How much rates vary
Facilitymedian $288 · 10th to 90th $100 to $1,000Professionalmedian $95 · 10th to 90th $54 to $166
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 $123.03 Median $302.00 Typical High $1,258.93 | Facility | None | $123.03 | $302.00 | $1,258.93 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $28.84 Median $52.48 Typical High $95.50 | Facility | 26 · Professional part | $28.84 | $52.48 | $95.50 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $85.11 Median $165.96 Typical High $245.47 | Facility | TC · Technical part | $85.11 | $165.96 | $245.47 |
Aetna Setting Professional Modifier None (both parts) Typical Low $93.33 Median $102.33 Typical High $316.23 | Professional | None (both parts) | $93.33 | $102.33 | $316.23 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $27.54 Typical High $93.33 | Professional | 26 · Professional part | $27.54 | $27.54 | $93.33 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $52.48 Median $72.44 Typical High $199.53 | Professional | TC · Technical part | $52.48 | $72.44 | $199.53 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $67.61 Median $67.61 Typical High $75.86 | Professional | None (both parts) | $67.61 | $67.61 | $75.86 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $20.89 Median $43.65 Typical High $45.71 | Professional | 26 · Professional part | $20.89 | $43.65 | $45.71 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $69.18 Median $70.79 Typical High $144.54 | Professional | None (both parts) | $69.18 | $70.79 | $144.54 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $27.54 Typical High $47.86 | Professional | 26 · Professional part | $27.54 | $27.54 | $47.86 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $41.69 Median $47.86 Typical High $97.72 | Professional | TC · Technical part | $41.69 | $47.86 | $97.72 |
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 $107.15 Median $114.82 Typical High $186.21 | Professional | None (both parts) | $107.15 | $114.82 | $186.21 |
CareSource Setting Professional Modifier None (both parts) Typical Low $25.70 Median $69.18 Typical High $114.82 | Professional | None (both parts) | $25.70 | $69.18 | $114.82 |
Cigna Setting Facility Modifier None Typical Low $52.48 Median $229.09 Typical High $398.11 | Facility | None | $52.48 | $229.09 | $398.11 |
Cigna Setting Professional Modifier None (both parts) Typical Low $91.20 Median $112.20 Typical High $213.80 | Professional | None (both parts) | $91.20 | $112.20 | $213.80 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $32.36 Typical High $60.26 | Professional | 26 · Professional part | $25.70 | $32.36 | $60.26 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $79.43 Typical High $154.88 | Professional | TC · Technical part | $64.57 | $79.43 | $154.88 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $52.48 Median $229.09 Typical High $398.11 | Facility | None | $52.48 | $229.09 | $398.11 |
Medical Mutual of Ohio Setting Professional Modifier None (both parts) Typical Low $93.33 Median $112.20 Typical High $204.17 | Professional | None (both parts) | $93.33 | $112.20 | $204.17 |
Medical Mutual of Ohio Setting Professional Modifier 26 · Professional part Typical Low $5.62 Median $32.36 Typical High $85.11 | Professional | 26 · Professional part | $5.62 | $32.36 | $85.11 |
Medical Mutual of Ohio Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $79.43 Typical High $154.88 | Professional | TC · Technical part | $66.07 | $79.43 | $154.88 |
Molina Setting Professional Modifier None (both parts) Typical Low $43.65 Median $89.13 Typical High $144.54 | Professional | None (both parts) | $43.65 | $89.13 | $144.54 |
SummaCare Setting Professional Modifier None (both parts) Typical Low $61.66 Median $66.07 Typical High $114.82 | Professional | None (both parts) | $61.66 | $66.07 | $114.82 |
SummaCare Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $28.84 Typical High $48.98 | Professional | 26 · Professional part | $26.30 | $28.84 | $48.98 |
SummaCare Setting Professional Modifier TC · Technical part Typical Low $34.67 Median $38.02 Typical High $66.07 | Professional | TC · Technical part | $34.67 | $38.02 | $66.07 |
United Setting Facility Modifier None Typical Low $177.83 Median $208.93 Typical High $295.12 | Facility | None | $177.83 | $208.93 | $295.12 |
United Setting Professional Modifier None (both parts) Typical Low $69.18 Median $102.33 Typical High $199.53 | Professional | None (both parts) | $69.18 | $102.33 | $199.53 |
United Setting Professional Modifier 26 · Professional part Typical Low $20.42 Median $29.51 Typical High $56.23 | Professional | 26 · Professional part | $20.42 | $29.51 | $56.23 |
United Setting Professional Modifier TC · Technical part Typical Low $47.86 Median $70.79 Typical High $144.54 | Professional | TC · Technical part | $47.86 | $70.79 | $144.54 |
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 $85.11 Median $251.19 Typical High $316.23 | Facility | CT · Older CT scanner | $85.11 | $251.19 | $316.23 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $79.43 Median $234.42 Typical High $295.12 | Facility | FX · Film X-ray | $79.43 | $234.42 | $295.12 |
Aetna Setting Professional Modifier CT · Older CT scanner Typical Low $85.11 Median $85.11 Typical High $144.54 | Professional | CT · Older CT scanner | $85.11 | $85.11 | $144.54 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $79.43 Median $79.43 Typical High $138.04 | Professional | FX · Film X-ray | $79.43 | $79.43 | $138.04 |
Where Ohio sits
The same service costs 4.2 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· 44th of 51
$97.72
AK $316UT $75.86
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.