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 $416.87 Median $851.14 Typical High $1,737.80 | Facility | None | $416.87 | $851.14 | $1,737.80 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $169.82 Median $467.74 Typical High $724.44 | Facility | TC · Technical part | $169.82 | $467.74 | $724.44 |
Aetna Setting Professional Modifier None (both parts) Typical Low $229.09 Median $302.00 Typical High $912.01 | Professional | None (both parts) | $229.09 | $302.00 | $912.01 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $57.54 Typical High $213.80 | Professional | 26 · Professional part | $57.54 | $57.54 | $213.80 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $169.82 Median $169.82 Typical High $575.44 | Professional | TC · Technical part | $169.82 | $169.82 | $575.44 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $43.65 Typical High $43.65 | Professional | 26 · Professional part | $43.65 | $43.65 | $43.65 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $229.09 Median $234.42 Typical High $398.11 | Professional | None (both parts) | $229.09 | $234.42 | $398.11 |
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 50 · Both sides Typical Low $346.74 Median $346.74 Typical High $602.56 | Professional | 50 · Both sides | $346.74 | $346.74 | $602.56 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $169.82 Median $181.97 Typical High $309.03 | Professional | TC · Technical part | $169.82 | $181.97 | $309.03 |
Cigna Setting Facility Modifier None Typical Low $537.03 Median $741.31 Typical High $977.24 | Facility | None | $537.03 | $741.31 | $977.24 |
Cigna Setting Professional Modifier None (both parts) Typical Low $245.47 Median $295.12 Typical High $691.83 | Professional | None (both parts) | $245.47 | $295.12 | $691.83 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $69.18 Typical High $123.03 | Professional | 26 · Professional part | $54.95 | $69.18 | $123.03 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $190.55 Median $223.87 Typical High $575.44 | Professional | TC · Technical part | $190.55 | $223.87 | $575.44 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $588.84 Median $870.96 Typical High $1,023.29 | Facility | None | $588.84 | $870.96 | $1,023.29 |
Medical Mutual of Ohio Setting Professional Modifier None (both parts) Typical Low $245.47 Median $295.12 Typical High $691.83 | Professional | None (both parts) | $245.47 | $295.12 | $691.83 |
Medical Mutual of Ohio Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $69.18 Typical High $162.18 | Professional | 26 · Professional part | $57.54 | $69.18 | $162.18 |
Medical Mutual of Ohio Setting Professional Modifier TC · Technical part Typical Low $190.55 Median $223.87 Typical High $575.44 | Professional | TC · Technical part | $190.55 | $223.87 | $575.44 |
Molina Setting Professional Modifier None (both parts) Typical Low $45.71 Median $218.78 Typical High $338.84 | Professional | None (both parts) | $45.71 | $218.78 | $338.84 |
SummaCare Setting Professional Modifier None (both parts) Typical Low $144.54 Median $158.49 Typical High $407.38 | Professional | None (both parts) | $144.54 | $158.49 | $407.38 |
SummaCare Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $60.26 Typical High $123.03 | Professional | 26 · Professional part | $54.95 | $60.26 | $123.03 |
SummaCare Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $100.00 Typical High $257.04 | Professional | TC · Technical part | $91.20 | $100.00 | $257.04 |
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 $234.42 Median $309.03 Typical High $537.03 | Professional | None (both parts) | $234.42 | $309.03 | $537.03 |
United Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $63.10 Typical High $117.49 | Professional | 26 · Professional part | $39.81 | $63.10 | $117.49 |
United Setting Professional Modifier TC · Technical part Typical Low $181.97 Median $251.19 Typical High $436.52 | Professional | TC · Technical part | $181.97 | $251.19 | $436.52 |
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 $60.26 Median $134.90 Typical High $177.83 | Facility | 53 · Discontinued | $60.26 | $134.90 | $177.83 |
Aetna Setting Facility Modifier CT · Older CT scanner Typical Low $194.98 Median $575.44 Typical High $691.83 | Facility | CT · Older CT scanner | $194.98 | $575.44 | $691.83 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $181.97 Median $537.03 Typical High $660.69 | Facility | FX · Film X-ray | $181.97 | $537.03 | $660.69 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $114.82 Median $114.82 Typical High $478.63 | Professional | 52 · Reduced service | $114.82 | $114.82 | $478.63 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $45.71 Median $45.71 Typical High $190.55 | Professional | 53 · Discontinued | $45.71 | $45.71 | $190.55 |
Aetna Setting Professional Modifier CT · Older CT scanner Typical Low $194.98 Median $194.98 Typical High $257.04 | Professional | CT · Older CT scanner | $194.98 | $194.98 | $257.04 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $181.97 Median $181.97 Typical High $239.88 | Professional | FX · Film X-ray | $181.97 | $181.97 | $239.88 |
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· 48th of 51
$251
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.