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 $436.52 Median $870.96 Typical High $1,698.24 | Facility | None | $436.52 | $870.96 | $1,698.24 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $104.71 Median $194.98 Typical High $363.08 | Facility | 26 · Professional part | $104.71 | $194.98 | $363.08 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $316.23 Median $660.69 Typical High $933.25 | Facility | TC · Technical part | $316.23 | $660.69 | $933.25 |
Aetna Setting Professional Modifier None (both parts) Typical Low $380.19 Median $489.78 Typical High $1,288.25 | Professional | None (both parts) | $380.19 | $489.78 | $1,288.25 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $100.00 Median $104.71 Typical High $354.81 | Professional | 26 · Professional part | $100.00 | $104.71 | $354.81 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $275.42 Median $316.23 Typical High $794.33 | Professional | TC · Technical part | $275.42 | $316.23 | $794.33 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $257.04 Median $309.03 Typical High $309.03 | Professional | None (both parts) | $257.04 | $309.03 | $309.03 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $125.89 Typical High $173.78 | Professional | 26 · Professional part | $79.43 | $125.89 | $173.78 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $426.58 Median $562.34 Typical High $891.25 | Professional | None (both parts) | $426.58 | $562.34 | $891.25 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $100.00 Median $104.71 Typical High $177.83 | Professional | 26 · Professional part | $100.00 | $104.71 | $177.83 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $331.13 Median $457.09 Typical High $724.44 | Professional | TC · Technical part | $331.13 | $457.09 | $724.44 |
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 $407.38 Median $436.52 Typical High $707.95 | Professional | None (both parts) | $407.38 | $436.52 | $707.95 |
CareSource Setting Professional Modifier None (both parts) Typical Low $97.72 Median $263.03 Typical High $436.52 | Professional | None (both parts) | $97.72 | $263.03 | $436.52 |
Cigna Setting Facility Modifier None Typical Low $794.33 Median $870.96 Typical High $1,412.54 | Facility | None | $794.33 | $870.96 | $1,412.54 |
Cigna Setting Professional Modifier None (both parts) Typical Low $363.08 Median $436.52 Typical High $1,148.15 | Professional | None (both parts) | $363.08 | $436.52 | $1,148.15 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $93.33 Median $123.03 Typical High $229.09 | Professional | 26 · Professional part | $93.33 | $123.03 | $229.09 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $257.04 Median $316.23 Typical High $831.76 | Professional | TC · Technical part | $257.04 | $316.23 | $831.76 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $724.44 Median $1,230.27 Typical High $2,818.38 | Facility | None | $724.44 | $1,230.27 | $2,818.38 |
Medical Mutual of Ohio Setting Professional Modifier None (both parts) Typical Low $363.08 Median $436.52 Typical High $1,148.15 | Professional | None (both parts) | $363.08 | $436.52 | $1,148.15 |
Medical Mutual of Ohio Setting Professional Modifier 26 · Professional part Typical Low $102.33 Median $199.53 Typical High $331.13 | Professional | 26 · Professional part | $102.33 | $199.53 | $331.13 |
Medical Mutual of Ohio Setting Professional Modifier TC · Technical part Typical Low $257.04 Median $309.03 Typical High $831.76 | Professional | TC · Technical part | $257.04 | $309.03 | $831.76 |
Molina Setting Professional Modifier None (both parts) Typical Low $104.71 Median $302.00 Typical High $524.81 | Professional | None (both parts) | $104.71 | $302.00 | $524.81 |
SummaCare Setting Professional Modifier None (both parts) Typical Low $229.09 Median $371.54 Typical High $630.96 | Professional | None (both parts) | $229.09 | $371.54 | $630.96 |
SummaCare Setting Professional Modifier 26 · Professional part Typical Low $97.72 Median $114.82 Typical High $186.21 | Professional | 26 · Professional part | $97.72 | $114.82 | $186.21 |
SummaCare Setting Professional Modifier TC · Technical part Typical Low $131.83 Median $154.88 Typical High $446.68 | Professional | TC · Technical part | $131.83 | $154.88 | $446.68 |
United Setting Facility Modifier None Typical Low $724.44 Median $831.76 Typical High $1,202.26 | Facility | None | $724.44 | $831.76 | $1,202.26 |
United Setting Professional Modifier None (both parts) Typical Low $354.81 Median $457.09 Typical High $812.83 | Professional | None (both parts) | $354.81 | $457.09 | $812.83 |
United Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $112.20 Typical High $213.80 | Professional | 26 · Professional part | $81.28 | $112.20 | $213.80 |
United Setting Professional Modifier TC · Technical part Typical Low $251.19 Median $346.74 Typical High $645.65 | Professional | TC · Technical part | $251.19 | $346.74 | $645.65 |
4 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 CT · Older CT scanner Typical Low $323.59 Median $954.99 Typical High $1,445.44 | Facility | CT · Older CT scanner | $323.59 | $954.99 | $1,445.44 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $302.00 Median $891.25 Typical High $1,348.96 | Facility | FX · Film X-ray | $302.00 | $891.25 | $1,348.96 |
Aetna Setting Professional Modifier CT · Older CT scanner Typical Low $323.59 Median $323.59 Typical High $398.11 | Professional | CT · Older CT scanner | $323.59 | $323.59 | $398.11 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $302.00 Median $302.00 Typical High $371.54 | Professional | FX · Film X-ray | $302.00 | $302.00 | $371.54 |
Where Ohio sits
The same service costs 5.0 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· 46th of 51
$417
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.