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 $407.38 Median $912.01 Typical High $1,698.24 | Facility | None | $407.38 | $912.01 | $1,698.24 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $95.50 Median $177.83 Typical High $331.13 | Facility | 26 · Professional part | $95.50 | $177.83 | $331.13 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $257.04 Median $588.84 Typical High $831.76 | Facility | TC · Technical part | $257.04 | $588.84 | $831.76 |
Aetna Setting Professional Modifier None (both parts) Typical Low $338.84 Median $416.87 Typical High $1,148.15 | Professional | None (both parts) | $338.84 | $416.87 | $1,148.15 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $95.50 Median $97.72 Typical High $323.59 | Professional | 26 · Professional part | $95.50 | $97.72 | $323.59 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $245.47 Median $302.00 Typical High $676.08 | Professional | TC · Technical part | $245.47 | $302.00 | $676.08 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $213.80 Median $251.19 Typical High $363.08 | Professional | None (both parts) | $213.80 | $251.19 | $363.08 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $72.44 Median $95.50 Typical High $165.96 | Professional | 26 · Professional part | $72.44 | $95.50 | $165.96 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $302.00 Median $316.23 Typical High $549.54 | Professional | None (both parts) | $302.00 | $316.23 | $549.54 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $95.50 Median $114.82 Typical High $186.21 | Professional | 26 · Professional part | $95.50 | $114.82 | $186.21 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $190.55 Median $204.17 Typical High $371.54 | Professional | TC · Technical part | $190.55 | $204.17 | $371.54 |
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 $363.08 Median $363.08 Typical High $630.96 | Professional | None (both parts) | $363.08 | $363.08 | $630.96 |
CareSource Setting Professional Modifier None (both parts) Typical Low $89.13 Median $234.42 Typical High $389.05 | Professional | None (both parts) | $89.13 | $234.42 | $389.05 |
Cigna Setting Facility Modifier None Typical Low $691.83 Median $870.96 Typical High $1,258.93 | Facility | None | $691.83 | $870.96 | $1,258.93 |
Cigna Setting Professional Modifier None (both parts) Typical Low $331.13 Median $389.05 Typical High $891.25 | Professional | None (both parts) | $331.13 | $389.05 | $891.25 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $89.13 Median $112.20 Typical High $208.93 | Professional | 26 · Professional part | $89.13 | $112.20 | $208.93 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $234.42 Median $281.84 Typical High $676.08 | Professional | TC · Technical part | $234.42 | $281.84 | $676.08 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $707.95 Median $1,174.90 Typical High $3,467.37 | Facility | None | $707.95 | $1,174.90 | $3,467.37 |
Medical Mutual of Ohio Setting Professional Modifier None (both parts) Typical Low $331.13 Median $416.87 Typical High $1,000.00 | Professional | None (both parts) | $331.13 | $416.87 | $1,000.00 |
Medical Mutual of Ohio Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $144.54 Typical High $302.00 | Professional | 26 · Professional part | $83.18 | $144.54 | $302.00 |
Medical Mutual of Ohio Setting Professional Modifier TC · Technical part Typical Low $234.42 Median $281.84 Typical High $676.08 | Professional | TC · Technical part | $234.42 | $281.84 | $676.08 |
Molina Setting Professional Modifier None (both parts) Typical Low $104.71 Median $269.15 Typical High $467.74 | Professional | None (both parts) | $104.71 | $269.15 | $467.74 |
SummaCare Setting Professional Modifier None (both parts) Typical Low $208.93 Median $245.47 Typical High $549.54 | Professional | None (both parts) | $208.93 | $245.47 | $549.54 |
SummaCare Setting Professional Modifier 26 · Professional part Typical Low $91.20 Median $107.15 Typical High $173.78 | Professional | 26 · Professional part | $91.20 | $107.15 | $173.78 |
SummaCare Setting Professional Modifier TC · Technical part Typical Low $117.49 Median $138.04 Typical High $309.03 | Professional | TC · Technical part | $117.49 | $138.04 | $309.03 |
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 $316.23 Median $389.05 Typical High $691.83 | Professional | None (both parts) | $316.23 | $389.05 | $691.83 |
United Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $102.33 Typical High $194.98 | Professional | 26 · Professional part | $75.86 | $102.33 | $194.98 |
United Setting Professional Modifier TC · Technical part Typical Low $229.09 Median $288.40 Typical High $512.86 | Professional | TC · Technical part | $229.09 | $288.40 | $512.86 |
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 $288.40 Median $851.14 Typical High $1,445.44 | Facility | CT · Older CT scanner | $288.40 | $851.14 | $1,445.44 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $275.42 Median $794.33 Typical High $1,348.96 | Facility | FX · Film X-ray | $275.42 | $794.33 | $1,348.96 |
Aetna Setting Professional Modifier CT · Older CT scanner Typical Low $288.40 Median $288.40 Typical High $354.81 | Professional | CT · Older CT scanner | $288.40 | $288.40 | $354.81 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $275.42 Median $275.42 Typical High $331.13 | Professional | FX · Film X-ray | $275.42 | $275.42 | $331.13 |
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· 46th of 51
$339
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.