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 $302.00 Median $741.31 Typical High $1,258.93 | Facility | None | $302.00 | $741.31 | $1,258.93 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $83.18 Median $154.88 Typical High $295.12 | Facility | 26 · Professional part | $83.18 | $154.88 | $295.12 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $186.21 Median $407.38 Typical High $616.60 | Facility | TC · Technical part | $186.21 | $407.38 | $616.60 |
Aetna Setting Professional Modifier None (both parts) Typical Low $257.04 Median $389.05 Typical High $912.01 | Professional | None (both parts) | $257.04 | $389.05 | $912.01 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $87.10 Typical High $281.84 | Professional | 26 · Professional part | $83.18 | $87.10 | $281.84 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $169.82 Median $229.09 Typical High $575.44 | Professional | TC · Technical part | $169.82 | $229.09 | $575.44 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $251.19 Median $251.19 Typical High $251.19 | Professional | None (both parts) | $251.19 | $251.19 | $251.19 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $66.07 Typical High $138.04 | Professional | 26 · Professional part | $63.10 | $66.07 | $138.04 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $251.19 Median $275.42 Typical High $489.78 | Professional | None (both parts) | $251.19 | $275.42 | $489.78 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $87.10 Median $89.13 Typical High $151.36 | Professional | 26 · Professional part | $87.10 | $89.13 | $151.36 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $190.55 Median $190.55 Typical High $346.74 | Professional | TC · Technical part | $190.55 | $190.55 | $346.74 |
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 $281.84 Median $281.84 Typical High $489.78 | Professional | None (both parts) | $281.84 | $281.84 | $489.78 |
CareSource Setting Professional Modifier None (both parts) Typical Low $77.62 Median $186.21 Typical High $316.23 | Professional | None (both parts) | $77.62 | $186.21 | $316.23 |
Cigna Setting Facility Modifier None Typical Low $562.34 Median $776.25 Typical High $1,047.13 | Facility | None | $562.34 | $776.25 | $1,047.13 |
Cigna Setting Professional Modifier None (both parts) Typical Low $263.03 Median $316.23 Typical High $870.96 | Professional | None (both parts) | $263.03 | $316.23 | $870.96 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $77.62 Median $97.72 Typical High $173.78 | Professional | 26 · Professional part | $77.62 | $97.72 | $173.78 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $181.97 Median $223.87 Typical High $660.69 | Professional | TC · Technical part | $181.97 | $223.87 | $660.69 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $501.19 Median $870.96 Typical High $2,187.76 | Facility | None | $501.19 | $870.96 | $2,187.76 |
Medical Mutual of Ohio Setting Professional Modifier None (both parts) Typical Low $263.03 Median $316.23 Typical High $870.96 | Professional | None (both parts) | $263.03 | $316.23 | $870.96 |
Medical Mutual of Ohio Setting Professional Modifier 26 · Professional part Typical Low $72.44 Median $123.03 Typical High $257.04 | Professional | 26 · Professional part | $72.44 | $123.03 | $257.04 |
Medical Mutual of Ohio Setting Professional Modifier TC · Technical part Typical Low $181.97 Median $218.78 Typical High $660.69 | Professional | TC · Technical part | $181.97 | $218.78 | $660.69 |
Molina Setting Professional Modifier None (both parts) Typical Low $104.71 Median $199.53 Typical High $371.54 | Professional | None (both parts) | $104.71 | $199.53 | $371.54 |
SummaCare Setting Professional Modifier None (both parts) Typical Low $169.82 Median $199.53 Typical High $380.19 | Professional | None (both parts) | $169.82 | $199.53 | $380.19 |
SummaCare Setting Professional Modifier 26 · Professional part Typical Low $77.62 Median $91.20 Typical High $147.91 | Professional | 26 · Professional part | $77.62 | $91.20 | $147.91 |
SummaCare Setting Professional Modifier TC · Technical part Typical Low $93.33 Median $109.65 Typical High $229.09 | Professional | TC · Technical part | $93.33 | $109.65 | $229.09 |
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 $263.03 Median $398.11 Typical High $707.95 | Professional | None (both parts) | $263.03 | $398.11 | $707.95 |
United Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $89.13 Typical High $169.82 | Professional | 26 · Professional part | $58.88 | $89.13 | $169.82 |
United Setting Professional Modifier TC · Technical part Typical Low $181.97 Median $323.59 Typical High $537.03 | Professional | TC · Technical part | $181.97 | $323.59 | $537.03 |
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 $147.91 Median $338.84 Typical High $446.68 | Facility | 52 · Reduced service | $147.91 | $338.84 | $446.68 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $60.26 Median $134.90 Typical High $177.83 | Facility | 53 · Discontinued | $60.26 | $134.90 | $177.83 |
Aetna Setting Facility Modifier CT · Older CT scanner Typical Low $213.80 Median $575.44 Typical High $691.83 | Facility | CT · Older CT scanner | $213.80 | $575.44 | $691.83 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $204.17 Median $537.03 Typical High $660.69 | Facility | FX · Film X-ray | $204.17 | $537.03 | $660.69 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $125.89 Median $125.89 Typical High $575.44 | Professional | 52 · Reduced service | $125.89 | $125.89 | $575.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $51.29 Median $51.29 Typical High $234.42 | Professional | 53 · Discontinued | $51.29 | $51.29 | $234.42 |
Aetna Setting Professional Modifier CT · Older CT scanner Typical Low $213.80 Median $213.80 Typical High $275.42 | Professional | CT · Older CT scanner | $213.80 | $213.80 | $275.42 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $204.17 Median $204.17 Typical High $257.04 | Professional | FX · Film X-ray | $204.17 | $204.17 | $257.04 |
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
$275
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.