How much rates vary
Facilitymedian $417 · 10th to 90th $182 to $1,072Professionalmedian $166 · 10th to 90th $85 to $339
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 $151.36 Median $416.87 Typical High $1,148.15 | Facility | None | $151.36 | $416.87 | $1,148.15 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $48.98 Median $89.13 Typical High $169.82 | Facility | 26 · Professional part | $48.98 | $89.13 | $169.82 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $91.20 Median $194.98 Typical High $346.74 | Facility | TC · Technical part | $91.20 | $194.98 | $346.74 |
Aetna Setting Professional Modifier None (both parts) Typical Low $128.82 Median $213.80 Typical High $549.54 | Professional | None (both parts) | $128.82 | $213.80 | $549.54 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $51.29 Typical High $162.18 | Professional | 26 · Professional part | $47.86 | $51.29 | $162.18 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $114.82 Typical High $281.84 | Professional | TC · Technical part | $81.28 | $114.82 | $281.84 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $97.72 Median $97.72 Typical High $107.15 | Professional | None (both parts) | $97.72 | $97.72 | $107.15 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $64.57 Typical High $79.43 | Professional | 26 · Professional part | $37.15 | $64.57 | $79.43 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $162.18 Median $223.87 Typical High $371.54 | Professional | None (both parts) | $162.18 | $223.87 | $371.54 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $56.23 Typical High $93.33 | Professional | 26 · Professional part | $53.70 | $56.23 | $93.33 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $104.71 Median $169.82 Typical High $275.42 | Professional | TC · Technical part | $104.71 | $169.82 | $275.42 |
Aultcare Setting Facility Modifier None Typical Low $831.76 Median $831.76 Typical High $831.76 | Facility | None | $831.76 | $831.76 | $831.76 |
Aultcare Setting Professional Modifier None (both parts) Typical Low $141.25 Median $151.36 Typical High $245.47 | Professional | None (both parts) | $141.25 | $151.36 | $245.47 |
CareSource Setting Professional Modifier None (both parts) Typical Low $44.67 Median $79.43 Typical High $151.36 | Professional | None (both parts) | $44.67 | $79.43 | $151.36 |
Cigna Setting Facility Modifier None Typical Low $239.88 Median $371.54 Typical High $870.96 | Facility | None | $239.88 | $371.54 | $870.96 |
Cigna Setting Professional Modifier None (both parts) Typical Low $134.90 Median $165.96 Typical High $407.38 | Professional | None (both parts) | $134.90 | $165.96 | $407.38 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $56.23 Typical High $104.71 | Professional | 26 · Professional part | $45.71 | $56.23 | $104.71 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $109.65 Typical High $295.12 | Professional | TC · Technical part | $85.11 | $109.65 | $295.12 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $257.04 Median $524.81 Typical High $1,230.27 | Facility | None | $257.04 | $524.81 | $1,230.27 |
Medical Mutual of Ohio Setting Professional Modifier None (both parts) Typical Low $134.90 Median $169.82 Typical High $407.38 | Professional | None (both parts) | $134.90 | $169.82 | $407.38 |
Medical Mutual of Ohio Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $87.10 Typical High $147.91 | Professional | 26 · Professional part | $46.77 | $87.10 | $147.91 |
Medical Mutual of Ohio Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $109.65 Typical High $316.23 | Professional | TC · Technical part | $85.11 | $109.65 | $316.23 |
Molina Setting Professional Modifier None (both parts) Typical Low $43.65 Median $125.89 Typical High $199.53 | Professional | None (both parts) | $43.65 | $125.89 | $199.53 |
SummaCare Setting Professional Modifier None (both parts) Typical Low $85.11 Median $100.00 Typical High $194.98 | Professional | None (both parts) | $85.11 | $100.00 | $194.98 |
SummaCare Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $53.70 Typical High $79.43 | Professional | 26 · Professional part | $45.71 | $53.70 | $79.43 |
SummaCare Setting Professional Modifier TC · Technical part Typical Low $39.81 Median $46.77 Typical High $123.03 | Professional | TC · Technical part | $39.81 | $46.77 | $123.03 |
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 $128.82 Median $186.21 Typical High $331.13 | Professional | None (both parts) | $128.82 | $186.21 | $331.13 |
United Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $51.29 Typical High $97.72 | Professional | 26 · Professional part | $36.31 | $51.29 | $97.72 |
United Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $144.54 Typical High $223.87 | Professional | TC · Technical part | $85.11 | $144.54 | $223.87 |
9 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 $72.44 Median $165.96 Typical High $275.42 | Facility | 52 · Reduced service | $72.44 | $165.96 | $275.42 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $28.84 Median $67.61 Typical High $109.65 | Facility | 53 · Discontinued | $28.84 | $67.61 | $109.65 |
Aetna Setting Facility Modifier CT · Older CT scanner Typical Low $109.65 Median $281.84 Typical High $426.58 | Facility | CT · Older CT scanner | $109.65 | $281.84 | $426.58 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $104.71 Median $269.15 Typical High $398.11 | Facility | FX · Film X-ray | $104.71 | $269.15 | $398.11 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $64.57 Median $64.57 Typical High $275.42 | Professional | 52 · Reduced service | $64.57 | $64.57 | $275.42 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $26.30 Median $26.30 Typical High $109.65 | Professional | 53 · Discontinued | $26.30 | $26.30 | $109.65 |
Aetna Setting Professional Modifier CT · Older CT scanner Typical Low $109.65 Median $109.65 Typical High $169.82 | Professional | CT · Older CT scanner | $109.65 | $109.65 | $169.82 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $104.71 Median $104.71 Typical High $158.49 | Professional | FX · Film X-ray | $104.71 | $104.71 | $158.49 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $245.47 Median $338.84 Typical High $549.54 | Professional | 50 · Both sides | $245.47 | $338.84 | $549.54 |
Where Ohio sits
The same service costs 5.8 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· 43rd of 51
$166
VT $603UT $105
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.