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 $676.08 Median $1,047.13 Typical High $2,344.23 | Facility | None | $676.08 | $1,047.13 | $2,344.23 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $173.78 Median $478.63 Typical High $741.31 | Facility | TC · Technical part | $173.78 | $478.63 | $741.31 |
Aetna Setting Professional Modifier None (both parts) Typical Low $223.87 Median $223.87 Typical High $3,388.44 | Professional | None (both parts) | $223.87 | $223.87 | $3,388.44 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $162.18 Median $162.18 Typical High $1,548.82 | Professional | 26 · Professional part | $162.18 | $162.18 | $1,548.82 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $173.78 Median $173.78 Typical High $512.86 | Professional | TC · Technical part | $173.78 | $173.78 | $512.86 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $331.13 Median $446.68 Typical High $741.31 | Professional | None (both parts) | $331.13 | $446.68 | $741.31 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $151.36 Median $165.96 Typical High $269.15 | Professional | 26 · Professional part | $151.36 | $165.96 | $269.15 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $229.09 Median $281.84 Typical High $501.19 | Professional | TC · Technical part | $229.09 | $281.84 | $501.19 |
Cigna Setting Facility Modifier None Typical Low $3,548.13 Median $3,981.07 Typical High $6,165.95 | Facility | None | $3,548.13 | $3,981.07 | $6,165.95 |
Cigna Setting Professional Modifier None (both parts) Typical Low $1,122.02 Median $1,445.44 Typical High $2,818.38 | Professional | None (both parts) | $1,122.02 | $1,445.44 | $2,818.38 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $147.91 Median $177.83 Typical High $323.59 | Professional | 26 · Professional part | $147.91 | $177.83 | $323.59 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $1,023.29 Median $1,318.26 Typical High $2,570.40 | Professional | TC · Technical part | $1,023.29 | $1,318.26 | $2,570.40 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $2,691.53 Median $3,890.45 Typical High $6,456.54 | Facility | None | $2,691.53 | $3,890.45 | $6,456.54 |
Medical Mutual of Ohio Setting Professional Modifier None (both parts) Typical Low $1,122.02 Median $1,445.44 Typical High $2,818.38 | Professional | None (both parts) | $1,122.02 | $1,445.44 | $2,818.38 |
Medical Mutual of Ohio Setting Professional Modifier 26 · Professional part Typical Low $147.91 Median $177.83 Typical High $316.23 | Professional | 26 · Professional part | $147.91 | $177.83 | $316.23 |
Medical Mutual of Ohio Setting Professional Modifier TC · Technical part Typical Low $1,122.02 Median $1,288.25 Typical High $2,511.89 | Professional | TC · Technical part | $1,122.02 | $1,288.25 | $2,511.89 |
Molina Setting Professional Modifier None (both parts) Typical Low $117.49 Median $165.96 Typical High $239.88 | Professional | None (both parts) | $117.49 | $165.96 | $239.88 |
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 $162.18 Median $177.83 Typical High $239.88 | Professional | 26 · Professional part | $162.18 | $177.83 | $239.88 |
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 $288.40 Median $380.19 Typical High $851.14 | Professional | None (both parts) | $288.40 | $380.19 | $851.14 |
United Setting Professional Modifier 26 · Professional part Typical Low $112.20 Median $165.96 Typical High $316.23 | Professional | 26 · Professional part | $112.20 | $165.96 | $316.23 |
United Setting Professional Modifier TC · Technical part Typical Low $162.18 Median $204.17 Typical High $467.74 | Professional | TC · Technical part | $162.18 | $204.17 | $467.74 |
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 $154.88 Median $338.84 Typical High $446.68 | Facility | 52 · Reduced service | $154.88 | $338.84 | $446.68 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $61.66 Median $134.90 Typical High $177.83 | Facility | 53 · Discontinued | $61.66 | $134.90 | $177.83 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $177.83 Median $537.03 Typical High $660.69 | Facility | FX · Film X-ray | $177.83 | $537.03 | $660.69 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $112.20 Median $112.20 Typical High $1,819.70 | Professional | 52 · Reduced service | $112.20 | $112.20 | $1,819.70 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $44.67 Median $44.67 Typical High $741.31 | Professional | 53 · Discontinued | $44.67 | $44.67 | $741.31 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $177.83 Median $177.83 Typical High $338.84 | Professional | FX · Film X-ray | $177.83 | $177.83 | $338.84 |
Where Ohio sits
The same service costs 13.5 times more in Wyoming than in Washington. 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· 39th of 51
$447
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.