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 $602.56 Median $602.56 Typical High $3,019.95 | Facility | None | $602.56 | $602.56 | $3,019.95 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $537.03 Median $1,479.11 Typical High $2,290.87 | Facility | TC · Technical part | $537.03 | $1,479.11 | $2,290.87 |
Aetna Setting Professional Modifier None (both parts) Typical Low $602.56 Median $602.56 Typical High $3,019.95 | Professional | None (both parts) | $602.56 | $602.56 | $3,019.95 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $64.57 Typical High $398.11 | Professional | 26 · Professional part | $64.57 | $64.57 | $398.11 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $537.03 Median $537.03 Typical High $1,584.89 | Professional | TC · Technical part | $537.03 | $537.03 | $1,584.89 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $229.09 Median $302.00 Typical High $776.25 | Professional | None (both parts) | $229.09 | $302.00 | $776.25 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $87.10 Typical High $134.90 | Professional | 26 · Professional part | $75.86 | $87.10 | $134.90 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $151.36 Median $208.93 Typical High $724.44 | Professional | TC · Technical part | $151.36 | $208.93 | $724.44 |
Cigna Setting Facility Modifier None Typical Low $1,479.11 Median $2,884.03 Typical High $4,365.16 | Facility | None | $1,479.11 | $2,884.03 | $4,365.16 |
Cigna Setting Professional Modifier None (both parts) Typical Low $602.56 Median $741.31 Typical High $1,737.80 | Professional | None (both parts) | $602.56 | $741.31 | $1,737.80 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $87.10 Typical High $173.78 | Professional | 26 · Professional part | $66.07 | $87.10 | $173.78 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $489.78 Median $660.69 Typical High $1,548.82 | Professional | TC · Technical part | $489.78 | $660.69 | $1,548.82 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $1,258.93 Median $2,570.40 Typical High $4,365.16 | Facility | None | $1,258.93 | $2,570.40 | $4,365.16 |
Medical Mutual of Ohio Setting Professional Modifier None (both parts) Typical Low $602.56 Median $741.31 Typical High $1,737.80 | Professional | None (both parts) | $602.56 | $741.31 | $1,737.80 |
Medical Mutual of Ohio Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $87.10 Typical High $173.78 | Professional | 26 · Professional part | $66.07 | $87.10 | $173.78 |
Medical Mutual of Ohio Setting Professional Modifier TC · Technical part Typical Low $537.03 Median $691.83 Typical High $1,548.82 | Professional | TC · Technical part | $537.03 | $691.83 | $1,548.82 |
Molina Setting Professional Modifier None (both parts) Typical Low $69.18 Median $630.96 Typical High $954.99 | Professional | None (both parts) | $69.18 | $630.96 | $954.99 |
SummaCare Setting Professional Modifier None (both parts) Typical Low $645.65 Median $758.58 Typical High $1,230.27 | Professional | None (both parts) | $645.65 | $758.58 | $1,230.27 |
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 $309.03 Median $691.83 Typical High $1,380.38 | Professional | None (both parts) | $309.03 | $691.83 | $1,380.38 |
United Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $81.28 Typical High $151.36 | Professional | 26 · Professional part | $53.70 | $81.28 | $151.36 |
United Setting Professional Modifier TC · Technical part Typical Low $263.03 Median $630.96 Typical High $1,412.54 | Professional | TC · Technical part | $263.03 | $630.96 | $1,412.54 |
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 $302.00 Median $741.31 Typical High $1,288.25 | Facility | 52 · Reduced service | $302.00 | $741.31 | $1,288.25 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $120.23 Median $295.12 Typical High $524.81 | Facility | 53 · Discontinued | $120.23 | $295.12 | $524.81 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $478.63 Median $1,288.25 Typical High $1,819.70 | Facility | FX · Film X-ray | $478.63 | $1,288.25 | $1,819.70 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $302.00 Median $302.00 Typical High $1,445.44 | Professional | 52 · Reduced service | $302.00 | $302.00 | $1,445.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $120.23 Median $120.23 Typical High $575.44 | Professional | 53 · Discontinued | $120.23 | $120.23 | $575.44 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $478.63 Median $478.63 Typical High $1,288.25 | Professional | FX · Film X-ray | $478.63 | $478.63 | $1,288.25 |
Where Ohio sits
The same service costs 5.1 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· 48th of 51
$603
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.