How much rates vary
Facilitymedian $617 · 10th to 90th $269 to $1,698Professionalmedian $204 · 10th to 90th $91 to $389
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 $512.86 Typical High $1,258.93 | Facility | None | $199.53 | $512.86 | $1,258.93 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $56.23 Median $102.33 Typical High $208.93 | Facility | 26 · Professional part | $56.23 | $102.33 | $208.93 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $123.03 Median $269.15 Typical High $416.87 | Facility | TC · Technical part | $123.03 | $269.15 | $416.87 |
Aetna Setting Professional Modifier None (both parts) Typical Low $165.96 Median $269.15 Typical High $645.65 | Professional | None (both parts) | $165.96 | $269.15 | $645.65 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $61.66 Typical High $190.55 | Professional | 26 · Professional part | $56.23 | $61.66 | $190.55 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $112.20 Median $147.91 Typical High $380.19 | Professional | TC · Technical part | $112.20 | $147.91 | $380.19 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $131.83 Median $131.83 Typical High $131.83 | Professional | None (both parts) | $131.83 | $131.83 | $131.83 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $74.13 Typical High $97.72 | Professional | 26 · Professional part | $41.69 | $74.13 | $97.72 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $204.17 Median $257.04 Typical High $426.58 | Professional | None (both parts) | $204.17 | $257.04 | $426.58 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $66.07 Typical High $107.15 | Professional | 26 · Professional part | $61.66 | $66.07 | $107.15 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $138.04 Median $190.55 Typical High $316.23 | Professional | TC · Technical part | $138.04 | $190.55 | $316.23 |
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 $181.97 Median $181.97 Typical High $316.23 | Professional | None (both parts) | $181.97 | $181.97 | $316.23 |
CareSource Setting Professional Modifier None (both parts) Typical Low $51.29 Median $107.15 Typical High $194.98 | Professional | None (both parts) | $51.29 | $107.15 | $194.98 |
Cigna Setting Facility Modifier None Typical Low $323.59 Median $501.19 Typical High $870.96 | Facility | None | $323.59 | $501.19 | $870.96 |
Cigna Setting Professional Modifier None (both parts) Typical Low $169.82 Median $208.93 Typical High $524.81 | Professional | None (both parts) | $169.82 | $208.93 | $524.81 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $70.79 Typical High $120.23 | Professional | 26 · Professional part | $52.48 | $70.79 | $120.23 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $112.20 Median $138.04 Typical High $380.19 | Professional | TC · Technical part | $112.20 | $138.04 | $380.19 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $354.81 Median $794.33 Typical High $1,995.26 | Facility | None | $354.81 | $794.33 | $1,995.26 |
Medical Mutual of Ohio Setting Professional Modifier None (both parts) Typical Low $173.78 Median $218.78 Typical High $524.81 | Professional | None (both parts) | $173.78 | $218.78 | $524.81 |
Medical Mutual of Ohio Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $107.15 Typical High $186.21 | Professional | 26 · Professional part | $57.54 | $107.15 | $186.21 |
Medical Mutual of Ohio Setting Professional Modifier TC · Technical part Typical Low $117.49 Median $144.54 Typical High $380.19 | Professional | TC · Technical part | $117.49 | $144.54 | $380.19 |
Molina Setting Professional Modifier None (both parts) Typical Low $45.71 Median $141.25 Typical High $239.88 | Professional | None (both parts) | $45.71 | $141.25 | $239.88 |
SummaCare Setting Professional Modifier None (both parts) Typical Low $107.15 Median $131.83 Typical High $275.42 | Professional | None (both parts) | $107.15 | $131.83 | $275.42 |
SummaCare Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $61.66 Typical High $97.72 | Professional | 26 · Professional part | $52.48 | $61.66 | $97.72 |
SummaCare Setting Professional Modifier TC · Technical part Typical Low $53.70 Median $67.61 Typical High $181.97 | Professional | TC · Technical part | $53.70 | $67.61 | $181.97 |
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 $165.96 Median $234.42 Typical High $426.58 | Professional | None (both parts) | $165.96 | $234.42 | $426.58 |
United Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $64.57 Typical High $120.23 | Professional | 26 · Professional part | $40.74 | $64.57 | $120.23 |
United Setting Professional Modifier TC · Technical part Typical Low $107.15 Median $190.55 Typical High $309.03 | Professional | TC · Technical part | $107.15 | $190.55 | $309.03 |
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 $97.72 Median $229.09 Typical High $446.68 | Facility | 52 · Reduced service | $97.72 | $229.09 | $446.68 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $38.90 Median $91.20 Typical High $177.83 | Facility | 53 · Discontinued | $38.90 | $91.20 | $177.83 |
Aetna Setting Facility Modifier CT · Older CT scanner Typical Low $141.25 Median $389.05 Typical High $691.83 | Facility | CT · Older CT scanner | $141.25 | $389.05 | $691.83 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $134.90 Median $363.08 Typical High $660.69 | Facility | FX · Film X-ray | $134.90 | $363.08 | $660.69 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $83.18 Median $83.18 Typical High $338.84 | Professional | 52 · Reduced service | $83.18 | $83.18 | $338.84 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $33.88 Median $33.88 Typical High $134.90 | Professional | 53 · Discontinued | $33.88 | $33.88 | $134.90 |
Aetna Setting Professional Modifier CT · Older CT scanner Typical Low $141.25 Median $141.25 Typical High $218.78 | Professional | CT · Older CT scanner | $141.25 | $141.25 | $218.78 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $134.90 Median $134.90 Typical High $204.17 | Professional | FX · Film X-ray | $134.90 | $134.90 | $204.17 |
Where Ohio sits
The same service costs 5.9 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· 45th of 51
$209
VT $741UT $126
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.