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 $199.53 Median $436.52 Typical High $1,258.93 | Facility | None | $199.53 | $436.52 | $1,258.93 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $64.57 Median $112.20 Typical High $213.80 | Facility | 26 · Professional part | $64.57 | $112.20 | $213.80 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $102.33 Median $239.88 Typical High $309.03 | Facility | TC · Technical part | $102.33 | $239.88 | $309.03 |
Aetna Setting Professional Modifier None (both parts) Typical Low $151.36 Median $234.42 Typical High $645.65 | Professional | None (both parts) | $151.36 | $234.42 | $645.65 |
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 $89.13 Median $114.82 Typical High $302.00 | Professional | TC · Technical part | $89.13 | $114.82 | $302.00 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $102.33 Median $102.33 Typical High $102.33 | Professional | None (both parts) | $102.33 | $102.33 | $102.33 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $95.50 Typical High $95.50 | Professional | 26 · Professional part | $46.77 | $95.50 | $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 $177.83 Median $234.42 Typical High $389.05 | Professional | None (both parts) | $177.83 | $234.42 | $389.05 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $66.07 Typical High $109.65 | Professional | 26 · Professional part | $63.10 | $66.07 | $109.65 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $109.65 Median $169.82 Typical High $281.84 | Professional | TC · Technical part | $109.65 | $169.82 | $281.84 |
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 $162.18 Median $162.18 Typical High $173.78 | Professional | None (both parts) | $162.18 | $162.18 | $173.78 |
CareSource Setting Professional Modifier None (both parts) Typical Low $57.54 Median $95.50 Typical High $173.78 | Professional | None (both parts) | $57.54 | $95.50 | $173.78 |
Cigna Setting Facility Modifier None Typical Low $257.04 Median $398.11 Typical High $870.96 | Facility | None | $257.04 | $398.11 | $870.96 |
Cigna Setting Professional Modifier None (both parts) Typical Low $147.91 Median $181.97 Typical High $478.63 | Professional | None (both parts) | $147.91 | $181.97 | $478.63 |
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 $87.10 Median $109.65 Typical High $288.40 | Professional | TC · Technical part | $87.10 | $109.65 | $288.40 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $281.84 Median $501.19 Typical High $870.96 | Facility | None | $281.84 | $501.19 | $870.96 |
Medical Mutual of Ohio Setting Professional Modifier None (both parts) Typical Low $147.91 Median $177.83 Typical High $478.63 | Professional | None (both parts) | $147.91 | $177.83 | $478.63 |
Medical Mutual of Ohio Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $83.18 Typical High $190.55 | Professional | 26 · Professional part | $60.26 | $83.18 | $190.55 |
Medical Mutual of Ohio Setting Professional Modifier TC · Technical part Typical Low $87.10 Median $104.71 Typical High $288.40 | Professional | TC · Technical part | $87.10 | $104.71 | $288.40 |
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 $100.00 Median $117.49 Typical High $223.87 | Professional | None (both parts) | $100.00 | $117.49 | $223.87 |
SummaCare Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $66.07 Typical High $109.65 | Professional | 26 · Professional part | $57.54 | $66.07 | $109.65 |
SummaCare Setting Professional Modifier TC · Technical part Typical Low $43.65 Median $51.29 Typical High $95.50 | Professional | TC · Technical part | $43.65 | $51.29 | $95.50 |
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 $144.54 Median $194.98 Typical High $346.74 | Professional | None (both parts) | $144.54 | $194.98 | $346.74 |
United Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $66.07 Typical High $125.89 | Professional | 26 · Professional part | $42.66 | $66.07 | $125.89 |
United Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $141.25 Typical High $245.47 | Professional | TC · Technical part | $85.11 | $141.25 | $245.47 |
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 $77.62 Median $181.97 Typical High $275.42 | Facility | 52 · Reduced service | $77.62 | $181.97 | $275.42 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $31.62 Median $72.44 Typical High $109.65 | Facility | 53 · Discontinued | $31.62 | $72.44 | $109.65 |
Aetna Setting Facility Modifier CT · Older CT scanner Typical Low $128.82 Median $309.03 Typical High $426.58 | Facility | CT · Older CT scanner | $128.82 | $309.03 | $426.58 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $120.23 Median $288.40 Typical High $398.11 | Facility | FX · Film X-ray | $120.23 | $288.40 | $398.11 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $75.86 Median $75.86 Typical High $338.84 | Professional | 52 · Reduced service | $75.86 | $75.86 | $338.84 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $30.20 Median $30.20 Typical High $134.90 | Professional | 53 · Discontinued | $30.20 | $30.20 | $134.90 |
Aetna Setting Professional Modifier CT · Older CT scanner Typical Low $128.82 Median $128.82 Typical High $190.55 | Professional | CT · Older CT scanner | $128.82 | $128.82 | $190.55 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $120.23 Median $120.23 Typical High $177.83 | Professional | FX · Film X-ray | $120.23 | $120.23 | $177.83 |
Where Ohio sits
The same service costs 5.8 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.