How much rates vary
Facilitymedian $447 · 10th to 90th $224 to $1,318Professionalmedian $166 · 10th to 90th $62 to $355
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 $154.88 Median $416.87 Typical High $1,258.93 | Facility | None | $154.88 | $416.87 | $1,258.93 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $53.70 Median $95.50 Typical High $194.98 | Facility | 26 · Professional part | $53.70 | $95.50 | $194.98 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $89.13 Median $194.98 Typical High $309.03 | Facility | TC · Technical part | $89.13 | $194.98 | $309.03 |
Aetna Setting Professional Modifier None (both parts) Typical Low $134.90 Median $218.78 Typical High $501.19 | Professional | None (both parts) | $134.90 | $218.78 | $501.19 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $54.95 Typical High $173.78 | Professional | 26 · Professional part | $51.29 | $54.95 | $173.78 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $114.82 Typical High $275.42 | Professional | TC · Technical part | $81.28 | $114.82 | $275.42 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $79.43 Median $100.00 Typical High $144.54 | Professional | None (both parts) | $79.43 | $100.00 | $144.54 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $67.61 Typical High $85.11 | Professional | 26 · Professional part | $38.90 | $67.61 | $85.11 |
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 $169.82 Median $234.42 Typical High $398.11 | Professional | None (both parts) | $169.82 | $234.42 | $398.11 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $58.88 Typical High $100.00 | Professional | 26 · Professional part | $56.23 | $58.88 | $100.00 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $177.83 Typical High $275.42 | Professional | TC · Technical part | $100.00 | $177.83 | $275.42 |
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 $144.54 Median $144.54 Typical High $251.19 | Professional | None (both parts) | $144.54 | $144.54 | $251.19 |
CareSource Setting Professional Modifier None (both parts) Typical Low $47.86 Median $81.28 Typical High $154.88 | Professional | None (both parts) | $47.86 | $81.28 | $154.88 |
Cigna Setting Facility Modifier None Typical Low $239.88 Median $371.54 Typical High $870.96 | Facility | None | $239.88 | $371.54 | $870.96 |
Cigna Setting Professional Modifier None (both parts) Typical Low $138.04 Median $169.82 Typical High $426.58 | Professional | None (both parts) | $138.04 | $169.82 | $426.58 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $64.57 Typical High $109.65 | Professional | 26 · Professional part | $47.86 | $64.57 | $109.65 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $104.71 Typical High $295.12 | Professional | TC · Technical part | $83.18 | $104.71 | $295.12 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $257.04 Median $588.84 Typical High $1,698.24 | Facility | None | $257.04 | $588.84 | $1,698.24 |
Medical Mutual of Ohio Setting Professional Modifier None (both parts) Typical Low $138.04 Median $173.78 Typical High $426.58 | Professional | None (both parts) | $138.04 | $173.78 | $426.58 |
Medical Mutual of Ohio Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $95.50 Typical High $173.78 | Professional | 26 · Professional part | $33.88 | $95.50 | $173.78 |
Medical Mutual of Ohio Setting Professional Modifier TC · Technical part Typical Low $87.10 Median $107.15 Typical High $288.40 | Professional | TC · Technical part | $87.10 | $107.15 | $288.40 |
Molina Setting Professional Modifier None (both parts) Typical Low $43.65 Median $97.72 Typical High $190.55 | Professional | None (both parts) | $43.65 | $97.72 | $190.55 |
SummaCare Setting Professional Modifier None (both parts) Typical Low $89.13 Median $109.65 Typical High $251.19 | Professional | None (both parts) | $89.13 | $109.65 | $251.19 |
SummaCare Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $56.23 Typical High $91.20 | Professional | 26 · Professional part | $47.86 | $56.23 | $91.20 |
SummaCare Setting Professional Modifier TC · Technical part Typical Low $39.81 Median $46.77 Typical High $131.83 | Professional | TC · Technical part | $39.81 | $46.77 | $131.83 |
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 $131.83 Median $194.98 Typical High $354.81 | Professional | None (both parts) | $131.83 | $194.98 | $354.81 |
United Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $58.88 Typical High $107.15 | Professional | 26 · Professional part | $38.02 | $58.88 | $107.15 |
United Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $154.88 Typical High $245.47 | Professional | TC · Technical part | $81.28 | $154.88 | $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 $72.44 Median $165.96 Typical High $275.42 | Facility | 52 · Reduced service | $72.44 | $165.96 | $275.42 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $28.84 Median $66.07 Typical High $109.65 | Facility | 53 · Discontinued | $28.84 | $66.07 | $109.65 |
Aetna Setting Facility Modifier CT · Older CT scanner Typical Low $114.82 Median $281.84 Typical High $426.58 | Facility | CT · Older CT scanner | $114.82 | $281.84 | $426.58 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $107.15 Median $263.03 Typical High $398.11 | Facility | FX · Film X-ray | $107.15 | $263.03 | $398.11 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $67.61 Median $67.61 Typical High $204.17 | Professional | 52 · Reduced service | $67.61 | $67.61 | $204.17 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $26.92 Median $26.92 Typical High $81.28 | Professional | 53 · Discontinued | $26.92 | $26.92 | $81.28 |
Aetna Setting Professional Modifier CT · Older CT scanner Typical Low $114.82 Median $114.82 Typical High $173.78 | Professional | CT · Older CT scanner | $114.82 | $114.82 | $173.78 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $107.15 Median $107.15 Typical High $162.18 | Professional | FX · Film X-ray | $107.15 | $107.15 | $162.18 |
Where Ohio sits
The same service costs 6.2 times more in Vermont 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· 42nd of 51
$170
VT $617UT $100
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.