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 $288.40 Median $436.52 Typical High $1,288.25 | Facility | None | $288.40 | $436.52 | $1,288.25 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $45.71 Median $131.83 Typical High $162.18 | Facility | 26 · Professional part | $45.71 | $131.83 | $162.18 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $138.04 Median $229.09 Typical High $346.74 | Facility | TC · Technical part | $138.04 | $229.09 | $346.74 |
Aetna Setting Professional Modifier None (both parts) Typical Low $128.82 Median $144.54 Typical High $457.09 | Professional | None (both parts) | $128.82 | $144.54 | $457.09 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $45.71 Typical High $162.18 | Professional | 26 · Professional part | $45.71 | $45.71 | $162.18 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $83.18 Typical High $234.42 | Professional | TC · Technical part | $83.18 | $83.18 | $234.42 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $42.66 Typical High $69.18 | Professional | 26 · Professional part | $42.66 | $42.66 | $69.18 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $123.03 Median $138.04 Typical High $239.88 | Professional | None (both parts) | $123.03 | $138.04 | $239.88 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $50.12 Typical High $85.11 | Professional | 26 · Professional part | $47.86 | $50.12 | $85.11 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $89.13 Typical High $162.18 | Professional | TC · Technical part | $79.43 | $89.13 | $162.18 |
Aultcare Setting Professional Modifier None (both parts) Typical Low $162.18 Median $162.18 Typical High $162.18 | Professional | None (both parts) | $162.18 | $162.18 | $162.18 |
Cigna Setting Facility Modifier None Typical Low $190.55 Median $269.15 Typical High $467.74 | Facility | None | $190.55 | $269.15 | $467.74 |
Cigna Setting Professional Modifier None (both parts) Typical Low $128.82 Median $154.88 Typical High $354.81 | Professional | None (both parts) | $128.82 | $154.88 | $354.81 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $54.95 Typical High $100.00 | Professional | 26 · Professional part | $42.66 | $54.95 | $100.00 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $100.00 Typical High $269.15 | Professional | TC · Technical part | $83.18 | $100.00 | $269.15 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $190.55 Median $269.15 Typical High $707.95 | Facility | None | $190.55 | $269.15 | $707.95 |
Medical Mutual of Ohio Setting Professional Modifier None (both parts) Typical Low $128.82 Median $154.88 Typical High $354.81 | Professional | None (both parts) | $128.82 | $154.88 | $354.81 |
Medical Mutual of Ohio Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $54.95 Typical High $93.33 | Professional | 26 · Professional part | $45.71 | $54.95 | $93.33 |
Medical Mutual of Ohio Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $100.00 Typical High $269.15 | Professional | TC · Technical part | $83.18 | $100.00 | $269.15 |
Molina Setting Professional Modifier None (both parts) Typical Low $43.65 Median $125.89 Typical High $199.53 | Professional | None (both parts) | $43.65 | $125.89 | $199.53 |
SummaCare Setting Professional Modifier None (both parts) Typical Low $128.82 Median $141.25 Typical High $239.88 | Professional | None (both parts) | $128.82 | $141.25 | $239.88 |
SummaCare Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $50.12 Typical High $74.13 | Professional | 26 · Professional part | $45.71 | $50.12 | $74.13 |
SummaCare Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $91.20 Typical High $151.36 | Professional | TC · Technical part | $83.18 | $91.20 | $151.36 |
United Setting Facility Modifier None Typical Low $177.83 Median $208.93 Typical High $295.12 | Facility | None | $177.83 | $208.93 | $295.12 |
United Setting Professional Modifier None (both parts) Typical Low $125.89 Median $154.88 Typical High $275.42 | Professional | None (both parts) | $125.89 | $154.88 | $275.42 |
United Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $48.98 Typical High $93.33 | Professional | 26 · Professional part | $32.36 | $48.98 | $93.33 |
United Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $112.20 Typical High $194.98 | Professional | TC · Technical part | $81.28 | $112.20 | $194.98 |
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 $74.13 Median $151.36 Typical High $204.17 | Facility | 52 · Reduced service | $74.13 | $151.36 | $204.17 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $29.51 Median $60.26 Typical High $81.28 | Facility | 53 · Discontinued | $29.51 | $60.26 | $81.28 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $104.71 Median $245.47 Typical High $295.12 | Facility | FX · Film X-ray | $104.71 | $245.47 | $295.12 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $64.57 Median $64.57 Typical High $223.87 | Professional | 52 · Reduced service | $64.57 | $64.57 | $223.87 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $26.30 Median $26.30 Typical High $89.13 | Professional | 53 · Discontinued | $26.30 | $26.30 | $89.13 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $104.71 Median $104.71 Typical High $147.91 | Professional | FX · Film X-ray | $104.71 | $104.71 | $147.91 |
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· 45th of 51
$141
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.