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 $562.34 Median $562.34 Typical High $1,174.90 | Facility | None | $562.34 | $562.34 | $1,174.90 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $489.78 Median $1,348.96 Typical High $2,041.74 | Facility | TC · Technical part | $489.78 | $1,348.96 | $2,041.74 |
Aetna Setting Professional Modifier None (both parts) Typical Low $562.34 Median $562.34 Typical High $1,148.15 | Professional | None (both parts) | $562.34 | $562.34 | $1,148.15 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $77.62 Median $77.62 Typical High $186.21 | Professional | 26 · Professional part | $77.62 | $77.62 | $186.21 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $489.78 Median $489.78 Typical High $1,412.54 | Professional | TC · Technical part | $489.78 | $489.78 | $1,412.54 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $199.53 Median $263.03 Typical High $758.58 | Professional | None (both parts) | $199.53 | $263.03 | $758.58 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $93.33 Typical High $147.91 | Professional | 26 · Professional part | $81.28 | $93.33 | $147.91 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $120.23 Median $162.18 Typical High $741.31 | Professional | TC · Technical part | $120.23 | $162.18 | $741.31 |
Cigna Setting Facility Modifier None Typical Low $1,318.26 Median $2,570.40 Typical High $3,981.07 | Facility | None | $1,318.26 | $2,570.40 | $3,981.07 |
Cigna Setting Professional Modifier None (both parts) Typical Low $478.63 Median $707.95 Typical High $1,348.96 | Professional | None (both parts) | $478.63 | $707.95 | $1,348.96 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $104.71 Typical High $190.55 | Professional | 26 · Professional part | $83.18 | $104.71 | $190.55 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $323.59 Median $616.60 Typical High $1,148.15 | Professional | TC · Technical part | $323.59 | $616.60 | $1,148.15 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $1,148.15 Median $2,454.71 Typical High $3,981.07 | Facility | None | $1,148.15 | $2,454.71 | $3,981.07 |
Medical Mutual of Ohio Setting Professional Modifier None (both parts) Typical Low $478.63 Median $707.95 Typical High $1,348.96 | Professional | None (both parts) | $478.63 | $707.95 | $1,348.96 |
Medical Mutual of Ohio Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $104.71 Typical High $190.55 | Professional | 26 · Professional part | $83.18 | $104.71 | $190.55 |
Medical Mutual of Ohio Setting Professional Modifier TC · Technical part Typical Low $398.11 Median $645.65 Typical High $1,148.15 | Professional | TC · Technical part | $398.11 | $645.65 | $1,148.15 |
Molina Setting Professional Modifier None (both parts) Typical Low $104.71 Median $676.08 Typical High $1,047.13 | Professional | None (both parts) | $104.71 | $676.08 | $1,047.13 |
SummaCare Setting Professional Modifier None (both parts) Typical Low $707.95 Median $776.25 Typical High $1,071.52 | Professional | None (both parts) | $707.95 | $776.25 | $1,071.52 |
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 $223.87 Median $588.84 Typical High $1,230.27 | Professional | None (both parts) | $223.87 | $588.84 | $1,230.27 |
United Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $93.33 Typical High $181.97 | Professional | 26 · Professional part | $61.66 | $93.33 | $181.97 |
United Setting Professional Modifier TC · Technical part Typical Low $190.55 Median $501.19 Typical High $1,071.52 | Professional | TC · Technical part | $190.55 | $501.19 | $1,071.52 |
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 $281.84 Median $660.69 Typical High $1,023.29 | Facility | 52 · Reduced service | $281.84 | $660.69 | $1,023.29 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $112.20 Median $263.03 Typical High $407.38 | Facility | 53 · Discontinued | $112.20 | $263.03 | $407.38 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $446.68 Median $1,174.90 Typical High $1,659.59 | Facility | FX · Film X-ray | $446.68 | $1,174.90 | $1,659.59 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $281.84 Median $281.84 Typical High $707.95 | Professional | 52 · Reduced service | $281.84 | $281.84 | $707.95 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $112.20 Median $112.20 Typical High $281.84 | Professional | 53 · Discontinued | $112.20 | $112.20 | $281.84 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $446.68 Median $446.68 Typical High $1,174.90 | Professional | FX · Film X-ray | $446.68 | $446.68 | $1,174.90 |
Where Ohio sits
The same service costs 6.0 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· 42nd of 51
$562
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.