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 $457.09 Median $812.83 Typical High $1,318.26 | Facility | None | $457.09 | $812.83 | $1,318.26 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $131.83 Median $239.88 Typical High $302.00 | Facility | 26 · Professional part | $131.83 | $239.88 | $302.00 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $302.00 Median $467.74 Typical High $691.83 | Facility | TC · Technical part | $302.00 | $467.74 | $691.83 |
Aetna Setting Professional Modifier None (both parts) Typical Low $257.04 Median $363.08 Typical High $1,202.26 | Professional | None (both parts) | $257.04 | $363.08 | $1,202.26 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $85.11 Typical High $338.84 | Professional | 26 · Professional part | $83.18 | $85.11 | $338.84 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $169.82 Median $173.78 Typical High $575.44 | Professional | TC · Technical part | $169.82 | $173.78 | $575.44 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $114.82 Median $114.82 Typical High $114.82 | Professional | 26 · Professional part | $114.82 | $114.82 | $114.82 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $251.19 Median $281.84 Typical High $478.63 | Professional | None (both parts) | $251.19 | $281.84 | $478.63 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $91.20 Typical High $144.54 | Professional | 26 · Professional part | $66.07 | $91.20 | $144.54 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $186.21 Median $190.55 Typical High $338.84 | Professional | TC · Technical part | $186.21 | $190.55 | $338.84 |
Cigna Setting Facility Modifier None Typical Low $630.96 Median $870.96 Typical High $1,122.02 | Facility | None | $630.96 | $870.96 | $1,122.02 |
Cigna Setting Professional Modifier None (both parts) Typical Low $288.40 Median $346.74 Typical High $912.01 | Professional | None (both parts) | $288.40 | $346.74 | $912.01 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $100.00 Typical High $181.97 | Professional | 26 · Professional part | $81.28 | $100.00 | $181.97 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $204.17 Median $251.19 Typical High $676.08 | Professional | TC · Technical part | $204.17 | $251.19 | $676.08 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $691.83 Median $870.96 Typical High $1,202.26 | Facility | None | $691.83 | $870.96 | $1,202.26 |
Medical Mutual of Ohio Setting Professional Modifier None (both parts) Typical Low $288.40 Median $346.74 Typical High $912.01 | Professional | None (both parts) | $288.40 | $346.74 | $912.01 |
Medical Mutual of Ohio Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $100.00 Typical High $251.19 | Professional | 26 · Professional part | $85.11 | $100.00 | $251.19 |
Medical Mutual of Ohio Setting Professional Modifier TC · Technical part Typical Low $204.17 Median $245.47 Typical High $676.08 | Professional | TC · Technical part | $204.17 | $245.47 | $676.08 |
Molina Setting Professional Modifier None (both parts) Typical Low $104.71 Median $199.53 Typical High $371.54 | Professional | None (both parts) | $104.71 | $199.53 | $371.54 |
SummaCare Setting Professional Modifier None (both parts) Typical Low $186.21 Median $218.78 Typical High $416.87 | Professional | None (both parts) | $186.21 | $218.78 | $416.87 |
SummaCare Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $89.13 Typical High $131.83 | Professional | 26 · Professional part | $81.28 | $89.13 | $131.83 |
SummaCare Setting Professional Modifier TC · Technical part Typical Low $107.15 Median $117.49 Typical High $234.42 | Professional | TC · Technical part | $107.15 | $117.49 | $234.42 |
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 $281.84 Median $371.54 Typical High $660.69 | Professional | None (both parts) | $281.84 | $371.54 | $660.69 |
United Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $91.20 Typical High $173.78 | Professional | 26 · Professional part | $60.26 | $91.20 | $173.78 |
United Setting Professional Modifier TC · Technical part Typical Low $194.98 Median $295.12 Typical High $537.03 | Professional | TC · Technical part | $194.98 | $295.12 | $537.03 |
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 $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 $58.88 Median $134.90 Typical High $177.83 | Facility | 53 · Discontinued | $58.88 | $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 $645.65 | Professional | 52 · Reduced service | $128.82 | $128.82 | $645.65 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $51.29 Median $51.29 Typical High $257.04 | Professional | 53 · Discontinued | $51.29 | $51.29 | $257.04 |
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 5.8 times more in Alaska than in Texas. 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· 47th of 51
$282
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.