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 $831.76 Median $831.76 Typical High $2,238.72 | Facility | None | $831.76 | $831.76 | $2,238.72 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $741.31 Median $2,041.74 Typical High $3,090.30 | Facility | TC · Technical part | $741.31 | $2,041.74 | $3,090.30 |
Aetna Setting Professional Modifier None (both parts) Typical Low $831.76 Median $831.76 Typical High $2,454.71 | Professional | None (both parts) | $831.76 | $831.76 | $2,454.71 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $93.33 Median $93.33 Typical High $338.84 | Professional | 26 · Professional part | $93.33 | $93.33 | $338.84 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $741.31 Median $741.31 Typical High $2,511.89 | Professional | TC · Technical part | $741.31 | $741.31 | $2,511.89 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $302.00 Median $380.19 Typical High $1,096.48 | Professional | None (both parts) | $302.00 | $380.19 | $1,096.48 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $102.33 Median $117.49 Typical High $186.21 | Professional | 26 · Professional part | $102.33 | $117.49 | $186.21 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $177.83 Median $251.19 Typical High $1,071.52 | Professional | TC · Technical part | $177.83 | $251.19 | $1,071.52 |
Cigna Setting Facility Modifier None Typical Low $2,041.74 Median $3,890.45 Typical High $6,165.95 | Facility | None | $2,041.74 | $3,890.45 | $6,165.95 |
Cigna Setting Professional Modifier None (both parts) Typical Low $707.95 Median $1,047.13 Typical High $2,089.30 | Professional | None (both parts) | $707.95 | $1,047.13 | $2,089.30 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $100.00 Median $131.83 Typical High $251.19 | Professional | 26 · Professional part | $100.00 | $131.83 | $251.19 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $616.60 Median $933.25 Typical High $1,862.09 | Professional | TC · Technical part | $616.60 | $933.25 | $1,862.09 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $1,819.70 Median $3,548.13 Typical High $6,165.95 | Facility | None | $1,819.70 | $3,548.13 | $6,165.95 |
Medical Mutual of Ohio Setting Professional Modifier None (both parts) Typical Low $707.95 Median $1,047.13 Typical High $2,089.30 | Professional | None (both parts) | $707.95 | $1,047.13 | $2,089.30 |
Medical Mutual of Ohio Setting Professional Modifier 26 · Professional part Typical Low $100.00 Median $131.83 Typical High $251.19 | Professional | 26 · Professional part | $100.00 | $131.83 | $251.19 |
Medical Mutual of Ohio Setting Professional Modifier TC · Technical part Typical Low $660.69 Median $933.25 Typical High $1,862.09 | Professional | TC · Technical part | $660.69 | $933.25 | $1,862.09 |
Molina Setting Professional Modifier None (both parts) Typical Low $104.71 Median $977.24 Typical High $1,479.11 | Professional | None (both parts) | $104.71 | $977.24 | $1,479.11 |
SummaCare Setting Professional Modifier None (both parts) Typical Low $1,000.00 Median $1,174.90 Typical High $1,513.56 | Professional | None (both parts) | $1,000.00 | $1,174.90 | $1,513.56 |
United Setting Facility Modifier None Typical Low $1,445.44 Median $1,659.59 Typical High $2,398.83 | Facility | None | $1,445.44 | $1,659.59 | $2,398.83 |
United Setting Professional Modifier None (both parts) Typical Low $346.74 Median $870.96 Typical High $1,778.28 | Professional | None (both parts) | $346.74 | $870.96 | $1,778.28 |
United Setting Professional Modifier 26 · Professional part Typical Low $77.62 Median $114.82 Typical High $213.80 | Professional | 26 · Professional part | $77.62 | $114.82 | $213.80 |
United Setting Professional Modifier TC · Technical part Typical Low $288.40 Median $758.58 Typical High $1,621.81 | Professional | TC · Technical part | $288.40 | $758.58 | $1,621.81 |
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 $416.87 Median $1,023.29 Typical High $1,548.82 | Facility | 52 · Reduced service | $416.87 | $1,023.29 | $1,548.82 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $165.96 Median $407.38 Typical High $630.96 | Facility | 53 · Discontinued | $165.96 | $407.38 | $630.96 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $660.69 Median $1,778.28 Typical High $2,511.89 | Facility | FX · Film X-ray | $660.69 | $1,778.28 | $2,511.89 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $416.87 Median $416.87 Typical High $1,122.02 | Professional | 52 · Reduced service | $416.87 | $416.87 | $1,122.02 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $165.96 Median $165.96 Typical High $446.68 | Professional | 53 · Discontinued | $165.96 | $165.96 | $446.68 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $660.69 Median $660.69 Typical High $1,778.28 | Professional | FX · Film X-ray | $660.69 | $660.69 | $1,778.28 |
Where Ohio sits
The same service costs 5.5 times more in Alaska than in Indiana. 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
$832
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.