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 $125.89 Median $524.81 Typical High $575.44 | Facility | None | $125.89 | $524.81 | $575.44 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $75.86 Median $208.93 Typical High $316.23 | Facility | TC · Technical part | $75.86 | $208.93 | $316.23 |
Aetna Setting Professional Modifier None (both parts) Typical Low $125.89 Median $125.89 Typical High $537.03 | Professional | None (both parts) | $125.89 | $125.89 | $537.03 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $50.12 Typical High $234.42 | Professional | 26 · Professional part | $48.98 | $50.12 | $234.42 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $75.86 Typical High $154.88 | Professional | TC · Technical part | $75.86 | $75.86 | $154.88 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $151.36 Median $288.40 Typical High $478.63 | Professional | None (both parts) | $151.36 | $288.40 | $478.63 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $61.66 Typical High $100.00 | Professional | 26 · Professional part | $56.23 | $61.66 | $100.00 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $112.20 Median $229.09 Typical High $309.03 | Professional | TC · Technical part | $112.20 | $229.09 | $309.03 |
Cigna Setting Facility Modifier None Typical Low $234.42 Median $407.38 Typical High $6,025.60 | Facility | None | $234.42 | $407.38 | $6,025.60 |
Cigna Setting Professional Modifier None (both parts) Typical Low $125.89 Median $158.49 Typical High $467.74 | Professional | None (both parts) | $125.89 | $158.49 | $467.74 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $60.26 Typical High $112.20 | Professional | 26 · Professional part | $50.12 | $60.26 | $112.20 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $97.72 Typical High $389.05 | Professional | TC · Technical part | $74.13 | $97.72 | $389.05 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $257.04 Median $467.74 Typical High $10,964.78 | Facility | None | $257.04 | $467.74 | $10,964.78 |
Medical Mutual of Ohio Setting Professional Modifier None (both parts) Typical Low $125.89 Median $151.36 Typical High $478.63 | Professional | None (both parts) | $125.89 | $151.36 | $478.63 |
Medical Mutual of Ohio Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $57.54 Typical High $109.65 | Professional | 26 · Professional part | $50.12 | $57.54 | $109.65 |
Medical Mutual of Ohio Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $91.20 Typical High $309.03 | Professional | TC · Technical part | $75.86 | $91.20 | $309.03 |
Molina Setting Professional Modifier None (both parts) Typical Low $43.65 Median $100.00 Typical High $194.98 | Professional | None (both parts) | $43.65 | $100.00 | $194.98 |
SummaCare Setting Professional Modifier None (both parts) Typical Low $131.83 Median $144.54 Typical High $295.12 | Professional | None (both parts) | $131.83 | $144.54 | $295.12 |
SummaCare Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $57.54 Typical High $89.13 | Professional | 26 · Professional part | $52.48 | $57.54 | $89.13 |
SummaCare Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $87.10 Typical High $177.83 | Professional | TC · Technical part | $79.43 | $87.10 | $177.83 |
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 $125.89 Median $190.55 Typical High $501.19 | Professional | None (both parts) | $125.89 | $190.55 | $501.19 |
United Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $56.23 Typical High $102.33 | Professional | 26 · Professional part | $38.02 | $56.23 | $102.33 |
United Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $123.03 Typical High $389.05 | Professional | TC · Technical part | $72.44 | $123.03 | $389.05 |
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 $66.07 Median $154.88 Typical High $281.84 | Facility | 52 · Reduced service | $66.07 | $154.88 | $281.84 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $26.30 Median $61.66 Typical High $114.82 | Facility | 53 · Discontinued | $26.30 | $61.66 | $114.82 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $100.00 Median $245.47 Typical High $416.87 | Facility | FX · Film X-ray | $100.00 | $245.47 | $416.87 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $63.10 Median $63.10 Typical High $269.15 | Professional | 52 · Reduced service | $63.10 | $63.10 | $269.15 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $25.12 Median $25.12 Typical High $107.15 | Professional | 53 · Discontinued | $25.12 | $25.12 | $107.15 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $100.00 Median $100.00 Typical High $123.03 | Professional | FX · Film X-ray | $100.00 | $100.00 | $123.03 |
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· 44th of 51
$148
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.