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 $186.21 Median $398.11 Typical High $1,258.93 | Facility | None | $186.21 | $398.11 | $1,258.93 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $70.79 Median $134.90 Typical High $245.47 | Facility | 26 · Professional part | $70.79 | $134.90 | $245.47 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $81.28 Median $186.21 Typical High $239.88 | Facility | TC · Technical part | $81.28 | $186.21 | $239.88 |
Aetna Setting Professional Modifier None (both parts) Typical Low $138.04 Median $147.91 Typical High $645.65 | Professional | None (both parts) | $138.04 | $147.91 | $645.65 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $70.79 Typical High $223.87 | Professional | 26 · Professional part | $60.26 | $70.79 | $223.87 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $67.61 Median $69.18 Typical High $229.09 | Professional | TC · Technical part | $67.61 | $69.18 | $229.09 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $100.00 Median $100.00 Typical High $100.00 | Professional | None (both parts) | $100.00 | $100.00 | $100.00 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $93.33 Typical High $97.72 | Professional | 26 · Professional part | $44.67 | $93.33 | $97.72 |
Anthem BCBS Setting Facility Modifier None Typical Low $213.80 Median $251.19 Typical High $295.12 | Facility | None | $213.80 | $251.19 | $295.12 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $138.04 Median $162.18 Typical High $263.03 | Professional | None (both parts) | $138.04 | $162.18 | $263.03 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $58.88 Typical High $107.15 | Professional | 26 · Professional part | $57.54 | $58.88 | $107.15 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $104.71 Typical High $169.82 | Professional | TC · Technical part | $70.79 | $104.71 | $169.82 |
Aultcare Setting Facility Modifier None Typical Low $831.76 Median $831.76 Typical High $831.76 | Facility | None | $831.76 | $831.76 | $831.76 |
Aultcare Setting Professional Modifier None (both parts) Typical Low $134.90 Median $134.90 Typical High $234.42 | Professional | None (both parts) | $134.90 | $134.90 | $234.42 |
CareSource Setting Facility Modifier None Typical Low $66.07 Median $151.36 Typical High $389.05 | Facility | None | $66.07 | $151.36 | $389.05 |
CareSource Setting Professional Modifier None (both parts) Typical Low $51.29 Median $81.28 Typical High $147.91 | Professional | None (both parts) | $51.29 | $81.28 | $147.91 |
Cigna Setting Facility Modifier None Typical Low $190.55 Median $204.17 Typical High $204.17 | Facility | None | $190.55 | $204.17 | $204.17 |
Cigna Setting Professional Modifier None (both parts) Typical Low $123.03 Median $138.04 Typical High $371.54 | Professional | None (both parts) | $123.03 | $138.04 | $371.54 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $70.79 Typical High $128.82 | Professional | 26 · Professional part | $58.88 | $70.79 | $128.82 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $56.23 Median $67.61 Typical High $223.87 | Professional | TC · Technical part | $56.23 | $67.61 | $223.87 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $204.17 Median $588.84 Typical High $1,318.26 | Facility | None | $204.17 | $588.84 | $1,318.26 |
Medical Mutual of Ohio Setting Professional Modifier None (both parts) Typical Low $123.03 Median $138.04 Typical High $371.54 | Professional | None (both parts) | $123.03 | $138.04 | $371.54 |
Medical Mutual of Ohio Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $83.18 Typical High $218.78 | Professional | 26 · Professional part | $66.07 | $83.18 | $218.78 |
Medical Mutual of Ohio Setting Professional Modifier TC · Technical part Typical Low $56.23 Median $67.61 Typical High $223.87 | Professional | TC · Technical part | $56.23 | $67.61 | $223.87 |
Molina Setting Professional Modifier None (both parts) Typical Low $44.67 Median $91.20 Typical High $147.91 | Professional | None (both parts) | $44.67 | $91.20 | $147.91 |
SummaCare Setting Professional Modifier None (both parts) Typical Low $123.03 Median $123.03 Typical High $218.78 | Professional | None (both parts) | $123.03 | $123.03 | $218.78 |
SummaCare Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $69.18 Typical High $104.71 | Professional | 26 · Professional part | $69.18 | $69.18 | $104.71 |
SummaCare Setting Professional Modifier TC · Technical part Typical Low $53.70 Median $53.70 Typical High $102.33 | Professional | TC · Technical part | $53.70 | $53.70 | $102.33 |
United Setting Professional Modifier None (both parts) Typical Low $120.23 Median $173.78 Typical High $331.13 | Professional | None (both parts) | $120.23 | $173.78 | $331.13 |
United Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $69.18 Typical High $134.90 | Professional | 26 · Professional part | $43.65 | $69.18 | $134.90 |
United Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $93.33 Typical High $223.87 | Professional | TC · Technical part | $60.26 | $93.33 | $223.87 |
2 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 FX · Film X-ray Typical Low $109.65 Median $165.96 Typical High $229.09 | Facility | FX · Film X-ray | $109.65 | $165.96 | $229.09 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $109.65 Median $109.65 Typical High $120.23 | Professional | FX · Film X-ray | $109.65 | $109.65 | $120.23 |
Where Ohio sits
The same service costs 5.9 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· 44th of 51
$138
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.