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 $269.15 Median $467.74 Typical High $602.56 | Facility | None | $269.15 | $467.74 | $602.56 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $64.57 Median $154.88 Typical High $213.80 | Facility | 26 · Professional part | $64.57 | $154.88 | $213.80 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $162.18 Median $245.47 Typical High $380.19 | Facility | TC · Technical part | $162.18 | $245.47 | $380.19 |
Aetna Setting Professional Modifier None (both parts) Typical Low $144.54 Median $144.54 Typical High $549.54 | Professional | None (both parts) | $144.54 | $144.54 | $549.54 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $56.23 Typical High $213.80 | Professional | 26 · Professional part | $56.23 | $56.23 | $213.80 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $89.13 Median $89.13 Typical High $316.23 | Professional | TC · Technical part | $89.13 | $89.13 | $316.23 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $213.80 Median $263.03 Typical High $426.58 | Professional | None (both parts) | $213.80 | $263.03 | $426.58 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $61.66 Typical High $102.33 | Professional | 26 · Professional part | $57.54 | $61.66 | $102.33 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $131.83 Median $204.17 Typical High $316.23 | Professional | TC · Technical part | $131.83 | $204.17 | $316.23 |
Cigna Setting Facility Modifier None Typical Low $295.12 Median $416.87 Typical High $6,025.60 | Facility | None | $295.12 | $416.87 | $6,025.60 |
Cigna Setting Professional Modifier None (both parts) Typical Low $141.25 Median $190.55 Typical High $524.81 | Professional | None (both parts) | $141.25 | $190.55 | $524.81 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $67.61 Typical High $120.23 | Professional | 26 · Professional part | $54.95 | $67.61 | $120.23 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $123.03 Typical High $389.05 | Professional | TC · Technical part | $95.50 | $123.03 | $389.05 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $323.59 Median $416.87 Typical High $10,964.78 | Facility | None | $323.59 | $416.87 | $10,964.78 |
Medical Mutual of Ohio Setting Professional Modifier None (both parts) Typical Low $144.54 Median $190.55 Typical High $549.54 | Professional | None (both parts) | $144.54 | $190.55 | $549.54 |
Medical Mutual of Ohio Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $67.61 Typical High $120.23 | Professional | 26 · Professional part | $58.88 | $67.61 | $120.23 |
Medical Mutual of Ohio Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $120.23 Typical High $363.08 | Professional | TC · Technical part | $100.00 | $120.23 | $363.08 |
Molina Setting Professional Modifier None (both parts) Typical Low $69.18 Median $144.54 Typical High $239.88 | Professional | None (both parts) | $69.18 | $144.54 | $239.88 |
SummaCare Setting Professional Modifier None (both parts) Typical Low $181.97 Median $199.53 Typical High $316.23 | Professional | None (both parts) | $181.97 | $199.53 | $316.23 |
SummaCare Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $70.79 Typical High $97.72 | Professional | 26 · Professional part | $64.57 | $70.79 | $97.72 |
SummaCare Setting Professional Modifier TC · Technical part Typical Low $117.49 Median $128.82 Typical High $218.78 | Professional | TC · Technical part | $117.49 | $128.82 | $218.78 |
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 $144.54 Median $223.87 Typical High $501.19 | Professional | None (both parts) | $144.54 | $223.87 | $501.19 |
United Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $63.10 Typical High $112.20 | Professional | 26 · Professional part | $42.66 | $63.10 | $112.20 |
United Setting Professional Modifier TC · Technical part Typical Low $89.13 Median $147.91 Typical High $380.19 | Professional | TC · Technical part | $89.13 | $147.91 | $380.19 |
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 $77.62 Median $181.97 Typical High $257.04 | Facility | 52 · Reduced service | $77.62 | $181.97 | $257.04 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $30.90 Median $72.44 Typical High $102.33 | Facility | 53 · Discontinued | $30.90 | $72.44 | $102.33 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $117.49 Median $288.40 Typical High $371.54 | Facility | FX · Film X-ray | $117.49 | $288.40 | $371.54 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $72.44 Median $72.44 Typical High $269.15 | Professional | 52 · Reduced service | $72.44 | $72.44 | $269.15 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $28.84 Median $28.84 Typical High $109.65 | Professional | 53 · Discontinued | $28.84 | $28.84 | $109.65 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $117.49 Median $117.49 Typical High $144.54 | Professional | FX · Film X-ray | $117.49 | $117.49 | $144.54 |
Where Ohio sits
The same service costs 3.8 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· 38th of 51
$195
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.