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 $489.78 Typical High $794.33 | Facility | None | $407.38 | $489.78 | $794.33 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $158.49 Median $263.03 Typical High $346.74 | Facility | 26 · Professional part | $158.49 | $263.03 | $346.74 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $263.03 Median $380.19 Typical High $575.44 | Facility | TC · Technical part | $263.03 | $380.19 | $575.44 |
Aetna Setting Professional Modifier None (both parts) Typical Low $239.88 Median $239.88 Typical High $346.74 | Professional | None (both parts) | $239.88 | $239.88 | $346.74 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $95.50 Median $95.50 Typical High $120.23 | Professional | 26 · Professional part | $95.50 | $95.50 | $120.23 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $141.25 Median $141.25 Typical High $151.36 | Professional | TC · Technical part | $141.25 | $141.25 | $151.36 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $81.28 Typical High $81.28 | Professional | 26 · Professional part | $81.28 | $81.28 | $81.28 |
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 $173.78 Median $181.97 Typical High $309.03 | Professional | None (both parts) | $173.78 | $181.97 | $309.03 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $100.00 Median $107.15 Typical High $158.49 | Professional | 26 · Professional part | $100.00 | $107.15 | $158.49 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $74.13 Typical High $190.55 | Professional | TC · Technical part | $74.13 | $74.13 | $190.55 |
CareSource Setting Facility Modifier None Typical Low $123.03 Median $208.93 Typical High $309.03 | Facility | None | $123.03 | $208.93 | $309.03 |
CareSource Setting Professional Modifier None (both parts) Typical Low $104.71 Median $104.71 Typical High $117.49 | Professional | None (both parts) | $104.71 | $104.71 | $117.49 |
Cigna Setting Facility Modifier None Typical Low $95.50 Median $173.78 Typical High $724.44 | Facility | None | $95.50 | $173.78 | $724.44 |
Cigna Setting Professional Modifier None (both parts) Typical Low $213.80 Median $223.87 Typical High $380.19 | Professional | None (both parts) | $213.80 | $223.87 | $380.19 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $93.33 Median $97.72 Typical High $186.21 | Professional | 26 · Professional part | $93.33 | $97.72 | $186.21 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $120.23 Median $128.82 Typical High $218.78 | Professional | TC · Technical part | $120.23 | $128.82 | $218.78 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $93.33 Median $141.25 Typical High $602.56 | Facility | None | $93.33 | $141.25 | $602.56 |
Medical Mutual of Ohio Setting Professional Modifier None (both parts) Typical Low $213.80 Median $223.87 Typical High $371.54 | Professional | None (both parts) | $213.80 | $223.87 | $371.54 |
Medical Mutual of Ohio Setting Professional Modifier 26 · Professional part Typical Low $93.33 Median $97.72 Typical High $186.21 | Professional | 26 · Professional part | $93.33 | $97.72 | $186.21 |
Medical Mutual of Ohio Setting Professional Modifier TC · Technical part Typical Low $120.23 Median $128.82 Typical High $208.93 | Professional | TC · Technical part | $120.23 | $128.82 | $208.93 |
Molina Setting Professional Modifier None (both parts) Typical Low $91.20 Median $169.82 Typical High $338.84 | Professional | None (both parts) | $91.20 | $169.82 | $338.84 |
SummaCare Setting Facility Modifier None Typical Low $100.00 Median $104.71 Typical High $120.23 | Facility | None | $100.00 | $104.71 | $120.23 |
SummaCare Setting Professional Modifier None (both parts) Typical Low $275.42 Median $275.42 Typical High $323.59 | Professional | None (both parts) | $275.42 | $275.42 | $323.59 |
SummaCare Setting Professional Modifier 26 · Professional part Typical Low $104.71 Median $104.71 Typical High $123.03 | Professional | 26 · Professional part | $104.71 | $104.71 | $123.03 |
SummaCare Setting Professional Modifier TC · Technical part Typical Low $169.82 Median $169.82 Typical High $199.53 | Professional | TC · Technical part | $169.82 | $169.82 | $199.53 |
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 $138.04 Median $208.93 Typical High $302.00 | Professional | None (both parts) | $138.04 | $208.93 | $302.00 |
United Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $95.50 Typical High $128.82 | Professional | 26 · Professional part | $66.07 | $95.50 | $128.82 |
United Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $117.49 Typical High $177.83 | Professional | TC · Technical part | $74.13 | $117.49 | $177.83 |
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 $125.89 Median $208.93 Typical High $302.00 | Facility | 52 · Reduced service | $125.89 | $208.93 | $302.00 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $50.12 Median $83.18 Typical High $120.23 | Facility | 53 · Discontinued | $50.12 | $83.18 | $120.23 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $190.55 Median $338.84 Typical High $478.63 | Facility | FX · Film X-ray | $190.55 | $338.84 | $478.63 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $120.23 Median $120.23 Typical High $181.97 | Professional | 52 · Reduced service | $120.23 | $120.23 | $181.97 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $47.86 Median $47.86 Typical High $74.13 | Professional | 53 · Discontinued | $47.86 | $47.86 | $74.13 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $190.55 Median $190.55 Typical High $190.55 | Professional | FX · Film X-ray | $190.55 | $190.55 | $190.55 |
Where Ohio sits
The same service costs 5.4 times more in Alaska than in Texas. 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
$214
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.