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 $588.84 Median $1,659.59 Typical High $2,398.83 | Facility | None | $588.84 | $1,659.59 | $2,398.83 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $524.81 Median $1,445.44 Typical High $2,238.72 | Facility | TC · Technical part | $524.81 | $1,445.44 | $2,238.72 |
Aetna Setting Professional Modifier None (both parts) Typical Low $537.03 Median $575.44 Typical High $1,819.70 | Professional | None (both parts) | $537.03 | $575.44 | $1,819.70 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $158.49 Median $158.49 Typical High $645.65 | Professional | 26 · Professional part | $158.49 | $158.49 | $645.65 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $512.86 Median $524.81 Typical High $1,548.82 | Professional | TC · Technical part | $512.86 | $524.81 | $1,548.82 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $416.87 Median $436.52 Typical High $776.25 | Professional | None (both parts) | $416.87 | $436.52 | $776.25 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $134.90 Median $147.91 Typical High $251.19 | Professional | 26 · Professional part | $134.90 | $147.91 | $251.19 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $281.84 Median $288.40 Typical High $630.96 | Professional | TC · Technical part | $281.84 | $288.40 | $630.96 |
Aultcare Setting Professional Modifier 26 · Professional part Typical Low $194.98 Median $194.98 Typical High $194.98 | Professional | 26 · Professional part | $194.98 | $194.98 | $194.98 |
Cigna Setting Facility Modifier None Typical Low $3,388.44 Median $3,801.89 Typical High $5,888.44 | Facility | None | $3,388.44 | $3,801.89 | $5,888.44 |
Cigna Setting Professional Modifier None (both parts) Typical Low $1,071.52 Median $1,412.54 Typical High $2,818.38 | Professional | None (both parts) | $1,071.52 | $1,412.54 | $2,818.38 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $141.25 Median $165.96 Typical High $331.13 | Professional | 26 · Professional part | $141.25 | $165.96 | $331.13 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $1,023.29 Median $1,288.25 Typical High $2,511.89 | Professional | TC · Technical part | $1,023.29 | $1,288.25 | $2,511.89 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $2,691.53 Median $3,715.35 Typical High $6,165.95 | Facility | None | $2,691.53 | $3,715.35 | $6,165.95 |
Medical Mutual of Ohio Setting Professional Modifier None (both parts) Typical Low $1,096.48 Median $1,412.54 Typical High $2,818.38 | Professional | None (both parts) | $1,096.48 | $1,412.54 | $2,818.38 |
Medical Mutual of Ohio Setting Professional Modifier 26 · Professional part Typical Low $147.91 Median $165.96 Typical High $338.84 | Professional | 26 · Professional part | $147.91 | $165.96 | $338.84 |
Medical Mutual of Ohio Setting Professional Modifier TC · Technical part Typical Low $1,096.48 Median $1,258.93 Typical High $2,511.89 | Professional | TC · Technical part | $1,096.48 | $1,258.93 | $2,511.89 |
Molina Setting Professional Modifier None (both parts) Typical Low $144.54 Median $204.17 Typical High $302.00 | Professional | None (both parts) | $144.54 | $204.17 | $302.00 |
SummaCare Setting Professional Modifier None (both parts) Typical Low $50.12 Median $50.12 Typical High $70.79 | Professional | None (both parts) | $50.12 | $50.12 | $70.79 |
SummaCare Setting Professional Modifier 26 · Professional part Typical Low $158.49 Median $169.82 Typical High $234.42 | Professional | 26 · Professional part | $158.49 | $169.82 | $234.42 |
United Setting Facility Modifier None Typical Low $1,122.02 Median $1,318.26 Typical High $1,862.09 | Facility | None | $1,122.02 | $1,318.26 | $1,862.09 |
United Setting Professional Modifier None (both parts) Typical Low $295.12 Median $575.44 Typical High $1,258.93 | Professional | None (both parts) | $295.12 | $575.44 | $1,258.93 |
United Setting Professional Modifier 26 · Professional part Typical Low $107.15 Median $158.49 Typical High $302.00 | Professional | 26 · Professional part | $107.15 | $158.49 | $302.00 |
United Setting Professional Modifier TC · Technical part Typical Low $177.83 Median $436.52 Typical High $870.96 | Professional | TC · Technical part | $177.83 | $436.52 | $870.96 |
6 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 $288.40 Median $794.33 Typical High $1,202.26 | Facility | 52 · Reduced service | $288.40 | $794.33 | $1,202.26 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $114.82 Median $316.23 Typical High $478.63 | Facility | 53 · Discontinued | $114.82 | $316.23 | $478.63 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $524.81 Median $1,445.44 Typical High $1,778.28 | Facility | FX · Film X-ray | $524.81 | $1,445.44 | $1,778.28 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $263.03 Median $288.40 Typical High $501.19 | Professional | 52 · Reduced service | $263.03 | $288.40 | $501.19 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $104.71 Median $114.82 Typical High $199.53 | Professional | 53 · Discontinued | $104.71 | $114.82 | $199.53 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $467.74 Median $467.74 Typical High $616.60 | Professional | FX · Film X-ray | $467.74 | $467.74 | $616.60 |
Where Ohio sits
The same service costs 12.3 times more in Wyoming than in Hawaii. 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· 40th of 51
$575
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.