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 $354.81 Median $812.83 Typical High $1,698.24 | Facility | None | $354.81 | $812.83 | $1,698.24 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $138.04 Median $316.23 Typical High $575.44 | Facility | TC · Technical part | $138.04 | $316.23 | $575.44 |
Aetna Setting Professional Modifier None (both parts) Typical Low $194.98 Median $245.47 Typical High $1,047.13 | Professional | None (both parts) | $194.98 | $245.47 | $1,047.13 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $57.54 Typical High $204.17 | Professional | 26 · Professional part | $57.54 | $57.54 | $204.17 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $138.04 Median $138.04 Typical High $501.19 | Professional | TC · Technical part | $138.04 | $138.04 | $501.19 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $43.65 Typical High $77.62 | Professional | 26 · Professional part | $43.65 | $43.65 | $77.62 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $223.87 Median $234.42 Typical High $398.11 | Professional | None (both parts) | $223.87 | $234.42 | $398.11 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $63.10 Typical High $104.71 | Professional | 26 · Professional part | $60.26 | $63.10 | $104.71 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $323.59 Median $346.74 Typical High $588.84 | Professional | 50 · Both sides | $323.59 | $346.74 | $588.84 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $151.36 Median $169.82 Typical High $309.03 | Professional | TC · Technical part | $151.36 | $169.82 | $309.03 |
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 $208.93 Median $208.93 Typical High $331.13 | Professional | None (both parts) | $208.93 | $208.93 | $331.13 |
Cigna Setting Facility Modifier None Typical Low $398.11 Median $575.44 Typical High $870.96 | Facility | None | $398.11 | $575.44 | $870.96 |
Cigna Setting Professional Modifier None (both parts) Typical Low $199.53 Median $245.47 Typical High $616.60 | Professional | None (both parts) | $199.53 | $245.47 | $616.60 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $69.18 Typical High $123.03 | Professional | 26 · Professional part | $53.70 | $69.18 | $123.03 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $138.04 Median $177.83 Typical High $478.63 | Professional | TC · Technical part | $138.04 | $177.83 | $478.63 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $436.52 Median $707.95 Typical High $870.96 | Facility | None | $436.52 | $707.95 | $870.96 |
Medical Mutual of Ohio Setting Professional Modifier None (both parts) Typical Low $199.53 Median $245.47 Typical High $616.60 | Professional | None (both parts) | $199.53 | $245.47 | $616.60 |
Medical Mutual of Ohio Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $69.18 Typical High $165.96 | Professional | 26 · Professional part | $57.54 | $69.18 | $165.96 |
Medical Mutual of Ohio Setting Professional Modifier TC · Technical part Typical Low $138.04 Median $177.83 Typical High $489.78 | Professional | TC · Technical part | $138.04 | $177.83 | $489.78 |
Molina Setting Professional Modifier None (both parts) Typical Low $43.65 Median $177.83 Typical High $288.40 | Professional | None (both parts) | $43.65 | $177.83 | $288.40 |
SummaCare Setting Professional Modifier None (both parts) Typical Low $120.23 Median $141.25 Typical High $346.74 | Professional | None (both parts) | $120.23 | $141.25 | $346.74 |
SummaCare Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $60.26 Typical High $89.13 | Professional | 26 · Professional part | $54.95 | $60.26 | $89.13 |
SummaCare Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $72.44 Typical High $147.91 | Professional | TC · Technical part | $66.07 | $72.44 | $147.91 |
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 $194.98 Median $281.84 Typical High $501.19 | Professional | None (both parts) | $194.98 | $281.84 | $501.19 |
United Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $61.66 Typical High $117.49 | Professional | 26 · Professional part | $40.74 | $61.66 | $117.49 |
United Setting Professional Modifier TC · Technical part Typical Low $138.04 Median $229.09 Typical High $380.19 | Professional | TC · Technical part | $138.04 | $229.09 | $380.19 |
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 $120.23 Median $281.84 Typical High $446.68 | Facility | 52 · Reduced service | $120.23 | $281.84 | $446.68 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $47.86 Median $112.20 Typical High $177.83 | Facility | 53 · Discontinued | $47.86 | $112.20 | $177.83 |
Aetna Setting Facility Modifier CT · Older CT scanner Typical Low $165.96 Median $478.63 Typical High $691.83 | Facility | CT · Older CT scanner | $165.96 | $478.63 | $691.83 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $154.88 Median $446.68 Typical High $660.69 | Facility | FX · Film X-ray | $154.88 | $446.68 | $660.69 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $97.72 Median $97.72 Typical High $562.34 | Professional | 52 · Reduced service | $97.72 | $97.72 | $562.34 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $38.90 Median $38.90 Typical High $223.87 | Professional | 53 · Discontinued | $38.90 | $38.90 | $223.87 |
Aetna Setting Professional Modifier CT · Older CT scanner Typical Low $165.96 Median $165.96 Typical High $251.19 | Professional | CT · Older CT scanner | $165.96 | $165.96 | $251.19 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $154.88 Median $154.88 Typical High $239.88 | Professional | FX · Film X-ray | $154.88 | $154.88 | $239.88 |
Where Ohio sits
The same service costs 5.1 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
$229
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.