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 $46.77 Median $89.13 Typical High $223.87 | Facility | None | $46.77 | $89.13 | $223.87 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $10.47 Median $19.05 Typical High $37.15 | Facility | 26 · Professional part | $10.47 | $19.05 | $37.15 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $37.15 Median $77.62 Typical High $114.82 | Facility | TC · Technical part | $37.15 | $77.62 | $114.82 |
Aetna Setting Professional Modifier None (both parts) Typical Low $41.69 Median $51.29 Typical High $128.82 | Professional | None (both parts) | $41.69 | $51.29 | $128.82 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $10.23 Median $11.48 Typical High $34.67 | Professional | 26 · Professional part | $10.23 | $11.48 | $34.67 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $31.62 Median $35.48 Typical High $93.33 | Professional | TC · Technical part | $31.62 | $35.48 | $93.33 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $30.90 Median $38.02 Typical High $47.86 | Professional | None (both parts) | $30.90 | $38.02 | $47.86 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $8.32 Median $9.33 Typical High $17.38 | Professional | 26 · Professional part | $8.32 | $9.33 | $17.38 |
Ambetter Setting Professional Modifier TC · Technical part Typical Low $30.20 Median $35.48 Typical High $52.48 | Professional | TC · Technical part | $30.20 | $35.48 | $52.48 |
Anthem BCBS Setting Facility Modifier None Typical Low $190.55 Median $223.87 Typical High $263.03 | Facility | None | $190.55 | $223.87 | $263.03 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $37.15 Median $38.90 Typical High $72.44 | Professional | None (both parts) | $37.15 | $38.90 | $72.44 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $9.77 Median $11.22 Typical High $19.05 | Professional | 26 · Professional part | $9.77 | $11.22 | $19.05 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $27.54 Median $36.31 Typical High $50.12 | Professional | TC · Technical part | $27.54 | $36.31 | $50.12 |
Aultcare Setting Professional Modifier None (both parts) Typical Low $52.48 Median $52.48 Typical High $91.20 | Professional | None (both parts) | $52.48 | $52.48 | $91.20 |
CareSource Setting Facility Modifier None Typical Low $57.54 Median $57.54 Typical High $57.54 | Facility | None | $57.54 | $57.54 | $57.54 |
CareSource Setting Professional Modifier None (both parts) Typical Low $10.00 Median $34.67 Typical High $56.23 | Professional | None (both parts) | $10.00 | $34.67 | $56.23 |
Cigna Setting Facility Modifier None Typical Low $104.71 Median $144.54 Typical High $302.00 | Facility | None | $104.71 | $144.54 | $302.00 |
Cigna Setting Professional Modifier None (both parts) Typical Low $38.90 Median $50.12 Typical High $87.10 | Professional | None (both parts) | $38.90 | $50.12 | $87.10 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $10.23 Median $12.30 Typical High $23.44 | Professional | 26 · Professional part | $10.23 | $12.30 | $23.44 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $28.84 Median $36.31 Typical High $63.10 | Professional | TC · Technical part | $28.84 | $36.31 | $63.10 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $131.83 Median $245.47 Typical High $389.05 | Facility | None | $131.83 | $245.47 | $389.05 |
Medical Mutual of Ohio Setting Professional Modifier None (both parts) Typical Low $38.90 Median $48.98 Typical High $134.90 | Professional | None (both parts) | $38.90 | $48.98 | $134.90 |
Medical Mutual of Ohio Setting Professional Modifier 26 · Professional part Typical Low $9.33 Median $18.62 Typical High $33.88 | Professional | 26 · Professional part | $9.33 | $18.62 | $33.88 |
Medical Mutual of Ohio Setting Professional Modifier TC · Technical part Typical Low $28.84 Median $37.15 Typical High $63.10 | Professional | TC · Technical part | $28.84 | $37.15 | $63.10 |
Molina Setting Professional Modifier None (both parts) Typical Low $26.30 Median $38.02 Typical High $53.70 | Professional | None (both parts) | $26.30 | $38.02 | $53.70 |
SummaCare Setting Professional Modifier None (both parts) Typical Low $40.74 Median $56.23 Typical High $77.62 | Professional | None (both parts) | $40.74 | $56.23 | $77.62 |
SummaCare Setting Professional Modifier 26 · Professional part Typical Low $10.96 Median $12.88 Typical High $19.05 | Professional | 26 · Professional part | $10.96 | $12.88 | $19.05 |
SummaCare Setting Professional Modifier TC · Technical part Typical Low $29.51 Median $40.74 Typical High $57.54 | Professional | TC · Technical part | $29.51 | $40.74 | $57.54 |
United Setting Facility Modifier None Typical Low $177.83 Median $208.93 Typical High $295.12 | Facility | None | $177.83 | $208.93 | $295.12 |
United Setting Professional Modifier None (both parts) Typical Low $30.90 Median $45.71 Typical High $81.28 | Professional | None (both parts) | $30.90 | $45.71 | $81.28 |
United Setting Professional Modifier 26 · Professional part Typical Low $8.32 Median $11.48 Typical High $21.38 | Professional | 26 · Professional part | $8.32 | $11.48 | $21.38 |
United Setting Professional Modifier TC · Technical part Typical Low $20.89 Median $32.36 Typical High $61.66 | Professional | TC · Technical part | $20.89 | $32.36 | $61.66 |
2 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 FX · Film X-ray Typical Low $35.48 Median $109.65 Typical High $177.83 | Facility | FX · Film X-ray | $35.48 | $109.65 | $177.83 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $35.48 Median $35.48 Typical High $39.81 | Professional | FX · Film X-ray | $35.48 | $35.48 | $39.81 |
Where Ohio sits
The same service costs 11.7 times more in Vermont 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· 45th of 51
$43.65
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.