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 $239.88 Median $457.09 Typical High $870.96 | Facility | None | $239.88 | $457.09 | $870.96 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $34.67 Median $69.18 Typical High $123.03 | Facility | 26 · Professional part | $34.67 | $69.18 | $123.03 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $239.88 Median $562.34 Typical High $741.31 | Facility | TC · Technical part | $239.88 | $562.34 | $741.31 |
Aetna Setting Professional Modifier None (both parts) Typical Low $239.88 Median $323.59 Typical High $741.31 | Professional | None (both parts) | $239.88 | $323.59 | $741.31 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $46.77 Typical High $109.65 | Professional | 26 · Professional part | $34.67 | $46.77 | $109.65 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $204.17 Median $275.42 Typical High $676.08 | Professional | TC · Technical part | $204.17 | $275.42 | $676.08 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $79.43 Median $208.93 Typical High $251.19 | Professional | None (both parts) | $79.43 | $208.93 | $251.19 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $36.31 Typical High $56.23 | Professional | 26 · Professional part | $28.84 | $36.31 | $56.23 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $158.49 Median $177.83 Typical High $338.84 | Professional | None (both parts) | $158.49 | $177.83 | $338.84 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $40.74 Typical High $63.10 | Professional | 26 · Professional part | $36.31 | $40.74 | $63.10 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $123.03 Median $138.04 Typical High $295.12 | Professional | TC · Technical part | $123.03 | $138.04 | $295.12 |
Aultcare Setting Professional Modifier None (both parts) Typical Low $288.40 Median $346.74 Typical High $501.19 | Professional | None (both parts) | $288.40 | $346.74 | $501.19 |
CareSource Setting Professional Modifier None (both parts) Typical Low $35.48 Median $229.09 Typical High $309.03 | Professional | None (both parts) | $35.48 | $229.09 | $309.03 |
Cigna Setting Facility Modifier None Typical Low $562.34 Median $1,071.52 Typical High $1,659.59 | Facility | None | $562.34 | $1,071.52 | $1,659.59 |
Cigna Setting Professional Modifier None (both parts) Typical Low $234.42 Median $288.40 Typical High $575.44 | Professional | None (both parts) | $234.42 | $288.40 | $575.44 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $45.71 Typical High $83.18 | Professional | 26 · Professional part | $35.48 | $45.71 | $83.18 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $194.98 Median $245.47 Typical High $489.78 | Professional | TC · Technical part | $194.98 | $245.47 | $489.78 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $398.11 Median $954.99 Typical High $1,659.59 | Facility | None | $398.11 | $954.99 | $1,659.59 |
Medical Mutual of Ohio Setting Professional Modifier None (both parts) Typical Low $245.47 Median $309.03 Typical High $758.58 | Professional | None (both parts) | $245.47 | $309.03 | $758.58 |
Medical Mutual of Ohio Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $64.57 Typical High $104.71 | Professional | 26 · Professional part | $36.31 | $64.57 | $104.71 |
Medical Mutual of Ohio Setting Professional Modifier TC · Technical part Typical Low $204.17 Median $245.47 Typical High $478.63 | Professional | TC · Technical part | $204.17 | $245.47 | $478.63 |
Molina Setting Professional Modifier None (both parts) Typical Low $44.67 Median $275.42 Typical High $389.05 | Professional | None (both parts) | $44.67 | $275.42 | $389.05 |
SummaCare Setting Professional Modifier None (both parts) Typical Low $263.03 Median $302.00 Typical High $457.09 | Professional | None (both parts) | $263.03 | $302.00 | $457.09 |
United Setting Facility Modifier None Typical Low $275.42 Median $323.59 Typical High $457.09 | Facility | None | $275.42 | $323.59 | $457.09 |
United Setting Professional Modifier None (both parts) Typical Low $141.25 Median $269.15 Typical High $537.03 | Professional | None (both parts) | $141.25 | $269.15 | $537.03 |
United Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $39.81 Typical High $79.43 | Professional | 26 · Professional part | $26.92 | $39.81 | $79.43 |
United Setting Professional Modifier TC · Technical part Typical Low $114.82 Median $229.09 Typical High $478.63 | Professional | TC · Technical part | $114.82 | $229.09 | $478.63 |
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 $117.49 Median $281.84 Typical High $426.58 | Facility | 52 · Reduced service | $117.49 | $281.84 | $426.58 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $47.86 Median $112.20 Typical High $169.82 | Facility | 53 · Discontinued | $47.86 | $112.20 | $169.82 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $190.55 Median $489.78 Typical High $691.83 | Facility | FX · Film X-ray | $190.55 | $489.78 | $691.83 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $117.49 Median $117.49 Typical High $363.08 | Professional | 52 · Reduced service | $117.49 | $117.49 | $363.08 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $47.86 Median $47.86 Typical High $144.54 | Professional | 53 · Discontinued | $47.86 | $47.86 | $144.54 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $190.55 Median $190.55 Typical High $489.78 | Professional | FX · Film X-ray | $190.55 | $190.55 | $489.78 |
Where Ohio sits
The same service costs 4.4 times more in Alaska than in Kentucky. 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· 39th of 51
$263
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.