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 $218.78 Median $630.96 Typical High $1,258.93 | Facility | None | $218.78 | $630.96 | $1,258.93 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $83.18 Median $154.88 Typical High $288.40 | Facility | 26 · Professional part | $83.18 | $154.88 | $288.40 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $112.20 Median $245.47 Typical High $346.74 | Facility | TC · Technical part | $112.20 | $245.47 | $346.74 |
Aetna Setting Professional Modifier None (both parts) Typical Low $186.21 Median $223.87 Typical High $691.83 | Professional | None (both parts) | $186.21 | $223.87 | $691.83 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $85.11 Typical High $281.84 | Professional | 26 · Professional part | $83.18 | $85.11 | $281.84 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $102.33 Median $120.23 Typical High $288.40 | Professional | TC · Technical part | $102.33 | $120.23 | $288.40 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $138.04 Median $151.36 Typical High $199.53 | Professional | None (both parts) | $138.04 | $151.36 | $199.53 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $109.65 Typical High $128.82 | Professional | 26 · Professional part | $63.10 | $109.65 | $128.82 |
Ambetter Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $85.11 Typical High $141.25 | Professional | TC · Technical part | $85.11 | $85.11 | $141.25 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $194.98 Median $239.88 Typical High $398.11 | Professional | None (both parts) | $194.98 | $239.88 | $398.11 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $97.72 Typical High $162.18 | Professional | 26 · Professional part | $83.18 | $97.72 | $162.18 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $114.82 Median $144.54 Typical High $245.47 | Professional | TC · Technical part | $114.82 | $144.54 | $245.47 |
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 $199.53 Median $199.53 Typical High $346.74 | Professional | None (both parts) | $199.53 | $199.53 | $346.74 |
CareSource Setting Professional Modifier None (both parts) Typical Low $77.62 Median $114.82 Typical High $213.80 | Professional | None (both parts) | $77.62 | $114.82 | $213.80 |
Cigna Setting Facility Modifier None Typical Low $295.12 Median $478.63 Typical High $870.96 | Facility | None | $295.12 | $478.63 | $870.96 |
Cigna Setting Professional Modifier None (both parts) Typical Low $181.97 Median $213.80 Typical High $446.68 | Professional | None (both parts) | $181.97 | $213.80 | $446.68 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $97.72 Typical High $181.97 | Professional | 26 · Professional part | $75.86 | $97.72 | $181.97 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $117.49 Typical High $269.15 | Professional | TC · Technical part | $97.72 | $117.49 | $269.15 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $501.19 Median $1,122.02 Typical High $2,691.53 | Facility | None | $501.19 | $1,122.02 | $2,691.53 |
Medical Mutual of Ohio Setting Professional Modifier None (both parts) Typical Low $181.97 Median $229.09 Typical High $524.81 | Professional | None (both parts) | $181.97 | $229.09 | $524.81 |
Medical Mutual of Ohio Setting Professional Modifier 26 · Professional part Typical Low $72.44 Median $154.88 Typical High $263.03 | Professional | 26 · Professional part | $72.44 | $154.88 | $263.03 |
Medical Mutual of Ohio Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $117.49 Typical High $269.15 | Professional | TC · Technical part | $97.72 | $117.49 | $269.15 |
Molina Setting Professional Modifier None (both parts) Typical Low $89.13 Median $141.25 Typical High $281.84 | Professional | None (both parts) | $89.13 | $141.25 | $281.84 |
SummaCare Setting Professional Modifier None (both parts) Typical Low $128.82 Median $158.49 Typical High $309.03 | Professional | None (both parts) | $128.82 | $158.49 | $309.03 |
SummaCare Setting Professional Modifier 26 · Professional part Typical Low $77.62 Median $91.20 Typical High $162.18 | Professional | 26 · Professional part | $77.62 | $91.20 | $162.18 |
SummaCare Setting Professional Modifier TC · Technical part Typical Low $48.98 Median $61.66 Typical High $169.82 | Professional | TC · Technical part | $48.98 | $61.66 | $169.82 |
United Setting Facility Modifier None Typical Low $489.78 Median $575.44 Typical High $812.83 | Facility | None | $489.78 | $575.44 | $812.83 |
United Setting Professional Modifier None (both parts) Typical Low $162.18 Median $208.93 Typical High $380.19 | Professional | None (both parts) | $162.18 | $208.93 | $380.19 |
United Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $89.13 Typical High $169.82 | Professional | 26 · Professional part | $66.07 | $89.13 | $169.82 |
United Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $117.49 Typical High $218.78 | Professional | TC · Technical part | $95.50 | $117.49 | $218.78 |
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 $158.49 Median $354.81 Typical High $891.25 | Facility | CT · Older CT scanner | $158.49 | $354.81 | $891.25 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $147.91 Median $331.13 Typical High $851.14 | Facility | FX · Film X-ray | $147.91 | $331.13 | $851.14 |
Aetna Setting Professional Modifier CT · Older CT scanner Typical Low $158.49 Median $158.49 Typical High $194.98 | Professional | CT · Older CT scanner | $158.49 | $158.49 | $194.98 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $147.91 Median $147.91 Typical High $186.21 | Professional | FX · Film X-ray | $147.91 | $147.91 | $186.21 |
Where Ohio sits
The same service costs 18.2 times more in Vermont 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
$200
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.