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 $181.97 Median $407.38 Typical High $512.86 | Facility | None | $181.97 | $407.38 | $512.86 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $54.95 Median $93.33 Typical High $158.49 | Facility | 26 · Professional part | $54.95 | $93.33 | $158.49 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $120.23 Median $263.03 Typical High $389.05 | Facility | TC · Technical part | $120.23 | $263.03 | $389.05 |
Aetna Setting Professional Modifier None (both parts) Typical Low $131.83 Median $141.25 Typical High $416.87 | Professional | None (both parts) | $131.83 | $141.25 | $416.87 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $46.77 Typical High $147.91 | Professional | 26 · Professional part | $34.67 | $46.77 | $147.91 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $95.50 Typical High $323.59 | Professional | TC · Technical part | $91.20 | $95.50 | $323.59 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $37.15 Typical High $66.07 | Professional | 26 · Professional part | $37.15 | $37.15 | $66.07 |
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 $89.13 Median $107.15 Typical High $199.53 | Professional | None (both parts) | $89.13 | $107.15 | $199.53 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $37.15 Typical High $67.61 | Professional | 26 · Professional part | $34.67 | $37.15 | $67.61 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $74.13 Typical High $141.25 | Professional | TC · Technical part | $60.26 | $74.13 | $141.25 |
Aultcare Setting Professional Modifier None (both parts) Typical Low $162.18 Median $181.97 Typical High $281.84 | Professional | None (both parts) | $162.18 | $181.97 | $281.84 |
Cigna Setting Facility Modifier None Typical Low $288.40 Median $363.08 Typical High $724.44 | Facility | None | $288.40 | $363.08 | $724.44 |
Cigna Setting Professional Modifier None (both parts) Typical Low $125.89 Median $151.36 Typical High $295.12 | Professional | None (both parts) | $125.89 | $151.36 | $295.12 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $48.98 Typical High $85.11 | Professional | 26 · Professional part | $38.02 | $48.98 | $85.11 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $107.15 Typical High $223.87 | Professional | TC · Technical part | $85.11 | $107.15 | $223.87 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $316.23 Median $371.54 Typical High $758.58 | Facility | None | $316.23 | $371.54 | $758.58 |
Medical Mutual of Ohio Setting Professional Modifier None (both parts) Typical Low $125.89 Median $151.36 Typical High $288.40 | Professional | None (both parts) | $125.89 | $151.36 | $288.40 |
Medical Mutual of Ohio Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $58.88 Typical High $134.90 | Professional | 26 · Professional part | $43.65 | $58.88 | $134.90 |
Medical Mutual of Ohio Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $102.33 Typical High $223.87 | Professional | TC · Technical part | $85.11 | $102.33 | $223.87 |
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 $144.54 Median $158.49 Typical High $275.42 | Professional | None (both parts) | $144.54 | $158.49 | $275.42 |
SummaCare Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $53.70 Typical High $89.13 | Professional | 26 · Professional part | $48.98 | $53.70 | $89.13 |
SummaCare Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $107.15 Typical High $181.97 | Professional | TC · Technical part | $97.72 | $107.15 | $181.97 |
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 $93.33 Median $147.91 Typical High $281.84 | Professional | None (both parts) | $93.33 | $147.91 | $281.84 |
United Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $45.71 Typical High $93.33 | Professional | 26 · Professional part | $26.30 | $45.71 | $93.33 |
United Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $104.71 Typical High $190.55 | Professional | TC · Technical part | $66.07 | $104.71 | $190.55 |
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 $83.18 Median $181.97 Typical High $269.15 | Facility | 52 · Reduced service | $83.18 | $181.97 | $269.15 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $33.11 Median $72.44 Typical High $107.15 | Facility | 53 · Discontinued | $33.11 | $72.44 | $107.15 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $114.82 Median $309.03 Typical High $389.05 | Facility | FX · Film X-ray | $114.82 | $309.03 | $389.05 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $70.79 Median $70.79 Typical High $190.55 | Professional | 52 · Reduced service | $70.79 | $70.79 | $190.55 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $28.84 Median $28.84 Typical High $75.86 | Professional | 53 · Discontinued | $28.84 | $28.84 | $75.86 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $114.82 Median $114.82 Typical High $131.83 | Professional | FX · Film X-ray | $114.82 | $114.82 | $131.83 |
Where Ohio sits
The same service costs 4.3 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· 42nd of 51
$138
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.