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 $416.87 Median $954.99 Typical High $1,621.81 | Facility | None | $416.87 | $954.99 | $1,621.81 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $81.28 Median $208.93 Typical High $275.42 | Facility | 26 · Professional part | $81.28 | $208.93 | $275.42 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $398.11 Median $870.96 Typical High $1,318.26 | Facility | TC · Technical part | $398.11 | $870.96 | $1,318.26 |
Aetna Setting Professional Modifier None (both parts) Typical Low $398.11 Median $588.84 Typical High $1,348.96 | Professional | None (both parts) | $398.11 | $588.84 | $1,348.96 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $107.15 Typical High $257.04 | Professional | 26 · Professional part | $75.86 | $107.15 | $257.04 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $316.23 Median $478.63 Typical High $1,096.48 | Professional | TC · Technical part | $316.23 | $478.63 | $1,096.48 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $295.12 Median $338.84 Typical High $416.87 | Professional | None (both parts) | $295.12 | $338.84 | $416.87 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $104.71 Typical High $123.03 | Professional | 26 · Professional part | $81.28 | $104.71 | $123.03 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $323.59 Median $389.05 Typical High $630.96 | Professional | None (both parts) | $323.59 | $389.05 | $630.96 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $91.20 Typical High $141.25 | Professional | 26 · Professional part | $79.43 | $91.20 | $141.25 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $245.47 Median $302.00 Typical High $501.19 | Professional | TC · Technical part | $245.47 | $302.00 | $501.19 |
Aultcare Setting Professional Modifier None (both parts) Typical Low $467.74 Median $575.44 Typical High $831.76 | Professional | None (both parts) | $467.74 | $575.44 | $831.76 |
CareSource Setting Professional Modifier None (both parts) Typical Low $77.62 Median $380.19 Typical High $501.19 | Professional | None (both parts) | $77.62 | $380.19 | $501.19 |
Cigna Setting Facility Modifier None Typical Low $870.96 Median $1,698.24 Typical High $2,630.27 | Facility | None | $870.96 | $1,698.24 | $2,630.27 |
Cigna Setting Professional Modifier None (both parts) Typical Low $426.58 Median $537.03 Typical High $1,148.15 | Professional | None (both parts) | $426.58 | $537.03 | $1,148.15 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $100.00 Typical High $186.21 | Professional | 26 · Professional part | $79.43 | $100.00 | $186.21 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $346.74 Median $426.58 Typical High $933.25 | Professional | TC · Technical part | $346.74 | $426.58 | $933.25 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $870.96 Median $1,479.11 Typical High $3,630.78 | Facility | None | $870.96 | $1,479.11 | $3,630.78 |
Medical Mutual of Ohio Setting Professional Modifier None (both parts) Typical Low $446.68 Median $575.44 Typical High $1,258.93 | Professional | None (both parts) | $446.68 | $575.44 | $1,258.93 |
Medical Mutual of Ohio Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $134.90 Typical High $229.09 | Professional | 26 · Professional part | $81.28 | $134.90 | $229.09 |
Medical Mutual of Ohio Setting Professional Modifier TC · Technical part Typical Low $346.74 Median $426.58 Typical High $933.25 | Professional | TC · Technical part | $346.74 | $426.58 | $933.25 |
Molina Setting Professional Modifier None (both parts) Typical Low $107.15 Median $416.87 Typical High $645.65 | Professional | None (both parts) | $107.15 | $416.87 | $645.65 |
SummaCare Setting Professional Modifier None (both parts) Typical Low $426.58 Median $549.54 Typical High $933.25 | Professional | None (both parts) | $426.58 | $549.54 | $933.25 |
United Setting Facility Modifier None Typical Low $776.25 Median $891.25 Typical High $1,288.25 | Facility | None | $776.25 | $891.25 | $1,288.25 |
United Setting Professional Modifier None (both parts) Typical Low $309.03 Median $501.19 Typical High $1,000.00 | Professional | None (both parts) | $309.03 | $501.19 | $1,000.00 |
United Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $89.13 Typical High $173.78 | Professional | 26 · Professional part | $58.88 | $89.13 | $173.78 |
United Setting Professional Modifier TC · Technical part Typical Low $251.19 Median $426.58 Typical High $831.76 | Professional | TC · Technical part | $251.19 | $426.58 | $831.76 |
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 $199.53 Median $436.52 Typical High $676.08 | Facility | 52 · Reduced service | $199.53 | $436.52 | $676.08 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $79.43 Median $177.83 Typical High $269.15 | Facility | 53 · Discontinued | $79.43 | $177.83 | $269.15 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $316.23 Median $776.25 Typical High $1,071.52 | Facility | FX · Film X-ray | $316.23 | $776.25 | $1,071.52 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $199.53 Median $199.53 Typical High $676.08 | Professional | 52 · Reduced service | $199.53 | $199.53 | $676.08 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $79.43 Median $79.43 Typical High $269.15 | Professional | 53 · Discontinued | $79.43 | $79.43 | $269.15 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $316.23 Median $316.23 Typical High $776.25 | Professional | FX · Film X-ray | $316.23 | $316.23 | $776.25 |
Where Ohio sits
The same service costs 4.6 times more in Alaska 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· 46th of 51
$447
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.