional | 26 · Professional part | $43.65 | $60.26 | $112.20 |
United Setting Professional Modifier TC · Technical part Typical Low $93.33 Median $173.78 Typical High $275.42 | Professional | TC · Technical part | $93.33 | $173.78 | $275.42 |
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 $87.10 Median $199.53 Typical High $446.68 | Facility | 52 · Reduced service | $87.10 | $199.53 | $446.68 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $34.67 Median $81.28 Typical High $177.83 | Facility | 53 · Discontinued | $34.67 | $81.28 | $177.83 |
Aetna Setting Facility Modifier CT · Older CT scanner Typical Low $128.82 Median $338.84 Typical High $691.83 | Facility | CT · Older CT scanner | $128.82 | $338.84 | $691.83 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $123.03 Median $323.59 Typical High $660.69 | Facility | FX · Film X-ray | $123.03 | $323.59 | $660.69 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $75.86 Median $75.86 Typical High $436.52 | Professional | 52 · Reduced service | $75.86 | $75.86 | $436.52 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $30.90 Median $30.90 Typical High $173.78 | Professional | 53 · Discontinued | $30.90 | $30.90 | $173.78 |
Aetna Setting Professional Modifier CT · Older CT scanner Typical Low $128.82 Median $128.82 Typical High $199.53 | Professional | CT · Older CT scanner | $128.82 | $128.82 | $199.53 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $123.03 Median $123.03 Typical High $186.21 | Professional | FX · Film X-ray | $123.03 | $123.03 | $186.21 |
Where Ohio sits
The same service costs 5.9 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· 46th of 51
$178
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.