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 $58.88 Median $128.82 Typical High $302.00 | Facility | None | $58.88 | $128.82 | $302.00 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $14.45 Median $25.12 Typical High $50.12 | Facility | 26 · Professional part | $14.45 | $25.12 | $50.12 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $43.65 Median $89.13 Typical High $123.03 | Facility | TC · Technical part | $43.65 | $89.13 | $123.03 |
Aetna Setting Professional Modifier None (both parts) Typical Low $47.86 Median $51.29 Typical High $147.91 | Professional | None (both parts) | $47.86 | $51.29 | $147.91 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $13.49 Median $14.45 Typical High $45.71 | Professional | 26 · Professional part | $13.49 | $14.45 | $45.71 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $33.88 Median $36.31 Typical High $100.00 | Professional | TC · Technical part | $33.88 | $36.31 | $100.00 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $42.66 Median $45.71 Typical High $58.88 | Professional | None (both parts) | $42.66 | $45.71 | $58.88 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $10.96 Median $22.91 Typical High $25.12 | Professional | 26 · Professional part | $10.96 | $22.91 | $25.12 |
Ambetter Setting Professional Modifier TC · Technical part Typical Low $56.23 Median $57.54 Typical High $57.54 | Professional | TC · Technical part | $56.23 | $57.54 | $57.54 |
Anthem BCBS Setting Facility Modifier None Typical Low $257.04 Median $295.12 Typical High $346.74 | Facility | None | $257.04 | $295.12 | $346.74 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $38.90 Median $45.71 Typical High $81.28 | Professional | None (both parts) | $38.90 | $45.71 | $81.28 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $13.18 Median $15.14 Typical High $24.55 | Professional | 26 · Professional part | $13.18 | $15.14 | $24.55 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $30.90 Median $33.11 Typical High $58.88 | Professional | TC · Technical part | $30.90 | $33.11 | $58.88 |
Aultcare Setting Professional Modifier None (both parts) Typical Low $58.88 Median $58.88 Typical High $66.07 | Professional | None (both parts) | $58.88 | $58.88 | $66.07 |
CareSource Setting Facility Modifier None Typical Low $66.07 Median $66.07 Typical High $66.07 | Facility | None | $66.07 | $66.07 | $66.07 |
CareSource Setting Professional Modifier None (both parts) Typical Low $13.18 Median $37.15 Typical High $61.66 | Professional | None (both parts) | $13.18 | $37.15 | $61.66 |
Cigna Setting Facility Modifier None Typical Low $112.20 Median $169.82 Typical High $363.08 | Facility | None | $112.20 | $169.82 | $363.08 |
Cigna Setting Professional Modifier None (both parts) Typical Low $44.67 Median $56.23 Typical High $102.33 | Professional | None (both parts) | $44.67 | $56.23 | $102.33 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $13.49 Median $16.60 Typical High $30.90 | Professional | 26 · Professional part | $13.49 | $16.60 | $30.90 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $31.62 Median $40.74 Typical High $70.79 | Professional | TC · Technical part | $31.62 | $40.74 | $70.79 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $123.03 Median $281.84 Typical High $524.81 | Facility | None | $123.03 | $281.84 | $524.81 |
Medical Mutual of Ohio Setting Professional Modifier None (both parts) Typical Low $44.67 Median $56.23 Typical High $102.33 | Professional | None (both parts) | $44.67 | $56.23 | $102.33 |
Medical Mutual of Ohio Setting Professional Modifier 26 · Professional part Typical Low $13.49 Median $22.39 Typical High $44.67 | Professional | 26 · Professional part | $13.49 | $22.39 | $44.67 |
Medical Mutual of Ohio Setting Professional Modifier TC · Technical part Typical Low $31.62 Median $40.74 Typical High $70.79 | Professional | TC · Technical part | $31.62 | $40.74 | $70.79 |
Molina Setting Professional Modifier None (both parts) Typical Low $27.54 Median $39.81 Typical High $54.95 | Professional | None (both parts) | $27.54 | $39.81 | $54.95 |
SummaCare Setting Professional Modifier None (both parts) Typical Low $53.70 Median $61.66 Typical High $95.50 | Professional | None (both parts) | $53.70 | $61.66 | $95.50 |
SummaCare Setting Professional Modifier 26 · Professional part Typical Low $14.45 Median $16.98 Typical High $30.20 | Professional | 26 · Professional part | $14.45 | $16.98 | $30.20 |
SummaCare Setting Professional Modifier TC · Technical part Typical Low $38.90 Median $45.71 Typical High $70.79 | Professional | TC · Technical part | $38.90 | $45.71 | $70.79 |
United Setting Facility Modifier None Typical Low $213.80 Median $251.19 Typical High $354.81 | Facility | None | $213.80 | $251.19 | $354.81 |
United Setting Professional Modifier None (both parts) Typical Low $35.48 Median $52.48 Typical High $95.50 | Professional | None (both parts) | $35.48 | $52.48 | $95.50 |
United Setting Professional Modifier 26 · Professional part Typical Low $11.22 Median $15.14 Typical High $28.18 | Professional | 26 · Professional part | $11.22 | $15.14 | $28.18 |
United Setting Professional Modifier TC · Technical part Typical Low $23.44 Median $35.48 Typical High $67.61 | Professional | TC · Technical part | $23.44 | $35.48 | $67.61 |
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 $39.81 Median $117.49 Typical High $239.88 | Facility | FX · Film X-ray | $39.81 | $117.49 | $239.88 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $39.81 Median $39.81 Typical High $44.67 | Professional | FX · Film X-ray | $39.81 | $39.81 | $44.67 |
Where Ohio sits
The same service costs 4.8 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
$48.98
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.