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 $144.54 Median $575.44 Typical High $645.65 | Facility | None | $144.54 | $575.44 | $645.65 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $91.20 Median $251.19 Typical High $389.05 | Facility | TC · Technical part | $91.20 | $251.19 | $389.05 |
Aetna Setting Professional Modifier None (both parts) Typical Low $144.54 Median $144.54 Typical High $575.44 | Professional | None (both parts) | $144.54 | $144.54 | $575.44 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $52.48 Typical High $245.47 | Professional | 26 · Professional part | $51.29 | $52.48 | $245.47 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $91.20 Typical High $114.82 | Professional | TC · Technical part | $91.20 | $91.20 | $114.82 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $190.55 Median $288.40 Typical High $457.09 | Professional | None (both parts) | $190.55 | $288.40 | $457.09 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $61.66 Typical High $100.00 | Professional | 26 · Professional part | $57.54 | $61.66 | $100.00 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $114.82 Median $223.87 Typical High $346.74 | Professional | TC · Technical part | $114.82 | $223.87 | $346.74 |
Cigna Setting Facility Modifier None Typical Low $281.84 Median $489.78 Typical High $7,762.47 | Facility | None | $281.84 | $489.78 | $7,762.47 |
Cigna Setting Professional Modifier None (both parts) Typical Low $141.25 Median $177.83 Typical High $501.19 | Professional | None (both parts) | $141.25 | $177.83 | $501.19 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $61.66 Typical High $114.82 | Professional | 26 · Professional part | $51.29 | $61.66 | $114.82 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $89.13 Median $112.20 Typical High $389.05 | Professional | TC · Technical part | $89.13 | $112.20 | $389.05 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $309.03 Median $524.81 Typical High $10,964.78 | Facility | None | $309.03 | $524.81 | $10,964.78 |
Medical Mutual of Ohio Setting Professional Modifier None (both parts) Typical Low $141.25 Median $169.82 Typical High $512.86 | Professional | None (both parts) | $141.25 | $169.82 | $512.86 |
Medical Mutual of Ohio Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $58.88 Typical High $114.82 | Professional | 26 · Professional part | $51.29 | $58.88 | $114.82 |
Medical Mutual of Ohio Setting Professional Modifier TC · Technical part Typical Low $89.13 Median $107.15 Typical High $331.13 | Professional | TC · Technical part | $89.13 | $107.15 | $331.13 |
Molina Setting Professional Modifier None (both parts) Typical Low $45.71 Median $128.82 Typical High $199.53 | Professional | None (both parts) | $45.71 | $128.82 | $199.53 |
SummaCare Setting Professional Modifier None (both parts) Typical Low $147.91 Median $162.18 Typical High $316.23 | Professional | None (both parts) | $147.91 | $162.18 | $316.23 |
SummaCare Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $58.88 Typical High $89.13 | Professional | 26 · Professional part | $53.70 | $58.88 | $89.13 |
SummaCare Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $104.71 Typical High $208.93 | Professional | TC · Technical part | $95.50 | $104.71 | $208.93 |
United Setting Facility Modifier None Typical Low $6,456.54 Median $7,585.78 Typical High $10,715.19 | Facility | None | $6,456.54 | $7,585.78 | $10,715.19 |
United Setting Professional Modifier None (both parts) Typical Low $141.25 Median $208.93 Typical High $501.19 | Professional | None (both parts) | $141.25 | $208.93 | $501.19 |
United Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $58.88 Typical High $107.15 | Professional | 26 · Professional part | $38.90 | $58.88 | $107.15 |
United Setting Professional Modifier TC · Technical part Typical Low $87.10 Median $138.04 Typical High $398.11 | Professional | TC · Technical part | $87.10 | $138.04 | $398.11 |
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 $79.43 Median $186.21 Typical High $316.23 | Facility | 52 · Reduced service | $79.43 | $186.21 | $316.23 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $31.62 Median $74.13 Typical High $128.82 | Facility | 53 · Discontinued | $31.62 | $74.13 | $128.82 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $114.82 Median $295.12 Typical High $467.74 | Facility | FX · Film X-ray | $114.82 | $295.12 | $467.74 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $72.44 Median $72.44 Typical High $288.40 | Professional | 52 · Reduced service | $72.44 | $72.44 | $288.40 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $28.84 Median $28.84 Typical High $114.82 | Professional | 53 · Discontinued | $28.84 | $28.84 | $114.82 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $114.82 Median $114.82 Typical High $141.25 | Professional | FX · Film X-ray | $114.82 | $114.82 | $141.25 |
Where Ohio sits
The same service costs 4.4 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· 45th of 51
$170
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.