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 $89.13 Median $114.82 Typical High $281.84 | Facility | None | $89.13 | $114.82 | $281.84 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $54.95 Median $151.36 Typical High $234.42 | Facility | TC · Technical part | $54.95 | $151.36 | $234.42 |
Aetna Setting Professional Modifier None (both parts) Typical Low $89.13 Median $89.13 Typical High $309.03 | Professional | None (both parts) | $89.13 | $89.13 | $309.03 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $34.67 Typical High $138.04 | Professional | 26 · Professional part | $34.67 | $34.67 | $138.04 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $54.95 Median $54.95 Typical High $162.18 | Professional | TC · Technical part | $54.95 | $54.95 | $162.18 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $109.65 Median $147.91 Typical High $218.78 | Professional | None (both parts) | $109.65 | $147.91 | $218.78 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $38.02 Typical High $57.54 | Professional | 26 · Professional part | $32.36 | $38.02 | $57.54 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $109.65 Typical High $173.78 | Professional | TC · Technical part | $79.43 | $109.65 | $173.78 |
CareSource Setting Facility Modifier None Typical Low $42.66 Median $95.50 Typical High $123.03 | Facility | None | $42.66 | $95.50 | $123.03 |
Cigna Setting Facility Modifier None Typical Low $95.50 Median $102.33 Typical High $102.33 | Facility | None | $95.50 | $102.33 | $102.33 |
Cigna Setting Professional Modifier None (both parts) Typical Low $83.18 Median $107.15 Typical High $186.21 | Professional | None (both parts) | $83.18 | $107.15 | $186.21 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $40.74 Typical High $70.79 | Professional | 26 · Professional part | $31.62 | $40.74 | $70.79 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $51.29 Median $66.07 Typical High $114.82 | Professional | TC · Technical part | $51.29 | $66.07 | $114.82 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $95.50 Median $102.33 Typical High $102.33 | Facility | None | $95.50 | $102.33 | $102.33 |
Medical Mutual of Ohio Setting Professional Modifier None (both parts) Typical Low $83.18 Median $107.15 Typical High $186.21 | Professional | None (both parts) | $83.18 | $107.15 | $186.21 |
Medical Mutual of Ohio Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $41.69 Typical High $79.43 | Professional | 26 · Professional part | $31.62 | $41.69 | $79.43 |
Medical Mutual of Ohio Setting Professional Modifier TC · Technical part Typical Low $51.29 Median $66.07 Typical High $128.82 | Professional | TC · Technical part | $51.29 | $66.07 | $128.82 |
Molina Setting Professional Modifier None (both parts) Typical Low $37.15 Median $47.86 Typical High $85.11 | Professional | None (both parts) | $37.15 | $47.86 | $85.11 |
SummaCare Setting Professional Modifier None (both parts) Typical Low $173.78 Median $190.55 Typical High $331.13 | Professional | None (both parts) | $173.78 | $190.55 | $331.13 |
United Setting Professional Modifier None (both parts) Typical Low $72.44 Median $162.18 Typical High $338.84 | Professional | None (both parts) | $72.44 | $162.18 | $338.84 |
United Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $38.90 Typical High $69.18 | Professional | 26 · Professional part | $25.70 | $38.90 | $69.18 |
United Setting Professional Modifier TC · Technical part Typical Low $46.77 Median $128.82 Typical High $269.15 | Professional | TC · Technical part | $46.77 | $128.82 | $269.15 |
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 $46.77 Median $63.10 Typical High $117.49 | Facility | 52 · Reduced service | $46.77 | $63.10 | $117.49 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $18.62 Median $25.12 Typical High $46.77 | Facility | 53 · Discontinued | $18.62 | $25.12 | $46.77 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $70.79 Median $100.00 Typical High $186.21 | Facility | FX · Film X-ray | $70.79 | $100.00 | $186.21 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $44.67 Median $44.67 Typical High $154.88 | Professional | 52 · Reduced service | $44.67 | $44.67 | $154.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $17.78 Median $17.78 Typical High $61.66 | Professional | 53 · Discontinued | $17.78 | $17.78 | $61.66 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $70.79 Median $70.79 Typical High $131.83 | Professional | FX · Film X-ray | $70.79 | $70.79 | $131.83 |
Where Ohio sits
The same service costs 4.6 times more in Alaska than in Oregon. 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· 17th of 51
$126
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.