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 $147.91 Median $199.53 Typical High $457.09 | Facility | None | $147.91 | $199.53 | $457.09 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $95.50 Median $263.03 Typical High $398.11 | Facility | TC · Technical part | $95.50 | $263.03 | $398.11 |
Aetna Setting Professional Modifier None (both parts) Typical Low $147.91 Median $147.91 Typical High $501.19 | Professional | None (both parts) | $147.91 | $147.91 | $501.19 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $54.95 Typical High $213.80 | Professional | 26 · Professional part | $53.70 | $54.95 | $213.80 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $95.50 Typical High $123.03 | Professional | TC · Technical part | $95.50 | $95.50 | $123.03 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $102.33 Median $120.23 Typical High $208.93 | Professional | None (both parts) | $102.33 | $120.23 | $208.93 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $64.57 Typical High $104.71 | Professional | 26 · Professional part | $58.88 | $64.57 | $104.71 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $56.23 Median $58.88 Typical High $114.82 | Professional | TC · Technical part | $56.23 | $58.88 | $114.82 |
Cigna Setting Facility Modifier None Typical Low $181.97 Median $181.97 Typical High $181.97 | Facility | None | $181.97 | $181.97 | $181.97 |
Cigna Setting Professional Modifier None (both parts) Typical Low $144.54 Median $173.78 Typical High $346.74 | Professional | None (both parts) | $144.54 | $173.78 | $346.74 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $64.57 Typical High $123.03 | Professional | 26 · Professional part | $53.70 | $64.57 | $123.03 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $112.20 Typical High $223.87 | Professional | TC · Technical part | $91.20 | $112.20 | $223.87 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $169.82 Median $181.97 Typical High $181.97 | Facility | None | $169.82 | $181.97 | $181.97 |
Medical Mutual of Ohio Setting Professional Modifier None (both parts) Typical Low $147.91 Median $169.82 Typical High $338.84 | Professional | None (both parts) | $147.91 | $169.82 | $338.84 |
Medical Mutual of Ohio Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $61.66 Typical High $123.03 | Professional | 26 · Professional part | $53.70 | $61.66 | $123.03 |
Medical Mutual of Ohio Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $107.15 Typical High $218.78 | Professional | TC · Technical part | $95.50 | $107.15 | $218.78 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $51.29 Typical High $87.10 | Professional | None (both parts) | $33.11 | $51.29 | $87.10 |
SummaCare Setting Professional Modifier None (both parts) Typical Low $128.82 Median $141.25 Typical High $194.98 | Professional | None (both parts) | $128.82 | $141.25 | $194.98 |
SummaCare Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $61.66 Typical High $85.11 | Professional | 26 · Professional part | $56.23 | $61.66 | $85.11 |
SummaCare Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $79.43 Typical High $112.20 | Professional | TC · Technical part | $72.44 | $79.43 | $112.20 |
United Setting Professional Modifier None (both parts) Typical Low $109.65 Median $147.91 Typical High $281.84 | Professional | None (both parts) | $109.65 | $147.91 | $281.84 |
United Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $61.66 Typical High $112.20 | Professional | 26 · Professional part | $39.81 | $61.66 | $112.20 |
United Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $87.10 Typical High $169.82 | Professional | TC · Technical part | $64.57 | $87.10 | $169.82 |
6 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 $81.28 Median $109.65 Typical High $199.53 | Facility | 52 · Reduced service | $81.28 | $109.65 | $199.53 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $33.11 Median $43.65 Typical High $79.43 | Facility | 53 · Discontinued | $33.11 | $43.65 | $79.43 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $120.23 Median $173.78 Typical High $323.59 | Facility | FX · Film X-ray | $120.23 | $173.78 | $323.59 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $74.13 Median $74.13 Typical High $245.47 | Professional | 52 · Reduced service | $74.13 | $74.13 | $245.47 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $30.20 Median $30.20 Typical High $100.00 | Professional | 53 · Discontinued | $30.20 | $30.20 | $100.00 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $120.23 Median $120.23 Typical High $131.83 | Professional | FX · Film X-ray | $120.23 | $120.23 | $131.83 |
Where Ohio sits
The same service costs 3.9 times more in Alaska than in Florida. 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
$148
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.