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 $338.84 Median $645.65 Typical High $1,258.93 | Facility | None | $338.84 | $645.65 | $1,258.93 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $63.10 Median $169.82 Typical High $213.80 | Facility | 26 · Professional part | $63.10 | $169.82 | $213.80 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $162.18 Median $338.84 Typical High $501.19 | Facility | TC · Technical part | $162.18 | $338.84 | $501.19 |
Aetna Setting Professional Modifier None (both parts) Typical Low $186.21 Median $234.42 Typical High $891.25 | Professional | None (both parts) | $186.21 | $234.42 | $891.25 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $61.66 Typical High $218.78 | Professional | 26 · Professional part | $60.26 | $61.66 | $218.78 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $123.03 Median $128.82 Typical High $416.87 | Professional | TC · Technical part | $123.03 | $128.82 | $416.87 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $144.54 Median $144.54 Typical High $144.54 | Professional | None (both parts) | $144.54 | $144.54 | $144.54 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $81.28 Typical High $81.28 | Professional | 26 · Professional part | $44.67 | $81.28 | $81.28 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $213.80 Median $263.03 Typical High $436.52 | Professional | None (both parts) | $213.80 | $263.03 | $436.52 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $72.44 Typical High $120.23 | Professional | 26 · Professional part | $67.61 | $72.44 | $120.23 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $141.25 Median $190.55 Typical High $316.23 | Professional | TC · Technical part | $141.25 | $190.55 | $316.23 |
Aultcare Setting Professional Modifier None (both parts) Typical Low $213.80 Median $213.80 Typical High $213.80 | Professional | None (both parts) | $213.80 | $213.80 | $213.80 |
Cigna Setting Facility Modifier None Typical Low $354.81 Median $562.34 Typical High $870.96 | Facility | None | $354.81 | $562.34 | $870.96 |
Cigna Setting Professional Modifier None (both parts) Typical Low $181.97 Median $223.87 Typical High $588.84 | Professional | None (both parts) | $181.97 | $223.87 | $588.84 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $70.79 Typical High $134.90 | Professional | 26 · Professional part | $57.54 | $70.79 | $134.90 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $123.03 Median $151.36 Typical High $407.38 | Professional | TC · Technical part | $123.03 | $151.36 | $407.38 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $389.05 Median $645.65 Typical High $870.96 | Facility | None | $389.05 | $645.65 | $870.96 |
Medical Mutual of Ohio Setting Professional Modifier None (both parts) Typical Low $181.97 Median $218.78 Typical High $602.56 | Professional | None (both parts) | $181.97 | $218.78 | $602.56 |
Medical Mutual of Ohio Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $70.79 Typical High $134.90 | Professional | 26 · Professional part | $60.26 | $70.79 | $134.90 |
Medical Mutual of Ohio Setting Professional Modifier TC · Technical part Typical Low $123.03 Median $144.54 Typical High $416.87 | Professional | TC · Technical part | $123.03 | $144.54 | $416.87 |
Molina Setting Professional Modifier None (both parts) Typical Low $46.77 Median $162.18 Typical High $251.19 | Professional | None (both parts) | $46.77 | $162.18 | $251.19 |
SummaCare Setting Professional Modifier None (both parts) Typical Low $117.49 Median $128.82 Typical High $263.03 | Professional | None (both parts) | $117.49 | $128.82 | $263.03 |
SummaCare Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $63.10 Typical High $102.33 | Professional | 26 · Professional part | $57.54 | $63.10 | $102.33 |
SummaCare Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $66.07 Typical High $134.90 | Professional | TC · Technical part | $60.26 | $66.07 | $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 $177.83 Median $269.15 Typical High $478.63 | Professional | None (both parts) | $177.83 | $269.15 | $478.63 |
United Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $66.07 Typical High $125.89 | Professional | 26 · Professional part | $46.77 | $66.07 | $125.89 |
United Setting Professional Modifier TC · Technical part Typical Low $117.49 Median $213.80 Typical High $346.74 | Professional | TC · Technical part | $117.49 | $213.80 | $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 $251.19 Typical High $446.68 | Facility | 52 · Reduced service | $109.65 | $251.19 | $446.68 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $43.65 Median $100.00 Typical High $177.83 | Facility | 53 · Discontinued | $43.65 | $100.00 | $177.83 |
Aetna Setting Facility Modifier CT · Older CT scanner Typical Low $158.49 Median $426.58 Typical High $691.83 | Facility | CT · Older CT scanner | $158.49 | $426.58 | $691.83 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $147.91 Median $398.11 Typical High $660.69 | Facility | FX · Film X-ray | $147.91 | $398.11 | $660.69 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $93.33 Median $93.33 Typical High $478.63 | Professional | 52 · Reduced service | $93.33 | $93.33 | $478.63 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $37.15 Median $37.15 Typical High $190.55 | Professional | 53 · Discontinued | $37.15 | $37.15 | $190.55 |
Aetna Setting Professional Modifier CT · Older CT scanner Typical Low $158.49 Median $158.49 Typical High $234.42 | Professional | CT · Older CT scanner | $158.49 | $158.49 | $234.42 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $147.91 Median $147.91 Typical High $218.78 | Professional | FX · Film X-ray | $147.91 | $147.91 | $218.78 |
Where Ohio sits
The same service costs 5.1 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· 45th of 51
$219
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.