How much rates vary
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 $257.04 Median $676.08 Typical High $1,258.93 | Facility | None | $257.04 | $676.08 | $1,258.93 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $72.44 Median $162.18 Typical High $204.17 | Facility | 26 · Professional part | $72.44 | $162.18 | $204.17 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $151.36 Median $309.03 Typical High $478.63 | Facility | TC · Technical part | $151.36 | $309.03 | $478.63 |
Aetna Setting Professional Modifier None (both parts) Typical Low $169.82 Median $257.04 Typical High $851.14 | Professional | None (both parts) | $169.82 | $257.04 | $851.14 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $58.88 Typical High $199.53 | Professional | 26 · Professional part | $58.88 | $58.88 | $199.53 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $112.20 Median $125.89 Typical High $426.58 | Professional | TC · Technical part | $112.20 | $125.89 | $426.58 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $43.65 Typical High $77.62 | Professional | 26 · Professional part | $43.65 | $43.65 | $77.62 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $194.98 Median $251.19 Typical High $416.87 | Professional | None (both parts) | $194.98 | $251.19 | $416.87 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $63.10 Typical High $104.71 | Professional | 26 · Professional part | $61.66 | $63.10 | $104.71 |
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 $181.97 | Professional | None (both parts) | $181.97 | $181.97 | $181.97 |
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 $173.78 Median $213.80 Typical High $537.03 | Professional | None (both parts) | $173.78 | $213.80 | $537.03 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $69.18 Typical High $123.03 | Professional | 26 · Professional part | $53.70 | $69.18 | $123.03 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $114.82 Median $141.25 Typical High $398.11 | Professional | TC · Technical part | $114.82 | $141.25 | $398.11 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $354.81 Median $512.86 Typical High $870.96 | Facility | None | $354.81 | $512.86 | $870.96 |
Medical Mutual of Ohio Setting Professional Modifier None (both parts) Typical Low $173.78 Median $208.93 Typical High $537.03 | Professional | None (both parts) | $173.78 | $208.93 | $537.03 |
Medical Mutual of Ohio Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $72.44 Typical High $181.97 | Professional | 26 · Professional part | $50.12 | $72.44 | $181.97 |
Medical Mutual of Ohio Setting Professional Modifier TC · Technical part Typical Low $114.82 Median $141.25 Typical High $407.38 | Professional | TC · Technical part | $114.82 | $141.25 | $407.38 |
Molina Setting Professional Modifier None (both parts) Typical Low $46.77 Median $141.25 Typical High $239.88 | Professional | None (both parts) | $46.77 | $141.25 | $239.88 |
SummaCare Setting Professional Modifier None (both parts) Typical Low $109.65 Median $120.23 Typical High $239.88 | Professional | None (both parts) | $109.65 | $120.23 | $239.88 |
SummaCare Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $60.26 Typical High $104.71 | Professional | 26 · Professional part | $54.95 | $60.26 | $104.71 |
SummaCare Setting Professional Modifier TC · Technical part Typical Low $53.70 Median $58.88 Typical High $120.23 | Professional | TC · Technical part | $53.70 | $58.88 | $120.23 |
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 $169.82 Median $239.88 Typical High $426.58 | Professional | None (both parts) | $169.82 | $239.88 | $426.58 |
United Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $63.10 Typical High $117.49 | Professional | 26 · Professional part | $40.74 | $63.10 | $117.49 |
United Setting Professional Modifier TC · Technical part Typical Low $109.65 Median $190.55 Typical High $309.03 | Professional | TC · Technical part | $109.65 | $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 $144.54 Median $389.05 Typical High $691.83 | Facility | CT · Older CT scanner | $144.54 | $389.05 | $691.83 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $138.04 Median $363.08 Typical High $660.69 | Facility | FX · Film X-ray | $138.04 | $363.08 | $660.69 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $85.11 Median $85.11 Typical High $457.09 | Professional | 52 · Reduced service | $85.11 | $85.11 | $457.09 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $33.88 Median $33.88 Typical High $186.21 | Professional | 53 · Discontinued | $33.88 | $33.88 | $186.21 |
Aetna Setting Professional Modifier CT · Older CT scanner Typical Low $144.54 Median $144.54 Typical High $218.78 | Professional | CT · Older CT scanner | $144.54 | $144.54 | $218.78 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $138.04 Median $138.04 Typical High $208.93 | Professional | FX · Film X-ray | $138.04 | $138.04 | $208.93 |
Where Ohio sits
The same service costs 5.5 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
$209
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.