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 $102.33 Median $1,621.81 Typical High $2,137.96 | Facility | None | $102.33 | $1,621.81 | $2,137.96 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $63.10 Median $169.82 Typical High $269.15 | Facility | TC · Technical part | $63.10 | $169.82 | $269.15 |
Aetna Setting Professional Modifier None (both parts) Typical Low $102.33 Median $102.33 Typical High $524.81 | Professional | None (both parts) | $102.33 | $102.33 | $524.81 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $38.02 Typical High $213.80 | Professional | 26 · Professional part | $38.02 | $38.02 | $213.80 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $63.10 Typical High $173.78 | Professional | TC · Technical part | $63.10 | $63.10 | $173.78 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,659.59 Median $1,949.84 Typical High $2,290.87 | Facility | None | $1,659.59 | $1,949.84 | $2,290.87 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $123.03 Median $144.54 Typical High $239.88 | Professional | None (both parts) | $123.03 | $144.54 | $239.88 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $43.65 Typical High $72.44 | Professional | 26 · Professional part | $40.74 | $43.65 | $72.44 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $77.62 Median $100.00 Typical High $165.96 | Professional | TC · Technical part | $77.62 | $100.00 | $165.96 |
Cigna Setting Facility Modifier None Typical Low $190.55 Median $245.47 Typical High $2,691.53 | Facility | None | $190.55 | $245.47 | $2,691.53 |
Cigna Setting Professional Modifier None (both parts) Typical Low $89.13 Median $120.23 Typical High $288.40 | Professional | None (both parts) | $89.13 | $120.23 | $288.40 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $44.67 Typical High $81.28 | Professional | 26 · Professional part | $37.15 | $44.67 | $81.28 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $52.48 Median $75.86 Typical High $181.97 | Professional | TC · Technical part | $52.48 | $75.86 | $181.97 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $208.93 Median $245.47 Typical High $2,691.53 | Facility | None | $208.93 | $245.47 | $2,691.53 |
Medical Mutual of Ohio Setting Professional Modifier None (both parts) Typical Low $89.13 Median $117.49 Typical High $302.00 | Professional | None (both parts) | $89.13 | $117.49 | $302.00 |
Medical Mutual of Ohio Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $44.67 Typical High $79.43 | Professional | 26 · Professional part | $38.02 | $44.67 | $79.43 |
Medical Mutual of Ohio Setting Professional Modifier TC · Technical part Typical Low $52.48 Median $74.13 Typical High $181.97 | Professional | TC · Technical part | $52.48 | $74.13 | $181.97 |
Molina Setting Professional Modifier None (both parts) Typical Low $43.65 Median $89.13 Typical High $144.54 | Professional | None (both parts) | $43.65 | $89.13 | $144.54 |
SummaCare Setting Professional Modifier None (both parts) Typical Low $107.15 Median $117.49 Typical High $204.17 | Professional | None (both parts) | $107.15 | $117.49 | $204.17 |
SummaCare Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $44.67 Typical High $63.10 | Professional | 26 · Professional part | $40.74 | $44.67 | $63.10 |
SummaCare Setting Professional Modifier TC · Technical part Typical Low $67.61 Median $74.13 Typical High $128.82 | Professional | TC · Technical part | $67.61 | $74.13 | $128.82 |
United Setting Facility Modifier None Typical Low $1,621.81 Median $1,862.09 Typical High $2,691.53 | Facility | None | $1,621.81 | $1,862.09 | $2,691.53 |
United Setting Professional Modifier None (both parts) Typical Low $89.13 Median $120.23 Typical High $223.87 | Professional | None (both parts) | $89.13 | $120.23 | $223.87 |
United Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $41.69 Typical High $79.43 | Professional | 26 · Professional part | $27.54 | $41.69 | $79.43 |
United Setting Professional Modifier TC · Technical part Typical Low $50.12 Median $85.11 Typical High $165.96 | Professional | TC · Technical part | $50.12 | $85.11 | $165.96 |
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 $54.95 Median $128.82 Typical High $1,071.52 | Facility | 52 · Reduced service | $54.95 | $128.82 | $1,071.52 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $22.39 Median $51.29 Typical High $426.58 | Facility | 53 · Discontinued | $22.39 | $51.29 | $426.58 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $81.28 Median $204.17 Typical High $1,584.89 | Facility | FX · Film X-ray | $81.28 | $204.17 | $1,584.89 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $51.29 Median $51.29 Typical High $263.03 | Professional | 52 · Reduced service | $51.29 | $51.29 | $263.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $20.42 Median $20.42 Typical High $104.71 | Professional | 53 · Discontinued | $20.42 | $20.42 | $104.71 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $81.28 Median $81.28 Typical High $91.20 | Professional | FX · Film X-ray | $81.28 | $81.28 | $91.20 |
Where Ohio sits
The same service costs 4.3 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
$117
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.