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 $120.23 Median $218.78 Typical High $398.11 | Facility | None | $120.23 | $218.78 | $398.11 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $35.48 Median $64.57 Typical High $125.89 | Facility | 26 · Professional part | $35.48 | $64.57 | $125.89 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $93.33 Median $199.53 Typical High $302.00 | Facility | TC · Technical part | $93.33 | $199.53 | $302.00 |
Aetna Setting Professional Modifier None (both parts) Typical Low $120.23 Median $134.90 Typical High $371.54 | Professional | None (both parts) | $120.23 | $134.90 | $371.54 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $36.31 Typical High $120.23 | Professional | 26 · Professional part | $32.36 | $36.31 | $120.23 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $91.20 Typical High $251.19 | Professional | TC · Technical part | $83.18 | $91.20 | $251.19 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $93.33 Median $100.00 Typical High $134.90 | Professional | None (both parts) | $93.33 | $100.00 | $134.90 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $33.88 Typical High $60.26 | Professional | 26 · Professional part | $27.54 | $33.88 | $60.26 |
Ambetter Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $81.28 Typical High $125.89 | Professional | TC · Technical part | $69.18 | $81.28 | $125.89 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $109.65 Median $128.82 Typical High $208.93 | Professional | None (both parts) | $109.65 | $128.82 | $208.93 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $37.15 Typical High $60.26 | Professional | 26 · Professional part | $31.62 | $37.15 | $60.26 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $93.33 Typical High $151.36 | Professional | TC · Technical part | $81.28 | $93.33 | $151.36 |
Aultcare Setting Professional Modifier None (both parts) Typical Low $134.90 Median $151.36 Typical High $151.36 | Professional | None (both parts) | $134.90 | $151.36 | $151.36 |
Aultcare Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $107.15 Typical High $107.15 | Professional | TC · Technical part | $95.50 | $107.15 | $107.15 |
CareSource Setting Professional Modifier None (both parts) Typical Low $33.88 Median $87.10 Typical High $144.54 | Professional | None (both parts) | $33.88 | $87.10 | $144.54 |
Cigna Setting Facility Modifier None Typical Low $151.36 Median $190.55 Typical High $346.74 | Facility | None | $151.36 | $190.55 | $346.74 |
Cigna Setting Professional Modifier None (both parts) Typical Low $117.49 Median $141.25 Typical High $269.15 | Professional | None (both parts) | $117.49 | $141.25 | $269.15 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $40.74 Typical High $75.86 | Professional | 26 · Professional part | $34.67 | $40.74 | $75.86 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $100.00 Typical High $194.98 | Professional | TC · Technical part | $83.18 | $100.00 | $194.98 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $81.28 Median $97.72 Typical High $162.18 | Facility | None | $81.28 | $97.72 | $162.18 |
Medical Mutual of Ohio Setting Professional Modifier None (both parts) Typical Low $107.15 Median $131.83 Typical High $234.42 | Professional | None (both parts) | $107.15 | $131.83 | $234.42 |
Medical Mutual of Ohio Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $43.65 Typical High $45.71 | Professional | 26 · Professional part | $31.62 | $43.65 | $45.71 |
Medical Mutual of Ohio Setting Professional Modifier TC · Technical part Typical Low $77.62 Median $87.10 Typical High $186.21 | Professional | TC · Technical part | $77.62 | $87.10 | $186.21 |
Molina Setting Professional Modifier None (both parts) Typical Low $43.65 Median $128.82 Typical High $199.53 | Professional | None (both parts) | $43.65 | $128.82 | $199.53 |
SummaCare Setting Professional Modifier None (both parts) Typical Low $123.03 Median $138.04 Typical High $213.80 | Professional | None (both parts) | $123.03 | $138.04 | $213.80 |
SummaCare Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $39.81 Typical High $61.66 | Professional | 26 · Professional part | $36.31 | $39.81 | $61.66 |
SummaCare Setting Professional Modifier TC · Technical part Typical Low $87.10 Median $97.72 Typical High $151.36 | Professional | TC · Technical part | $87.10 | $97.72 | $151.36 |
United Setting Facility Modifier None Typical Low $72.44 Median $81.28 Typical High $100.00 | Facility | None | $72.44 | $81.28 | $100.00 |
United Setting Professional Modifier None (both parts) Typical Low $114.82 Median $138.04 Typical High $245.47 | Professional | None (both parts) | $114.82 | $138.04 | $245.47 |
United Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $40.74 Typical High $70.79 | Professional | 26 · Professional part | $32.36 | $40.74 | $70.79 |
United Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $100.00 Typical High $177.83 | Professional | TC · Technical part | $79.43 | $100.00 | $177.83 |
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 $95.50 Median $199.53 Typical High $281.84 | Facility | FX · Film X-ray | $95.50 | $199.53 | $281.84 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $95.50 Median $95.50 Typical High $97.72 | Professional | FX · Film X-ray | $95.50 | $95.50 | $97.72 |
Where Ohio sits
The same service costs 5.4 times more in Vermont than in Texas. 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
$129
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.