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 $208.93 Median $588.84 Typical High $794.33 | Facility | None | $208.93 | $588.84 | $794.33 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $186.21 Median $512.86 Typical High $794.33 | Facility | TC · Technical part | $186.21 | $512.86 | $794.33 |
Aetna Setting Professional Modifier None (both parts) Typical Low $208.93 Median $208.93 Typical High $707.95 | Professional | None (both parts) | $208.93 | $208.93 | $707.95 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $21.38 Median $21.38 Typical High $75.86 | Professional | 26 · Professional part | $21.38 | $21.38 | $75.86 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $186.21 Median $186.21 Typical High $630.96 | Professional | TC · Technical part | $186.21 | $186.21 | $630.96 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $100.00 Median $114.82 Typical High $263.03 | Professional | None (both parts) | $100.00 | $114.82 | $263.03 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $22.39 Median $26.30 Typical High $41.69 | Professional | 26 · Professional part | $22.39 | $26.30 | $41.69 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $95.50 Typical High $234.42 | Professional | TC · Technical part | $75.86 | $95.50 | $234.42 |
CareSource Setting Facility Modifier None Typical Low $27.54 Median $123.03 Typical High $257.04 | Facility | None | $27.54 | $123.03 | $257.04 |
Cigna Setting Facility Modifier None Typical Low $602.56 Median $645.65 Typical High $645.65 | Facility | None | $602.56 | $645.65 | $645.65 |
Cigna Setting Professional Modifier None (both parts) Typical Low $190.55 Median $229.09 Typical High $416.87 | Professional | None (both parts) | $190.55 | $229.09 | $416.87 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $26.92 Typical High $51.29 | Professional | 26 · Professional part | $21.88 | $26.92 | $51.29 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $165.96 Median $199.53 Typical High $371.54 | Professional | TC · Technical part | $165.96 | $199.53 | $371.54 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $602.56 Median $645.65 Typical High $645.65 | Facility | None | $602.56 | $645.65 | $645.65 |
Medical Mutual of Ohio Setting Professional Modifier None (both parts) Typical Low $186.21 Median $229.09 Typical High $416.87 | Professional | None (both parts) | $186.21 | $229.09 | $416.87 |
Medical Mutual of Ohio Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $27.54 Typical High $53.70 | Professional | 26 · Professional part | $21.88 | $27.54 | $53.70 |
Medical Mutual of Ohio Setting Professional Modifier TC · Technical part Typical Low $165.96 Median $204.17 Typical High $371.54 | Professional | TC · Technical part | $165.96 | $204.17 | $371.54 |
Molina Setting Professional Modifier None (both parts) Typical Low $173.78 Median $223.87 Typical High $288.40 | Professional | None (both parts) | $173.78 | $223.87 | $288.40 |
SummaCare Setting Professional Modifier None (both parts) Typical Low $218.78 Median $229.09 Typical High $416.87 | Professional | None (both parts) | $218.78 | $229.09 | $416.87 |
United Setting Professional Modifier None (both parts) Typical Low $117.49 Median $208.93 Typical High $407.38 | Professional | None (both parts) | $117.49 | $208.93 | $407.38 |
United Setting Professional Modifier 26 · Professional part Typical Low $18.20 Median $25.70 Typical High $42.66 | Professional | 26 · Professional part | $18.20 | $25.70 | $42.66 |
United Setting Professional Modifier TC · Technical part Typical Low $102.33 Median $186.21 Typical High $371.54 | Professional | TC · Technical part | $102.33 | $186.21 | $371.54 |
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 $120.23 Median $281.84 Typical High $398.11 | Facility | 52 · Reduced service | $120.23 | $281.84 | $398.11 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $47.86 Median $112.20 Typical High $158.49 | Facility | 53 · Discontinued | $47.86 | $112.20 | $158.49 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $186.21 Median $467.74 Typical High $630.96 | Facility | FX · Film X-ray | $186.21 | $467.74 | $630.96 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $104.71 Median $104.71 Typical High $295.12 | Professional | 52 · Reduced service | $104.71 | $104.71 | $295.12 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $41.69 Median $41.69 Typical High $120.23 | Professional | 53 · Discontinued | $41.69 | $41.69 | $120.23 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $165.96 Median $165.96 Typical High $467.74 | Professional | FX · Film X-ray | $165.96 | $165.96 | $467.74 |
Where Ohio sits
The same service costs 4.3 times more in Alaska than in Kentucky. 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
$200
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.