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 $416.87 Median $758.58 Typical High $1,258.93 | Facility | None | $416.87 | $758.58 | $1,258.93 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $112.20 Median $251.19 Typical High $316.23 | Facility | 26 · Professional part | $112.20 | $251.19 | $316.23 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $223.87 Median $467.74 Typical High $691.83 | Facility | TC · Technical part | $223.87 | $467.74 | $691.83 |
Aetna Setting Professional Modifier None (both parts) Typical Low $263.03 Median $389.05 Typical High $1,047.13 | Professional | None (both parts) | $263.03 | $389.05 | $1,047.13 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $87.10 Median $91.20 Typical High $316.23 | Professional | 26 · Professional part | $87.10 | $91.20 | $316.23 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $169.82 Median $190.55 Typical High $575.44 | Professional | TC · Technical part | $169.82 | $190.55 | $575.44 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $181.97 Median $295.12 Typical High $295.12 | Professional | None (both parts) | $181.97 | $295.12 | $295.12 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $67.61 Typical High $177.83 | Professional | 26 · Professional part | $67.61 | $67.61 | $177.83 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $229.09 Median $269.15 Typical High $457.09 | Professional | None (both parts) | $229.09 | $269.15 | $457.09 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $95.50 Typical High $151.36 | Professional | 26 · Professional part | $69.18 | $95.50 | $151.36 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $169.82 Median $181.97 Typical High $316.23 | Professional | TC · Technical part | $169.82 | $181.97 | $316.23 |
Aultcare Setting Professional Modifier None (both parts) Typical Low $501.19 Median $501.19 Typical High $501.19 | Professional | None (both parts) | $501.19 | $501.19 | $501.19 |
Cigna Setting Facility Modifier None Typical Low $676.08 Median $870.96 Typical High $1,202.26 | Facility | None | $676.08 | $870.96 | $1,202.26 |
Cigna Setting Professional Modifier None (both parts) Typical Low $316.23 Median $380.19 Typical High $954.99 | Professional | None (both parts) | $316.23 | $380.19 | $954.99 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $104.71 Typical High $190.55 | Professional | 26 · Professional part | $85.11 | $104.71 | $190.55 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $229.09 Median $275.42 Typical High $707.95 | Professional | TC · Technical part | $229.09 | $275.42 | $707.95 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $724.44 Median $870.96 Typical High $1,202.26 | Facility | None | $724.44 | $870.96 | $1,202.26 |
Medical Mutual of Ohio Setting Professional Modifier None (both parts) Typical Low $316.23 Median $380.19 Typical High $954.99 | Professional | None (both parts) | $316.23 | $380.19 | $954.99 |
Medical Mutual of Ohio Setting Professional Modifier 26 · Professional part Typical Low $89.13 Median $107.15 Typical High $281.84 | Professional | 26 · Professional part | $89.13 | $107.15 | $281.84 |
Medical Mutual of Ohio Setting Professional Modifier TC · Technical part Typical Low $229.09 Median $275.42 Typical High $741.31 | Professional | TC · Technical part | $229.09 | $275.42 | $741.31 |
Molina Setting Professional Modifier None (both parts) Typical Low $104.71 Median $199.53 Typical High $371.54 | Professional | None (both parts) | $104.71 | $199.53 | $371.54 |
SummaCare Setting Professional Modifier None (both parts) Typical Low $199.53 Median $257.04 Typical High $323.59 | Professional | None (both parts) | $199.53 | $257.04 | $323.59 |
SummaCare Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $93.33 Typical High $138.04 | Professional | 26 · Professional part | $85.11 | $93.33 | $138.04 |
SummaCare Setting Professional Modifier TC · Technical part Typical Low $112.20 Median $123.03 Typical High $251.19 | Professional | TC · Technical part | $112.20 | $123.03 | $251.19 |
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 $309.03 Median $407.38 Typical High $691.83 | Professional | None (both parts) | $309.03 | $407.38 | $691.83 |
United Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $95.50 Typical High $181.97 | Professional | 26 · Professional part | $63.10 | $95.50 | $181.97 |
United Setting Professional Modifier TC · Technical part Typical Low $223.87 Median $309.03 Typical High $537.03 | Professional | TC · Technical part | $223.87 | $309.03 | $537.03 |
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 $147.91 Median $338.84 Typical High $446.68 | Facility | 52 · Reduced service | $147.91 | $338.84 | $446.68 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $60.26 Median $134.90 Typical High $177.83 | Facility | 53 · Discontinued | $60.26 | $134.90 | $177.83 |
Aetna Setting Facility Modifier CT · Older CT scanner Typical Low $223.87 Median $575.44 Typical High $691.83 | Facility | CT · Older CT scanner | $223.87 | $575.44 | $691.83 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $208.93 Median $537.03 Typical High $660.69 | Facility | FX · Film X-ray | $208.93 | $537.03 | $660.69 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $131.83 Median $131.83 Typical High $562.34 | Professional | 52 · Reduced service | $131.83 | $131.83 | $562.34 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $52.48 Median $52.48 Typical High $229.09 | Professional | 53 · Discontinued | $52.48 | $52.48 | $229.09 |
Aetna Setting Professional Modifier CT · Older CT scanner Typical Low $223.87 Median $223.87 Typical High $281.84 | Professional | CT · Older CT scanner | $223.87 | $223.87 | $281.84 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $208.93 Median $208.93 Typical High $263.03 | Professional | FX · Film X-ray | $208.93 | $208.93 | $263.03 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $346.74 Median $398.11 Typical High $660.69 | Professional | 50 · Both sides | $346.74 | $398.11 | $660.69 |
Where Ohio sits
The same service costs 6.2 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
$269
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.