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 $112.20 Median $208.93 Typical High $380.19 | Facility | None | $112.20 | $208.93 | $380.19 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $23.99 Median $44.67 Typical High $81.28 | Facility | 26 · Professional part | $23.99 | $44.67 | $81.28 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $95.50 Median $213.80 Typical High $363.08 | Facility | TC · Technical part | $95.50 | $213.80 | $363.08 |
Aetna Setting Professional Modifier None (both parts) Typical Low $66.07 Median $112.20 Typical High $316.23 | Professional | None (both parts) | $66.07 | $112.20 | $316.23 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $31.62 Typical High $263.03 | Professional | 26 · Professional part | $23.99 | $31.62 | $263.03 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $50.12 Median $97.72 Typical High $269.15 | Professional | TC · Technical part | $50.12 | $97.72 | $269.15 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $54.95 Median $54.95 Typical High $54.95 | Professional | None (both parts) | $54.95 | $54.95 | $54.95 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $37.15 Typical High $50.12 | Professional | 26 · Professional part | $28.18 | $37.15 | $50.12 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $61.66 Median $77.62 Typical High $131.83 | Professional | None (both parts) | $61.66 | $77.62 | $131.83 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $21.38 Median $23.44 Typical High $44.67 | Professional | 26 · Professional part | $21.38 | $23.44 | $44.67 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $56.23 Median $61.66 Typical High $95.50 | Professional | TC · Technical part | $56.23 | $61.66 | $95.50 |
Aultcare Setting Professional Modifier None (both parts) Typical Low $72.44 Median $102.33 Typical High $144.54 | Professional | None (both parts) | $72.44 | $102.33 | $144.54 |
CareSource Setting Professional Modifier None (both parts) Typical Low $24.55 Median $107.15 Typical High $141.25 | Professional | None (both parts) | $24.55 | $107.15 | $141.25 |
Cigna Setting Facility Modifier None Typical Low $245.47 Median $467.74 Typical High $724.44 | Facility | None | $245.47 | $467.74 | $724.44 |
Cigna Setting Professional Modifier None (both parts) Typical Low $79.43 Median $100.00 Typical High $239.88 | Professional | None (both parts) | $79.43 | $100.00 | $239.88 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $36.31 Typical High $60.26 | Professional | 26 · Professional part | $25.12 | $36.31 | $60.26 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $46.77 Median $63.10 Typical High $186.21 | Professional | TC · Technical part | $46.77 | $63.10 | $186.21 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $138.04 Median $363.08 Typical High $1,000.00 | Facility | None | $138.04 | $363.08 | $1,000.00 |
Medical Mutual of Ohio Setting Professional Modifier None (both parts) Typical Low $70.79 Median $107.15 Typical High $208.93 | Professional | None (both parts) | $70.79 | $107.15 | $208.93 |
Medical Mutual of Ohio Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $93.33 Typical High $120.23 | Professional | 26 · Professional part | $30.20 | $93.33 | $120.23 |
Medical Mutual of Ohio Setting Professional Modifier TC · Technical part Typical Low $46.77 Median $64.57 Typical High $186.21 | Professional | TC · Technical part | $46.77 | $64.57 | $186.21 |
Molina Setting Professional Modifier None (both parts) Typical Low $58.88 Median $91.20 Typical High $125.89 | Professional | None (both parts) | $58.88 | $91.20 | $125.89 |
SummaCare Setting Professional Modifier None (both parts) Typical Low $37.15 Median $43.65 Typical High $54.95 | Professional | None (both parts) | $37.15 | $43.65 | $54.95 |
United Setting Professional Modifier None (both parts) Typical Low $51.29 Median $95.50 Typical High $239.88 | Professional | None (both parts) | $51.29 | $95.50 | $239.88 |
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 $91.20 Median $213.80 Typical High $302.00 | Facility | FX · Film X-ray | $91.20 | $213.80 | $302.00 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $91.20 Median $91.20 Typical High $213.80 | Professional | FX · Film X-ray | $91.20 | $91.20 | $213.80 |
Where Ohio sits
The same service costs 7.1 times more in Alaska than in Hawaii. 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· 31st of 51
$97.72
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.