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 $50.12 Median $524.81 Typical High $691.83 | Facility | None | $50.12 | $524.81 | $691.83 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $33.88 Median $93.33 Typical High $141.25 | Facility | TC · Technical part | $33.88 | $93.33 | $141.25 |
Aetna Setting Professional Modifier None (both parts) Typical Low $50.12 Median $50.12 Typical High $316.23 | Professional | None (both parts) | $50.12 | $50.12 | $316.23 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $16.60 Median $16.60 Typical High $109.65 | Professional | 26 · Professional part | $16.60 | $16.60 | $109.65 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $33.88 Median $33.88 Typical High $114.82 | Professional | TC · Technical part | $33.88 | $33.88 | $114.82 |
Anthem BCBS Setting Facility Modifier None Typical Low $537.03 Median $575.44 Typical High $630.96 | Facility | None | $537.03 | $575.44 | $630.96 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $60.26 Median $75.86 Typical High $125.89 | Professional | None (both parts) | $60.26 | $75.86 | $125.89 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $17.38 Median $19.50 Typical High $32.36 | Professional | 26 · Professional part | $17.38 | $19.50 | $32.36 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $40.74 Median $56.23 Typical High $91.20 | Professional | TC · Technical part | $40.74 | $56.23 | $91.20 |
Cigna Setting Facility Modifier None Typical Low $102.33 Median $120.23 Typical High $831.76 | Facility | None | $102.33 | $120.23 | $831.76 |
Cigna Setting Professional Modifier None (both parts) Typical Low $48.98 Median $58.88 Typical High $151.36 | Professional | None (both parts) | $48.98 | $58.88 | $151.36 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $16.22 Median $19.05 Typical High $35.48 | Professional | 26 · Professional part | $16.22 | $19.05 | $35.48 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $32.36 Median $41.69 Typical High $107.15 | Professional | TC · Technical part | $32.36 | $41.69 | $107.15 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $112.20 Median $125.89 Typical High $831.76 | Facility | None | $112.20 | $125.89 | $831.76 |
Medical Mutual of Ohio Setting Professional Modifier None (both parts) Typical Low $48.98 Median $57.54 Typical High $162.18 | Professional | None (both parts) | $48.98 | $57.54 | $162.18 |
Medical Mutual of Ohio Setting Professional Modifier 26 · Professional part Typical Low $16.22 Median $18.62 Typical High $34.67 | Professional | 26 · Professional part | $16.22 | $18.62 | $34.67 |
Medical Mutual of Ohio Setting Professional Modifier TC · Technical part Typical Low $33.11 Median $39.81 Typical High $109.65 | Professional | TC · Technical part | $33.11 | $39.81 | $109.65 |
Molina Setting Professional Modifier None (both parts) Typical Low $27.54 Median $39.81 Typical High $54.95 | Professional | None (both parts) | $27.54 | $39.81 | $54.95 |
SummaCare Setting Professional Modifier None (both parts) Typical Low $52.48 Median $57.54 Typical High $97.72 | Professional | None (both parts) | $52.48 | $57.54 | $97.72 |
SummaCare Setting Professional Modifier 26 · Professional part Typical Low $16.98 Median $18.62 Typical High $26.92 | Professional | 26 · Professional part | $16.98 | $18.62 | $26.92 |
SummaCare Setting Professional Modifier TC · Technical part Typical Low $34.67 Median $38.02 Typical High $66.07 | Professional | TC · Technical part | $34.67 | $38.02 | $66.07 |
United Setting Facility Modifier None Typical Low $489.78 Median $575.44 Typical High $812.83 | Facility | None | $489.78 | $575.44 | $812.83 |
United Setting Professional Modifier None (both parts) Typical Low $48.98 Median $66.07 Typical High $125.89 | Professional | None (both parts) | $48.98 | $66.07 | $125.89 |
United Setting Professional Modifier 26 · Professional part Typical Low $15.14 Median $18.62 Typical High $34.67 | Professional | 26 · Professional part | $15.14 | $18.62 | $34.67 |
United Setting Professional Modifier TC · Technical part Typical Low $32.36 Median $46.77 Typical High $97.72 | Professional | TC · Technical part | $32.36 | $46.77 | $97.72 |
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 $39.81 Median $109.65 Typical High $501.19 | Facility | FX · Film X-ray | $39.81 | $109.65 | $501.19 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $39.81 Median $39.81 Typical High $46.77 | Professional | FX · Film X-ray | $39.81 | $39.81 | $46.77 |
Where Ohio sits
The same service costs 4.8 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· 43rd of 51
$61.66
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.