How much rates vary
Facilitymedian $813 · 10th to 90th $417 to $1,288Professionalmedian $245 · 10th to 90th $120 to $437
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 $416.87 Median $851.14 Typical High $1,905.46 | Facility | None | $416.87 | $851.14 | $1,905.46 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $138.04 Median $380.19 Typical High $575.44 | Facility | TC · Technical part | $138.04 | $380.19 | $575.44 |
Aetna Setting Professional Modifier None (both parts) Typical Low $199.53 Median $208.93 Typical High $1,096.48 | Professional | None (both parts) | $199.53 | $208.93 | $1,096.48 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $60.26 Typical High $389.05 | Professional | 26 · Professional part | $60.26 | $60.26 | $389.05 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $138.04 Median $138.04 Typical High $501.19 | Professional | TC · Technical part | $138.04 | $138.04 | $501.19 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $45.71 Typical High $79.43 | Professional | 26 · Professional part | $45.71 | $45.71 | $79.43 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $229.09 Median $257.04 Typical High $436.52 | Professional | None (both parts) | $229.09 | $257.04 | $436.52 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $66.07 Typical High $109.65 | Professional | 26 · Professional part | $63.10 | $66.07 | $109.65 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $158.49 Median $190.55 Typical High $331.13 | Professional | TC · Technical part | $158.49 | $190.55 | $331.13 |
Aultcare Setting Professional Modifier None (both parts) Typical Low $223.87 Median $223.87 Typical High $223.87 | Professional | None (both parts) | $223.87 | $223.87 | $223.87 |
Cigna Setting Facility Modifier None Typical Low $398.11 Median $616.60 Typical High $870.96 | Facility | None | $398.11 | $616.60 | $870.96 |
Cigna Setting Professional Modifier None (both parts) Typical Low $199.53 Median $245.47 Typical High $630.96 | Professional | None (both parts) | $199.53 | $245.47 | $630.96 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $70.79 Typical High $128.82 | Professional | 26 · Professional part | $56.23 | $70.79 | $128.82 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $138.04 Median $173.78 Typical High $501.19 | Professional | TC · Technical part | $138.04 | $173.78 | $501.19 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $426.58 Median $707.95 Typical High $870.96 | Facility | None | $426.58 | $707.95 | $870.96 |
Medical Mutual of Ohio Setting Professional Modifier None (both parts) Typical Low $199.53 Median $245.47 Typical High $630.96 | Professional | None (both parts) | $199.53 | $245.47 | $630.96 |
Medical Mutual of Ohio Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $70.79 Typical High $120.23 | Professional | 26 · Professional part | $60.26 | $70.79 | $120.23 |
Medical Mutual of Ohio Setting Professional Modifier TC · Technical part Typical Low $138.04 Median $173.78 Typical High $512.86 | Professional | TC · Technical part | $138.04 | $173.78 | $512.86 |
Molina Setting Professional Modifier None (both parts) Typical Low $43.65 Median $177.83 Typical High $288.40 | Professional | None (both parts) | $43.65 | $177.83 | $288.40 |
SummaCare Setting Professional Modifier None (both parts) Typical Low $123.03 Median $173.78 Typical High $239.88 | Professional | None (both parts) | $123.03 | $173.78 | $239.88 |
SummaCare Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $61.66 Typical High $91.20 | Professional | 26 · Professional part | $56.23 | $61.66 | $91.20 |
SummaCare Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $72.44 Typical High $147.91 | Professional | TC · Technical part | $66.07 | $72.44 | $147.91 |
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 $194.98 Median $281.84 Typical High $512.86 | Professional | None (both parts) | $194.98 | $281.84 | $512.86 |
United Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $64.57 Typical High $123.03 | Professional | 26 · Professional part | $42.66 | $64.57 | $123.03 |
United Setting Professional Modifier TC · Technical part Typical Low $134.90 Median $239.88 Typical High $380.19 | Professional | TC · Technical part | $134.90 | $239.88 | $380.19 |
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 $120.23 Median $281.84 Typical High $446.68 | Facility | 52 · Reduced service | $120.23 | $281.84 | $446.68 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $47.86 Median $112.20 Typical High $177.83 | Facility | 53 · Discontinued | $47.86 | $112.20 | $177.83 |
Aetna Setting Facility Modifier CT · Older CT scanner Typical Low $169.82 Median $467.74 Typical High $691.83 | Facility | CT · Older CT scanner | $169.82 | $467.74 | $691.83 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $158.49 Median $446.68 Typical High $660.69 | Facility | FX · Film X-ray | $158.49 | $446.68 | $660.69 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $100.00 Median $100.00 Typical High $562.34 | Professional | 52 · Reduced service | $100.00 | $100.00 | $562.34 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $39.81 Median $39.81 Typical High $223.87 | Professional | 53 · Discontinued | $39.81 | $39.81 | $223.87 |
Aetna Setting Professional Modifier CT · Older CT scanner Typical Low $169.82 Median $169.82 Typical High $257.04 | Professional | CT · Older CT scanner | $169.82 | $169.82 | $257.04 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $158.49 Median $158.49 Typical High $239.88 | Professional | FX · Film X-ray | $158.49 | $158.49 | $239.88 |
Where Ohio sits
The same service costs 5.2 times more in Alaska 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· 44th of 51
$245
AK $794UT $151
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.