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 $128.82 Median $457.09 Typical High $537.03 | Facility | None | $128.82 | $457.09 | $537.03 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $66.07 Median $181.97 Typical High $281.84 | Facility | TC · Technical part | $66.07 | $181.97 | $281.84 |
Aetna Setting Professional Modifier None (both parts) Typical Low $128.82 Median $128.82 Typical High $537.03 | Professional | None (both parts) | $128.82 | $128.82 | $537.03 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $63.10 Typical High $323.59 | Professional | 26 · Professional part | $63.10 | $63.10 | $323.59 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $66.07 Typical High $223.87 | Professional | TC · Technical part | $66.07 | $66.07 | $223.87 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $173.78 Median $281.84 Typical High $457.09 | Professional | None (both parts) | $173.78 | $281.84 | $457.09 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $72.44 Median $77.62 Typical High $125.89 | Professional | 26 · Professional part | $72.44 | $77.62 | $125.89 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $204.17 Typical High $309.03 | Professional | TC · Technical part | $85.11 | $204.17 | $309.03 |
Aultcare Setting Professional Modifier None (both parts) Typical Low $158.49 Median $158.49 Typical High $158.49 | Professional | None (both parts) | $158.49 | $158.49 | $158.49 |
Cigna Setting Facility Modifier None Typical Low $204.17 Median $354.81 Typical High $6,025.60 | Facility | None | $204.17 | $354.81 | $6,025.60 |
Cigna Setting Professional Modifier None (both parts) Typical Low $131.83 Median $162.18 Typical High $478.63 | Professional | None (both parts) | $131.83 | $162.18 | $478.63 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $74.13 Typical High $138.04 | Professional | 26 · Professional part | $61.66 | $74.13 | $138.04 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $85.11 Typical High $389.05 | Professional | TC · Technical part | $69.18 | $85.11 | $389.05 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $223.87 Median $416.87 Typical High $10,964.78 | Facility | None | $223.87 | $416.87 | $10,964.78 |
Medical Mutual of Ohio Setting Professional Modifier None (both parts) Typical Low $131.83 Median $154.88 Typical High $489.78 | Professional | None (both parts) | $131.83 | $154.88 | $489.78 |
Medical Mutual of Ohio Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $72.44 Typical High $138.04 | Professional | 26 · Professional part | $63.10 | $72.44 | $138.04 |
Medical Mutual of Ohio Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $79.43 Typical High $295.12 | Professional | TC · Technical part | $69.18 | $79.43 | $295.12 |
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 $134.90 Median $147.91 Typical High $302.00 | Professional | None (both parts) | $134.90 | $147.91 | $302.00 |
SummaCare Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $72.44 Typical High $109.65 | Professional | 26 · Professional part | $66.07 | $72.44 | $109.65 |
SummaCare Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $75.86 Typical High $154.88 | Professional | TC · Technical part | $69.18 | $75.86 | $154.88 |
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 $128.82 Median $194.98 Typical High $512.86 | Professional | None (both parts) | $128.82 | $194.98 | $512.86 |
United Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $70.79 Typical High $128.82 | Professional | 26 · Professional part | $48.98 | $70.79 | $128.82 |
United Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $107.15 Typical High $380.19 | Professional | TC · Technical part | $66.07 | $107.15 | $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 $64.57 Median $134.90 Typical High $251.19 | Facility | 52 · Reduced service | $64.57 | $134.90 | $251.19 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $25.70 Median $53.70 Typical High $100.00 | Facility | 53 · Discontinued | $25.70 | $53.70 | $100.00 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $104.71 Median $213.80 Typical High $371.54 | Facility | FX · Film X-ray | $104.71 | $213.80 | $371.54 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $64.57 Median $64.57 Typical High $295.12 | Professional | 52 · Reduced service | $64.57 | $64.57 | $295.12 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $25.70 Median $25.70 Typical High $117.49 | Professional | 53 · Discontinued | $25.70 | $25.70 | $117.49 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $104.71 Median $104.71 Typical High $117.49 | Professional | FX · Film X-ray | $104.71 | $104.71 | $117.49 |
Where Ohio sits
The same service costs 4.5 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· 42nd of 51
$158
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.