How much rates vary
Facilitymedian $813 · 10th to 90th $363 to $1,905Professionalmedian $282 · 10th to 90th $123 to $513
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 $309.03 Median $724.44 Typical High $1,258.93 | Facility | None | $309.03 | $724.44 | $1,258.93 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $87.10 Median $162.18 Typical High $302.00 | Facility | 26 · Professional part | $87.10 | $162.18 | $302.00 |
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 $870.96 | Professional | None (both parts) | $257.04 | $389.05 | $870.96 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $87.10 Median $95.50 Typical High $295.12 | Professional | 26 · Professional part | $87.10 | $95.50 | $295.12 |
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 $177.83 Median $229.09 Typical High $363.08 | Professional | None (both parts) | $177.83 | $229.09 | $363.08 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $114.82 Typical High $144.54 | Professional | 26 · Professional part | $66.07 | $114.82 | $144.54 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $251.19 Median $288.40 Typical High $489.78 | Professional | None (both parts) | $251.19 | $288.40 | $489.78 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $97.72 Typical High $151.36 | Professional | 26 · Professional part | $69.18 | $97.72 | $151.36 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $186.21 Median $194.98 Typical High $338.84 | Professional | TC · Technical part | $186.21 | $194.98 | $338.84 |
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 $501.19 | Professional | None (both parts) | $281.84 | $281.84 | $501.19 |
CareSource Setting Professional Modifier None (both parts) Typical Low $81.28 Median $186.21 Typical High $323.59 | Professional | None (both parts) | $81.28 | $186.21 | $323.59 |
Cigna Setting Facility Modifier None Typical Low $562.34 Median $776.25 Typical High $1,071.52 | Facility | None | $562.34 | $776.25 | $1,071.52 |
Cigna Setting Professional Modifier None (both parts) Typical Low $269.15 Median $323.59 Typical High $891.25 | Professional | None (both parts) | $269.15 | $323.59 | $891.25 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $102.33 Typical High $186.21 | Professional | 26 · Professional part | $81.28 | $102.33 | $186.21 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $186.21 Median $223.87 Typical High $616.60 | Professional | TC · Technical part | $186.21 | $223.87 | $616.60 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $416.87 Median $1,023.29 Typical High $2,398.83 | Facility | None | $416.87 | $1,023.29 | $2,398.83 |
Medical Mutual of Ohio Setting Professional Modifier None (both parts) Typical Low $269.15 Median $323.59 Typical High $891.25 | Professional | None (both parts) | $269.15 | $323.59 | $891.25 |
Medical Mutual of Ohio Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $154.88 Typical High $295.12 | Professional | 26 · Professional part | $64.57 | $154.88 | $295.12 |
Medical Mutual of Ohio Setting Professional Modifier TC · Technical part Typical Low $186.21 Median $218.78 Typical High $616.60 | Professional | TC · Technical part | $186.21 | $218.78 | $616.60 |
Molina Setting Professional Modifier None (both parts) Typical Low $104.71 Median $194.98 Typical High $371.54 | Professional | None (both parts) | $104.71 | $194.98 | $371.54 |
SummaCare Setting Professional Modifier None (both parts) Typical Low $177.83 Median $257.04 Typical High $389.05 | Professional | None (both parts) | $177.83 | $257.04 | $389.05 |
SummaCare Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $95.50 Typical High $169.82 | Professional | 26 · Professional part | $81.28 | $95.50 | $169.82 |
SummaCare Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $112.20 Typical High $281.84 | Professional | TC · Technical part | $95.50 | $112.20 | $281.84 |
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 $269.15 Median $363.08 Typical High $660.69 | Professional | None (both parts) | $269.15 | $363.08 | $660.69 |
United Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $93.33 Typical High $177.83 | Professional | 26 · Professional part | $64.57 | $93.33 | $177.83 |
United Setting Professional Modifier TC · Technical part Typical Low $181.97 Median $302.00 Typical High $524.81 | Professional | TC · Technical part | $181.97 | $302.00 | $524.81 |
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 $218.78 Median $575.44 Typical High $691.83 | Facility | CT · Older CT scanner | $218.78 | $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 $128.82 Median $128.82 Typical High $407.38 | Professional | 52 · Reduced service | $128.82 | $128.82 | $407.38 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $51.29 Median $51.29 Typical High $162.18 | Professional | 53 · Discontinued | $51.29 | $51.29 | $162.18 |
Aetna Setting Professional Modifier CT · Older CT scanner Typical Low $218.78 Median $218.78 Typical High $275.42 | Professional | CT · Older CT scanner | $218.78 | $218.78 | $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 12.3 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· 46th of 51
$288
VT $2,089UT $170
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.