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 $234.42 Median $588.84 Typical High $1,258.93 | Facility | None | $234.42 | $588.84 | $1,258.93 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $57.54 Median $102.33 Typical High $194.98 | Facility | 26 · Professional part | $57.54 | $102.33 | $194.98 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $128.82 Median $302.00 Typical High $467.74 | Facility | TC · Technical part | $128.82 | $302.00 | $467.74 |
Aetna Setting Professional Modifier None (both parts) Typical Low $165.96 Median $234.42 Typical High $741.31 | Professional | None (both parts) | $165.96 | $234.42 | $741.31 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $56.23 Typical High $186.21 | Professional | 26 · Professional part | $54.95 | $56.23 | $186.21 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $112.20 Median $128.82 Typical High $426.58 | Professional | TC · Technical part | $112.20 | $128.82 | $426.58 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $44.67 Typical High $74.13 | Professional | 26 · Professional part | $41.69 | $44.67 | $74.13 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $194.98 Median $229.09 Typical High $389.05 | Professional | None (both parts) | $194.98 | $229.09 | $389.05 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $58.88 Typical High $100.00 | Professional | 26 · Professional part | $57.54 | $58.88 | $100.00 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $288.40 Median $338.84 Typical High $562.34 | Professional | 50 · Both sides | $288.40 | $338.84 | $562.34 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $128.82 Median $169.82 Typical High $288.40 | Professional | TC · Technical part | $128.82 | $169.82 | $288.40 |
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 $181.97 Median $316.23 Typical High $316.23 | Professional | None (both parts) | $181.97 | $316.23 | $316.23 |
CareSource Setting Professional Modifier None (both parts) Typical Low $51.29 Median $107.15 Typical High $194.98 | Professional | None (both parts) | $51.29 | $107.15 | $194.98 |
Cigna Setting Facility Modifier None Typical Low $323.59 Median $501.19 Typical High $870.96 | Facility | None | $323.59 | $501.19 | $870.96 |
Cigna Setting Professional Modifier None (both parts) Typical Low $169.82 Median $208.93 Typical High $524.81 | Professional | None (both parts) | $169.82 | $208.93 | $524.81 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $64.57 Typical High $117.49 | Professional | 26 · Professional part | $51.29 | $64.57 | $117.49 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $112.20 Median $141.25 Typical High $371.54 | Professional | TC · Technical part | $112.20 | $141.25 | $371.54 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $354.81 Median $588.84 Typical High $933.25 | Facility | None | $354.81 | $588.84 | $933.25 |
Medical Mutual of Ohio Setting Professional Modifier None (both parts) Typical Low $169.82 Median $208.93 Typical High $524.81 | Professional | None (both parts) | $169.82 | $208.93 | $524.81 |
Medical Mutual of Ohio Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $64.57 Typical High $151.36 | Professional | 26 · Professional part | $47.86 | $64.57 | $151.36 |
Medical Mutual of Ohio Setting Professional Modifier TC · Technical part Typical Low $112.20 Median $141.25 Typical High $389.05 | Professional | TC · Technical part | $112.20 | $141.25 | $389.05 |
Molina Setting Professional Modifier None (both parts) Typical Low $44.67 Median $141.25 Typical High $239.88 | Professional | None (both parts) | $44.67 | $141.25 | $239.88 |
SummaCare Setting Professional Modifier None (both parts) Typical Low $107.15 Median $117.49 Typical High $234.42 | Professional | None (both parts) | $107.15 | $117.49 | $234.42 |
SummaCare Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $57.54 Typical High $100.00 | Professional | 26 · Professional part | $52.48 | $57.54 | $100.00 |
SummaCare Setting Professional Modifier TC · Technical part Typical Low $53.70 Median $58.88 Typical High $120.23 | Professional | TC · Technical part | $53.70 | $58.88 | $120.23 |
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 $165.96 Median $234.42 Typical High $398.11 | Professional | None (both parts) | $165.96 | $234.42 | $398.11 |
United Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $58.88 Typical High $112.20 | Professional | 26 · Professional part | $38.90 | $58.88 | $112.20 |
United Setting Professional Modifier TC · Technical part Typical Low $109.65 Median $177.83 Typical High $309.03 | Professional | TC · Technical part | $109.65 | $177.83 | $309.03 |
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 $97.72 Median $229.09 Typical High $446.68 | Facility | 52 · Reduced service | $97.72 | $229.09 | $446.68 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $38.90 Median $91.20 Typical High $177.83 | Facility | 53 · Discontinued | $38.90 | $91.20 | $177.83 |
Aetna Setting Facility Modifier CT · Older CT scanner Typical Low $141.25 Median $389.05 Typical High $691.83 | Facility | CT · Older CT scanner | $141.25 | $389.05 | $691.83 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $134.90 Median $363.08 Typical High $660.69 | Facility | FX · Film X-ray | $134.90 | $363.08 | $660.69 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $83.18 Median $83.18 Typical High $371.54 | Professional | 52 · Reduced service | $83.18 | $83.18 | $371.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $33.11 Median $33.11 Typical High $147.91 | Professional | 53 · Discontinued | $33.11 | $33.11 | $147.91 |
Aetna Setting Professional Modifier CT · Older CT scanner Typical Low $141.25 Median $141.25 Typical High $213.80 | Professional | CT · Older CT scanner | $141.25 | $141.25 | $213.80 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $134.90 Median $134.90 Typical High $204.17 | Professional | FX · Film X-ray | $134.90 | $134.90 | $204.17 |
Where Ohio sits
The same service costs 5.4 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· 45th of 51
$209
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.