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 $354.81 Typical High $489.78 | Facility | None | $147.91 | $354.81 | $489.78 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $40.74 Median $75.86 Typical High $138.04 | Facility | 26 · Professional part | $40.74 | $75.86 | $138.04 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $104.71 Median $239.88 Typical High $316.23 | Facility | TC · Technical part | $104.71 | $239.88 | $316.23 |
Aetna Setting Professional Modifier None (both parts) Typical Low $125.89 Median $134.90 Typical High $389.05 | Professional | None (both parts) | $125.89 | $134.90 | $389.05 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $40.74 Typical High $114.82 | Professional | 26 · Professional part | $34.67 | $40.74 | $114.82 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $87.10 Median $89.13 Typical High $257.04 | Professional | TC · Technical part | $87.10 | $89.13 | $257.04 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $67.61 Typical High $67.61 | Professional | 26 · Professional part | $42.66 | $67.61 | $67.61 |
Anthem BCBS Setting Facility Modifier None Typical Low $416.87 Median $489.78 Typical High $575.44 | Facility | None | $416.87 | $489.78 | $575.44 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $79.43 Median $97.72 Typical High $181.97 | Professional | None (both parts) | $79.43 | $97.72 | $181.97 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $37.15 Typical High $66.07 | Professional | 26 · Professional part | $34.67 | $37.15 | $66.07 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $46.77 Median $63.10 Typical High $125.89 | Professional | TC · Technical part | $46.77 | $63.10 | $125.89 |
Aultcare Setting Professional Modifier None (both parts) Typical Low $144.54 Median $144.54 Typical High $251.19 | Professional | None (both parts) | $144.54 | $144.54 | $251.19 |
CareSource Setting Professional Modifier None (both parts) Typical Low $39.81 Median $89.13 Typical High $154.88 | Professional | None (both parts) | $39.81 | $89.13 | $154.88 |
Cigna Setting Facility Modifier None Typical Low $263.03 Median $309.03 Typical High $691.83 | Facility | None | $263.03 | $309.03 | $691.83 |
Cigna Setting Professional Modifier None (both parts) Typical Low $112.20 Median $138.04 Typical High $257.04 | Professional | None (both parts) | $112.20 | $138.04 | $257.04 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $44.67 Typical High $77.62 | Professional | 26 · Professional part | $35.48 | $44.67 | $77.62 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $77.62 Median $93.33 Typical High $181.97 | Professional | TC · Technical part | $77.62 | $93.33 | $181.97 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $275.42 Median $371.54 Typical High $776.25 | Facility | None | $275.42 | $371.54 | $776.25 |
Medical Mutual of Ohio Setting Professional Modifier None (both parts) Typical Low $112.20 Median $134.90 Typical High $257.04 | Professional | None (both parts) | $112.20 | $134.90 | $257.04 |
Medical Mutual of Ohio Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $48.98 Typical High $125.89 | Professional | 26 · Professional part | $38.90 | $48.98 | $125.89 |
Medical Mutual of Ohio Setting Professional Modifier TC · Technical part Typical Low $77.62 Median $93.33 Typical High $177.83 | Professional | TC · Technical part | $77.62 | $93.33 | $177.83 |
Molina Setting Professional Modifier None (both parts) Typical Low $44.67 Median $128.82 Typical High $199.53 | Professional | None (both parts) | $44.67 | $128.82 | $199.53 |
SummaCare Setting Professional Modifier None (both parts) Typical Low $131.83 Median $144.54 Typical High $251.19 | Professional | None (both parts) | $131.83 | $144.54 | $251.19 |
SummaCare Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $46.77 Typical High $81.28 | Professional | 26 · Professional part | $42.66 | $46.77 | $81.28 |
SummaCare Setting Professional Modifier TC · Technical part Typical Low $89.13 Median $97.72 Typical High $169.82 | Professional | TC · Technical part | $89.13 | $97.72 | $169.82 |
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 $89.13 Median $134.90 Typical High $239.88 | Professional | None (both parts) | $89.13 | $134.90 | $239.88 |
United Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $40.74 Typical High $81.28 | Professional | 26 · Professional part | $26.30 | $40.74 | $81.28 |
United Setting Professional Modifier TC · Technical part Typical Low $56.23 Median $89.13 Typical High $169.82 | Professional | TC · Technical part | $56.23 | $89.13 | $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 $74.13 Median $181.97 Typical High $269.15 | Facility | 52 · Reduced service | $74.13 | $181.97 | $269.15 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $29.51 Median $72.44 Typical High $107.15 | Facility | 53 · Discontinued | $29.51 | $72.44 | $107.15 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $102.33 Median $288.40 Typical High $389.05 | Facility | FX · Film X-ray | $102.33 | $288.40 | $389.05 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $64.57 Median $64.57 Typical High $186.21 | Professional | 52 · Reduced service | $64.57 | $64.57 | $186.21 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $25.70 Median $25.70 Typical High $74.13 | Professional | 53 · Discontinued | $25.70 | $25.70 | $74.13 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $102.33 Median $102.33 Typical High $117.49 | Professional | FX · Film X-ray | $102.33 | $102.33 | $117.49 |
Where Ohio sits
The same service costs 3.9 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· 43rd of 51
$129
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.