How much rates vary
Facilitymedian $427 · 10th to 90th $195 to $1,148Professionalmedian $166 · 10th to 90th $83 to $347
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 $158.49 Median $436.52 Typical High $1,258.93 | Facility | None | $158.49 | $436.52 | $1,258.93 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $47.86 Median $89.13 Typical High $169.82 | Facility | 26 · Professional part | $47.86 | $89.13 | $169.82 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $87.10 Median $194.98 Typical High $346.74 | Facility | TC · Technical part | $87.10 | $194.98 | $346.74 |
Aetna Setting Professional Modifier None (both parts) Typical Low $131.83 Median $223.87 Typical High $691.83 | Professional | None (both parts) | $131.83 | $223.87 | $691.83 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $51.29 Typical High $169.82 | Professional | 26 · Professional part | $47.86 | $51.29 | $169.82 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $109.65 Typical High $281.84 | Professional | TC · Technical part | $83.18 | $109.65 | $281.84 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $44.67 Median $100.00 Typical High $117.49 | Professional | None (both parts) | $44.67 | $100.00 | $117.49 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $75.86 Typical High $79.43 | Professional | 26 · Professional part | $36.31 | $75.86 | $79.43 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $169.82 Median $234.42 Typical High $389.05 | Professional | None (both parts) | $169.82 | $234.42 | $389.05 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $58.88 Typical High $100.00 | Professional | 26 · Professional part | $53.70 | $58.88 | $100.00 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $102.33 Median $177.83 Typical High $281.84 | Professional | TC · Technical part | $102.33 | $177.83 | $281.84 |
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 $141.25 Median $151.36 Typical High $245.47 | Professional | None (both parts) | $141.25 | $151.36 | $245.47 |
CareSource Setting Professional Modifier None (both parts) Typical Low $44.67 Median $79.43 Typical High $151.36 | Professional | None (both parts) | $44.67 | $79.43 | $151.36 |
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 $134.90 Median $165.96 Typical High $416.87 | Professional | None (both parts) | $134.90 | $165.96 | $416.87 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $56.23 Typical High $107.15 | Professional | 26 · Professional part | $45.71 | $56.23 | $107.15 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $109.65 Typical High $323.59 | Professional | TC · Technical part | $85.11 | $109.65 | $323.59 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $263.03 Median $478.63 Typical High $1,288.25 | Facility | None | $263.03 | $478.63 | $1,288.25 |
Medical Mutual of Ohio Setting Professional Modifier None (both parts) Typical Low $134.90 Median $165.96 Typical High $436.52 | Professional | None (both parts) | $134.90 | $165.96 | $436.52 |
Medical Mutual of Ohio Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $85.11 Typical High $147.91 | Professional | 26 · Professional part | $46.77 | $85.11 | $147.91 |
Medical Mutual of Ohio Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $109.65 Typical High $331.13 | Professional | TC · Technical part | $85.11 | $109.65 | $331.13 |
Molina Setting Professional Modifier None (both parts) Typical Low $43.65 Median $125.89 Typical High $199.53 | Professional | None (both parts) | $43.65 | $125.89 | $199.53 |
SummaCare Setting Professional Modifier None (both parts) Typical Low $85.11 Median $100.00 Typical High $218.78 | Professional | None (both parts) | $85.11 | $100.00 | $218.78 |
SummaCare Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $53.70 Typical High $85.11 | Professional | 26 · Professional part | $45.71 | $53.70 | $85.11 |
SummaCare Setting Professional Modifier TC · Technical part Typical Low $39.81 Median $46.77 Typical High $138.04 | Professional | TC · Technical part | $39.81 | $46.77 | $138.04 |
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 $53.70 Typical High $97.72 | Professional | 26 · Professional part | $38.02 | $53.70 | $97.72 |
United Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $154.88 Typical High $245.47 | Professional | TC · Technical part | $85.11 | $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 $169.82 Typical High $275.42 | Facility | 52 · Reduced service | $72.44 | $169.82 | $275.42 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $28.84 Median $67.61 Typical High $109.65 | Facility | 53 · Discontinued | $28.84 | $67.61 | $109.65 |
Aetna Setting Facility Modifier CT · Older CT scanner Typical Low $109.65 Median $281.84 Typical High $426.58 | Facility | CT · Older CT scanner | $109.65 | $281.84 | $426.58 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $104.71 Median $269.15 Typical High $398.11 | Facility | FX · Film X-ray | $104.71 | $269.15 | $398.11 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $64.57 Median $64.57 Typical High $380.19 | Professional | 52 · Reduced service | $64.57 | $64.57 | $380.19 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $26.30 Median $26.30 Typical High $151.36 | Professional | 53 · Discontinued | $26.30 | $26.30 | $151.36 |
Aetna Setting Professional Modifier CT · Older CT scanner Typical Low $109.65 Median $109.65 Typical High $169.82 | Professional | CT · Older CT scanner | $109.65 | $109.65 | $169.82 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $104.71 Median $104.71 Typical High $158.49 | Professional | FX · Film X-ray | $104.71 | $104.71 | $158.49 |
Where Ohio sits
The same service costs 5.0 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
$166
AK $525UT $105
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.