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 $120.23 Median $467.74 Typical High $512.86 | Facility | None | $120.23 | $467.74 | $512.86 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $67.61 Median $186.21 Typical High $288.40 | Facility | TC · Technical part | $67.61 | $186.21 | $288.40 |
Aetna Setting Professional Modifier None (both parts) Typical Low $120.23 Median $120.23 Typical High $524.81 | Professional | None (both parts) | $120.23 | $120.23 | $524.81 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $52.48 Typical High $269.15 | Professional | 26 · Professional part | $51.29 | $52.48 | $269.15 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $67.61 Median $67.61 Typical High $87.10 | Professional | TC · Technical part | $67.61 | $67.61 | $87.10 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $147.91 Median $288.40 Typical High $436.52 | Professional | None (both parts) | $147.91 | $288.40 | $436.52 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $66.07 Typical High $104.71 | Professional | 26 · Professional part | $58.88 | $66.07 | $104.71 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $87.10 Median $223.87 Typical High $346.74 | Professional | TC · Technical part | $87.10 | $223.87 | $346.74 |
Cigna Setting Facility Modifier None Typical Low $208.93 Median $363.08 Typical High $2,187.76 | Facility | None | $208.93 | $363.08 | $2,187.76 |
Cigna Setting Professional Modifier None (both parts) Typical Low $123.03 Median $147.91 Typical High $501.19 | Professional | None (both parts) | $123.03 | $147.91 | $501.19 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $61.66 Typical High $117.49 | Professional | 26 · Professional part | $50.12 | $61.66 | $117.49 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $87.10 Typical High $407.38 | Professional | TC · Technical part | $70.79 | $87.10 | $407.38 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $229.09 Median $416.87 Typical High $2,187.76 | Facility | None | $229.09 | $416.87 | $2,187.76 |
Medical Mutual of Ohio Setting Professional Modifier None (both parts) Typical Low $123.03 Median $141.25 Typical High $512.86 | Professional | None (both parts) | $123.03 | $141.25 | $512.86 |
Medical Mutual of Ohio Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $58.88 Typical High $117.49 | Professional | 26 · Professional part | $51.29 | $58.88 | $117.49 |
Medical Mutual of Ohio Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $79.43 Typical High $380.19 | Professional | TC · Technical part | $70.79 | $79.43 | $380.19 |
Molina Setting Professional Modifier None (both parts) Typical Low $46.77 Median $97.72 Typical High $194.98 | Professional | None (both parts) | $46.77 | $97.72 | $194.98 |
SummaCare Setting Professional Modifier None (both parts) Typical Low $123.03 Median $134.90 Typical High $275.42 | Professional | None (both parts) | $123.03 | $134.90 | $275.42 |
SummaCare Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $58.88 Typical High $93.33 | Professional | 26 · Professional part | $53.70 | $58.88 | $93.33 |
SummaCare Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $77.62 Typical High $154.88 | Professional | TC · Technical part | $70.79 | $77.62 | $154.88 |
United Setting Facility Modifier None Typical Low $1,288.25 Median $1,513.56 Typical High $2,137.96 | Facility | None | $1,288.25 | $1,513.56 | $2,137.96 |
United Setting Professional Modifier None (both parts) Typical Low $120.23 Median $186.21 Typical High $501.19 | Professional | None (both parts) | $120.23 | $186.21 | $501.19 |
United Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $58.88 Typical High $104.71 | Professional | 26 · Professional part | $40.74 | $58.88 | $104.71 |
United Setting Professional Modifier TC · Technical part Typical Low $67.61 Median $109.65 Typical High $398.11 | Professional | TC · Technical part | $67.61 | $109.65 | $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 $60.26 Median $138.04 Typical High $251.19 | Facility | 52 · Reduced service | $60.26 | $138.04 | $251.19 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $23.99 Median $56.23 Typical High $102.33 | Facility | 53 · Discontinued | $23.99 | $56.23 | $102.33 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $95.50 Median $223.87 Typical High $371.54 | Facility | FX · Film X-ray | $95.50 | $223.87 | $371.54 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $60.26 Median $60.26 Typical High $257.04 | Professional | 52 · Reduced service | $60.26 | $60.26 | $257.04 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $23.99 Median $23.99 Typical High $102.33 | Professional | 53 · Discontinued | $23.99 | $23.99 | $102.33 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $95.50 Median $95.50 Typical High $117.49 | Professional | FX · Film X-ray | $95.50 | $95.50 | $117.49 |
Where Ohio sits
The same service costs 4.9 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· 41st of 51
$151
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.