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 $128.82 Median $354.81 Typical High $436.52 | Facility | None | $128.82 | $354.81 | $436.52 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $97.72 Median $223.87 Typical High $354.81 | Facility | 26 · Professional part | $97.72 | $223.87 | $354.81 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $39.81 Median $75.86 Typical High $128.82 | Facility | TC · Technical part | $39.81 | $75.86 | $128.82 |
Aetna Setting Professional Modifier None (both parts) Typical Low $128.82 Median $194.98 Typical High $1,000.00 | Professional | None (both parts) | $128.82 | $194.98 | $1,000.00 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $97.72 Median $131.83 Typical High $331.13 | Professional | 26 · Professional part | $97.72 | $131.83 | $331.13 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $31.62 Median $54.95 Typical High $109.65 | Professional | TC · Technical part | $31.62 | $54.95 | $109.65 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $144.54 Median $144.54 Typical High $144.54 | Professional | None (both parts) | $144.54 | $144.54 | $144.54 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $104.71 Typical High $162.18 | Professional | 26 · Professional part | $83.18 | $104.71 | $162.18 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $165.96 Median $263.03 Typical High $426.58 | Professional | None (both parts) | $165.96 | $263.03 | $426.58 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $102.33 Median $117.49 Typical High $190.55 | Professional | 26 · Professional part | $102.33 | $117.49 | $190.55 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $46.77 Median $151.36 Typical High $234.42 | Professional | TC · Technical part | $46.77 | $151.36 | $234.42 |
Aultcare Setting Professional Modifier None (both parts) Typical Low $162.18 Median $194.98 Typical High $281.84 | Professional | None (both parts) | $162.18 | $194.98 | $281.84 |
CareSource Setting Professional Modifier None (both parts) Typical Low $34.67 Median $120.23 Typical High $173.78 | Professional | None (both parts) | $34.67 | $120.23 | $173.78 |
Cigna Setting Facility Modifier None Typical Low $104.71 Median $194.98 Typical High $371.54 | Facility | None | $104.71 | $194.98 | $371.54 |
Cigna Setting Professional Modifier None (both parts) Typical Low $125.89 Median $186.21 Typical High $436.52 | Professional | None (both parts) | $125.89 | $186.21 | $436.52 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $102.33 Median $134.90 Typical High $245.47 | Professional | 26 · Professional part | $102.33 | $134.90 | $245.47 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $23.44 Median $45.71 Typical High $213.80 | Professional | TC · Technical part | $23.44 | $45.71 | $213.80 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $151.36 Median $1,258.93 Typical High $3,981.07 | Facility | None | $151.36 | $1,258.93 | $3,981.07 |
Medical Mutual of Ohio Setting Professional Modifier None (both parts) Typical Low $128.82 Median $223.87 Typical High $416.87 | Professional | None (both parts) | $128.82 | $223.87 | $416.87 |
Medical Mutual of Ohio Setting Professional Modifier 26 · Professional part Typical Low $102.33 Median $190.55 Typical High $288.40 | Professional | 26 · Professional part | $102.33 | $190.55 | $288.40 |
Medical Mutual of Ohio Setting Professional Modifier TC · Technical part Typical Low $22.39 Median $45.71 Typical High $181.97 | Professional | TC · Technical part | $22.39 | $45.71 | $181.97 |
Molina Setting Professional Modifier None (both parts) Typical Low $34.67 Median $120.23 Typical High $181.97 | Professional | None (both parts) | $34.67 | $120.23 | $181.97 |
SummaCare Setting Professional Modifier None (both parts) Typical Low $144.54 Median $190.55 Typical High $707.95 | Professional | None (both parts) | $144.54 | $190.55 | $707.95 |
SummaCare Setting Professional Modifier 26 · Professional part Typical Low $107.15 Median $141.25 Typical High $181.97 | Professional | 26 · Professional part | $107.15 | $141.25 | $181.97 |
SummaCare Setting Professional Modifier TC · Technical part Typical Low $37.15 Median $48.98 Typical High $562.34 | Professional | TC · Technical part | $37.15 | $48.98 | $562.34 |
United Setting Facility Modifier None Typical Low $1,148.15 Median $1,318.26 Typical High $1,862.09 | Facility | None | $1,148.15 | $1,318.26 | $1,862.09 |
United Setting Professional Modifier None (both parts) Typical Low $131.83 Median $204.17 Typical High $426.58 | Professional | None (both parts) | $131.83 | $204.17 | $426.58 |
United Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $114.82 Typical High $229.09 | Professional | 26 · Professional part | $75.86 | $114.82 | $229.09 |
United Setting Professional Modifier TC · Technical part Typical Low $25.12 Median $48.98 Typical High $194.98 | Professional | TC · Technical part | $25.12 | $48.98 | $194.98 |
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 $36.31 Median $46.77 Typical High $75.86 | Facility | 52 · Reduced service | $36.31 | $46.77 | $75.86 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $14.45 Median $19.05 Typical High $30.20 | Facility | 53 · Discontinued | $14.45 | $19.05 | $30.20 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $57.54 Median $75.86 Typical High $107.15 | Facility | FX · Film X-ray | $57.54 | $75.86 | $107.15 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $46.77 Median $64.57 Typical High $562.34 | Professional | 52 · Reduced service | $46.77 | $64.57 | $562.34 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.05 Median $26.30 Typical High $223.87 | Professional | 53 · Discontinued | $19.05 | $26.30 | $223.87 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $75.86 Median $104.71 Typical High $104.71 | Professional | FX · Film X-ray | $75.86 | $104.71 | $104.71 |
Where Ohio sits
The same service costs 5.1 times more in Alaska than in Florida. 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· 45th of 51
$162
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.