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 $95.50 Median $245.47 Typical High $323.59 | Facility | None | $95.50 | $245.47 | $323.59 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $28.84 Median $54.95 Typical High $107.15 | Facility | 26 · Professional part | $28.84 | $54.95 | $107.15 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $70.79 Median $151.36 Typical High $229.09 | Facility | TC · Technical part | $70.79 | $151.36 | $229.09 |
Aetna Setting Professional Modifier None (both parts) Typical Low $93.33 Median $102.33 Typical High $275.42 | Professional | None (both parts) | $93.33 | $102.33 | $275.42 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $28.84 Typical High $97.72 | Professional | 26 · Professional part | $28.84 | $28.84 | $97.72 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $64.57 Typical High $177.83 | Professional | TC · Technical part | $64.57 | $64.57 | $177.83 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $67.61 Median $77.62 Typical High $89.13 | Professional | None (both parts) | $67.61 | $77.62 | $89.13 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $30.20 Typical High $53.70 | Professional | 26 · Professional part | $23.44 | $30.20 | $53.70 |
Anthem BCBS Setting Facility Modifier None Typical Low $257.04 Median $295.12 Typical High $346.74 | Facility | None | $257.04 | $295.12 | $346.74 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $87.10 Median $100.00 Typical High $154.88 | Professional | None (both parts) | $87.10 | $100.00 | $154.88 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $34.67 Typical High $52.48 | Professional | 26 · Professional part | $31.62 | $34.67 | $52.48 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $54.95 Median $77.62 Typical High $93.33 | Professional | TC · Technical part | $54.95 | $77.62 | $93.33 |
Aultcare Setting Professional Modifier None (both parts) Typical Low $107.15 Median $107.15 Typical High $186.21 | Professional | None (both parts) | $107.15 | $107.15 | $186.21 |
CareSource Setting Professional Modifier None (both parts) Typical Low $28.18 Median $64.57 Typical High $112.20 | Professional | None (both parts) | $28.18 | $64.57 | $112.20 |
Cigna Setting Facility Modifier None Typical Low $120.23 Median $218.78 Typical High $407.38 | Facility | None | $120.23 | $218.78 | $407.38 |
Cigna Setting Professional Modifier None (both parts) Typical Low $85.11 Median $95.50 Typical High $190.55 | Professional | None (both parts) | $85.11 | $95.50 | $190.55 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $31.62 Typical High $58.88 | Professional | 26 · Professional part | $28.84 | $31.62 | $58.88 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $56.23 Median $64.57 Typical High $128.82 | Professional | TC · Technical part | $56.23 | $64.57 | $128.82 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $181.97 Median $398.11 Typical High $794.33 | Facility | None | $181.97 | $398.11 | $794.33 |
Medical Mutual of Ohio Setting Professional Modifier None (both parts) Typical Low $85.11 Median $95.50 Typical High $194.98 | Professional | None (both parts) | $85.11 | $95.50 | $194.98 |
Medical Mutual of Ohio Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $34.67 Typical High $87.10 | Professional | 26 · Professional part | $26.92 | $34.67 | $87.10 |
Medical Mutual of Ohio Setting Professional Modifier TC · Technical part Typical Low $57.54 Median $64.57 Typical High $128.82 | Professional | TC · Technical part | $57.54 | $64.57 | $128.82 |
Molina Setting Professional Modifier None (both parts) Typical Low $41.69 Median $89.13 Typical High $144.54 | Professional | None (both parts) | $41.69 | $89.13 | $144.54 |
SummaCare Setting Professional Modifier None (both parts) Typical Low $61.66 Median $64.57 Typical High $138.04 | Professional | None (both parts) | $61.66 | $64.57 | $138.04 |
SummaCare Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $30.20 Typical High $52.48 | Professional | 26 · Professional part | $28.84 | $30.20 | $52.48 |
SummaCare Setting Professional Modifier TC · Technical part Typical Low $33.11 Median $34.67 Typical High $72.44 | Professional | TC · Technical part | $33.11 | $34.67 | $72.44 |
United Setting Facility Modifier None Typical Low $213.80 Median $251.19 Typical High $354.81 | Facility | None | $213.80 | $251.19 | $354.81 |
United Setting Professional Modifier None (both parts) Typical Low $75.86 Median $100.00 Typical High $181.97 | Professional | None (both parts) | $75.86 | $100.00 | $181.97 |
United Setting Professional Modifier 26 · Professional part Typical Low $21.38 Median $31.62 Typical High $57.54 | Professional | 26 · Professional part | $21.38 | $31.62 | $57.54 |
United Setting Professional Modifier TC · Technical part Typical Low $52.48 Median $67.61 Typical High $125.89 | Professional | TC · Technical part | $52.48 | $67.61 | $125.89 |
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 $53.70 Median $123.03 Typical High $162.18 | Facility | 52 · Reduced service | $53.70 | $123.03 | $162.18 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $21.88 Median $48.98 Typical High $66.07 | Facility | 53 · Discontinued | $21.88 | $48.98 | $66.07 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $74.13 Median $194.98 Typical High $239.88 | Facility | FX · Film X-ray | $74.13 | $194.98 | $239.88 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $46.77 Median $46.77 Typical High $138.04 | Professional | 52 · Reduced service | $46.77 | $46.77 | $138.04 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $18.62 Median $18.62 Typical High $54.95 | Professional | 53 · Discontinued | $18.62 | $18.62 | $54.95 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $74.13 Median $74.13 Typical High $74.13 | Professional | FX · Film X-ray | $74.13 | $74.13 | $74.13 |
Where Ohio sits
The same service costs 4.2 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· 47th of 51
$95.50
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.