How much rates vary
Facilitymedian $813 · 10th to 90th $427 to $1,259Professionalmedian $288 · 10th to 90th $126 to $525
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 $407.38 Median $758.58 Typical High $1,288.25 | Facility | None | $407.38 | $758.58 | $1,288.25 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $102.33 Median $239.88 Typical High $302.00 | Facility | 26 · Professional part | $102.33 | $239.88 | $302.00 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $213.80 Median $467.74 Typical High $691.83 | Facility | TC · Technical part | $213.80 | $467.74 | $691.83 |
Aetna Setting Professional Modifier None (both parts) Typical Low $257.04 Median $371.54 Typical High $1,148.15 | Professional | None (both parts) | $257.04 | $371.54 | $1,148.15 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $87.10 Typical High $302.00 | Professional | 26 · Professional part | $85.11 | $87.10 | $302.00 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $169.82 Median $199.53 Typical High $575.44 | Professional | TC · Technical part | $169.82 | $199.53 | $575.44 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $64.57 Typical High $114.82 | Professional | 26 · Professional part | $64.57 | $64.57 | $114.82 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $251.19 Median $288.40 Typical High $489.78 | Professional | None (both parts) | $251.19 | $288.40 | $489.78 |
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 $186.21 Median $190.55 Typical High $346.74 | Professional | TC · Technical part | $186.21 | $190.55 | $346.74 |
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 $489.78 Median $489.78 Typical High $489.78 | Professional | None (both parts) | $489.78 | $489.78 | $489.78 |
Cigna Setting Facility Modifier None Typical Low $630.96 Median $870.96 Typical High $1,202.26 | Facility | None | $630.96 | $870.96 | $1,202.26 |
Cigna Setting Professional Modifier None (both parts) Typical Low $288.40 Median $346.74 Typical High $912.01 | Professional | None (both parts) | $288.40 | $346.74 | $912.01 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $102.33 Typical High $186.21 | Professional | 26 · Professional part | $81.28 | $102.33 | $186.21 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $204.17 Median $251.19 Typical High $676.08 | Professional | TC · Technical part | $204.17 | $251.19 | $676.08 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $691.83 Median $870.96 Typical High $1,202.26 | Facility | None | $691.83 | $870.96 | $1,202.26 |
Medical Mutual of Ohio Setting Professional Modifier None (both parts) Typical Low $288.40 Median $346.74 Typical High $912.01 | Professional | None (both parts) | $288.40 | $346.74 | $912.01 |
Medical Mutual of Ohio Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $104.71 Typical High $269.15 | Professional | 26 · Professional part | $85.11 | $104.71 | $269.15 |
Medical Mutual of Ohio Setting Professional Modifier TC · Technical part Typical Low $204.17 Median $245.47 Typical High $691.83 | Professional | TC · Technical part | $204.17 | $245.47 | $691.83 |
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 $186.21 Median $204.17 Typical High $416.87 | Professional | None (both parts) | $186.21 | $204.17 | $416.87 |
SummaCare Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $89.13 Typical High $141.25 | Professional | 26 · Professional part | $81.28 | $89.13 | $141.25 |
SummaCare Setting Professional Modifier TC · Technical part Typical Low $107.15 Median $114.82 Typical High $234.42 | Professional | TC · Technical part | $107.15 | $114.82 | $234.42 |
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 $281.84 Median $380.19 Typical High $676.08 | Professional | None (both parts) | $281.84 | $380.19 | $676.08 |
United Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $93.33 Typical High $177.83 | Professional | 26 · Professional part | $63.10 | $93.33 | $177.83 |
United Setting Professional Modifier TC · Technical part Typical Low $194.98 Median $302.00 Typical High $549.54 | Professional | TC · Technical part | $194.98 | $302.00 | $549.54 |
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 $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 $58.88 Median $134.90 Typical High $177.83 | Facility | 53 · Discontinued | $58.88 | $134.90 | $177.83 |
Aetna Setting Facility Modifier CT · Older CT scanner Typical Low $218.78 Median $575.44 Typical High $691.83 | Facility | CT · Older CT scanner | $218.78 | $575.44 | $691.83 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $204.17 Median $537.03 Typical High $660.69 | Facility | FX · Film X-ray | $204.17 | $537.03 | $660.69 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $128.82 Median $128.82 Typical High $616.60 | Professional | 52 · Reduced service | $128.82 | $128.82 | $616.60 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $51.29 Median $51.29 Typical High $245.47 | Professional | 53 · Discontinued | $51.29 | $51.29 | $245.47 |
Aetna Setting Professional Modifier CT · Older CT scanner Typical Low $218.78 Median $218.78 Typical High $275.42 | Professional | CT · Older CT scanner | $218.78 | $218.78 | $275.42 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $204.17 Median $204.17 Typical High $257.04 | Professional | FX · Film X-ray | $204.17 | $204.17 | $257.04 |
Where Ohio sits
The same service costs 6.0 times more in Alaska than in Texas. 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· 47th of 51
$288
AK $1,023TX $170
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.