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 $239.88 Median $660.69 Typical High $1,905.46 | Facility | None | $239.88 | $660.69 | $1,905.46 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $75.86 Median $134.90 Typical High $251.19 | Facility | 26 · Professional part | $75.86 | $134.90 | $251.19 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $141.25 Median $295.12 Typical High $457.09 | Facility | TC · Technical part | $141.25 | $295.12 | $457.09 |
Aetna Setting Professional Modifier None (both parts) Typical Low $199.53 Median $346.74 Typical High $933.25 | Professional | None (both parts) | $199.53 | $346.74 | $933.25 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $72.44 Median $107.15 Typical High $245.47 | Professional | 26 · Professional part | $72.44 | $107.15 | $245.47 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $123.03 Median $173.78 Typical High $436.52 | Professional | TC · Technical part | $123.03 | $173.78 | $436.52 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $151.36 Median $151.36 Typical High $234.42 | Professional | None (both parts) | $151.36 | $151.36 | $234.42 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $85.11 Typical High $123.03 | Professional | 26 · Professional part | $53.70 | $85.11 | $123.03 |
Ambetter Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $95.50 Typical High $95.50 | Professional | TC · Technical part | $95.50 | $95.50 | $95.50 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $251.19 Median $363.08 Typical High $616.60 | Professional | None (both parts) | $251.19 | $363.08 | $616.60 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $83.18 Typical High $138.04 | Professional | 26 · Professional part | $79.43 | $83.18 | $138.04 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $151.36 Median $281.84 Typical High $446.68 | Professional | TC · Technical part | $151.36 | $281.84 | $446.68 |
Aultcare Setting Facility Modifier None Typical Low $1,096.48 Median $1,096.48 Typical High $1,096.48 | Facility | None | $1,096.48 | $1,096.48 | $1,096.48 |
Aultcare Setting Professional Modifier None (both parts) Typical Low $208.93 Median $234.42 Typical High $363.08 | Professional | None (both parts) | $208.93 | $234.42 | $363.08 |
CareSource Setting Professional Modifier None (both parts) Typical Low $66.07 Median $114.82 Typical High $223.87 | Professional | None (both parts) | $66.07 | $114.82 | $223.87 |
Cigna Setting Facility Modifier None Typical Low $346.74 Median $478.63 Typical High $1,348.96 | Facility | None | $346.74 | $478.63 | $1,348.96 |
Cigna Setting Professional Modifier None (both parts) Typical Low $194.98 Median $239.88 Typical High $691.83 | Professional | None (both parts) | $194.98 | $239.88 | $691.83 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $83.18 Typical High $154.88 | Professional | 26 · Professional part | $66.07 | $83.18 | $154.88 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $123.03 Median $147.91 Typical High $562.34 | Professional | TC · Technical part | $123.03 | $147.91 | $562.34 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $398.11 Median $1,023.29 Typical High $2,454.71 | Facility | None | $398.11 | $1,023.29 | $2,454.71 |
Medical Mutual of Ohio Setting Professional Modifier None (both parts) Typical Low $194.98 Median $251.19 Typical High $645.65 | Professional | None (both parts) | $194.98 | $251.19 | $645.65 |
Medical Mutual of Ohio Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $112.20 Typical High $223.87 | Professional | 26 · Professional part | $61.66 | $112.20 | $223.87 |
Medical Mutual of Ohio Setting Professional Modifier TC · Technical part Typical Low $123.03 Median $147.91 Typical High $562.34 | Professional | TC · Technical part | $123.03 | $147.91 | $562.34 |
Molina Setting Professional Modifier None (both parts) Typical Low $67.61 Median $144.54 Typical High $239.88 | Professional | None (both parts) | $67.61 | $144.54 | $239.88 |
SummaCare Setting Professional Modifier None (both parts) Typical Low $125.89 Median $147.91 Typical High $323.59 | Professional | None (both parts) | $125.89 | $147.91 | $323.59 |
SummaCare Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $77.62 Typical High $125.89 | Professional | 26 · Professional part | $66.07 | $77.62 | $125.89 |
SummaCare Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $69.18 Typical High $199.53 | Professional | TC · Technical part | $58.88 | $69.18 | $199.53 |
United Setting Facility Modifier None Typical Low $489.78 Median $575.44 Typical High $812.83 | Facility | None | $489.78 | $575.44 | $812.83 |
United Setting Professional Modifier None (both parts) Typical Low $181.97 Median $288.40 Typical High $588.84 | Professional | None (both parts) | $181.97 | $288.40 | $588.84 |
United Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $75.86 Typical High $144.54 | Professional | 26 · Professional part | $52.48 | $75.86 | $144.54 |
United Setting Professional Modifier TC · Technical part Typical Low $114.82 Median $194.98 Typical High $467.74 | Professional | TC · Technical part | $114.82 | $194.98 | $467.74 |
6 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 $109.65 Median $251.19 Typical High $575.44 | Facility | 52 · Reduced service | $109.65 | $251.19 | $575.44 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $43.65 Median $102.33 Typical High $229.09 | Facility | 53 · Discontinued | $43.65 | $102.33 | $229.09 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $158.49 Median $407.38 Typical High $851.14 | Facility | FX · Film X-ray | $158.49 | $407.38 | $851.14 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $97.72 Median $97.72 Typical High $457.09 | Professional | 52 · Reduced service | $97.72 | $97.72 | $457.09 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $39.81 Median $39.81 Typical High $186.21 | Professional | 53 · Discontinued | $39.81 | $39.81 | $186.21 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $158.49 Median $158.49 Typical High $295.12 | Professional | FX · Film X-ray | $158.49 | $158.49 | $295.12 |
Where Ohio sits
The same service costs 6.5 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· 46th of 51
$214
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.