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 $234.42 Median $891.25 Typical High $1,122.02 | Facility | None | $234.42 | $891.25 | $1,122.02 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $199.53 Median $549.54 Typical High $851.14 | Facility | TC · Technical part | $199.53 | $549.54 | $851.14 |
Aetna Setting Professional Modifier None (both parts) Typical Low $234.42 Median $234.42 Typical High $977.24 | Professional | None (both parts) | $234.42 | $234.42 | $977.24 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $31.62 Typical High $138.04 | Professional | 26 · Professional part | $31.62 | $31.62 | $138.04 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $199.53 Median $199.53 Typical High $602.56 | Professional | TC · Technical part | $199.53 | $199.53 | $602.56 |
Anthem BCBS Setting Facility Modifier None Typical Low $891.25 Median $1,023.29 Typical High $1,202.26 | Facility | None | $891.25 | $1,023.29 | $1,202.26 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $169.82 Median $204.17 Typical High $363.08 | Professional | None (both parts) | $169.82 | $204.17 | $363.08 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $43.65 Typical High $74.13 | Professional | 26 · Professional part | $36.31 | $43.65 | $74.13 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $128.82 Median $162.18 Typical High $295.12 | Professional | TC · Technical part | $128.82 | $162.18 | $295.12 |
Cigna Setting Facility Modifier None Typical Low $724.44 Median $1,148.15 Typical High $1,621.81 | Facility | None | $724.44 | $1,148.15 | $1,621.81 |
Cigna Setting Professional Modifier None (both parts) Typical Low $245.47 Median $309.03 Typical High $676.08 | Professional | None (both parts) | $245.47 | $309.03 | $676.08 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $44.67 Typical High $87.10 | Professional | 26 · Professional part | $31.62 | $44.67 | $87.10 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $208.93 Median $269.15 Typical High $630.96 | Professional | TC · Technical part | $208.93 | $269.15 | $630.96 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $724.44 Median $1,096.48 Typical High $1,621.81 | Facility | None | $724.44 | $1,096.48 | $1,621.81 |
Medical Mutual of Ohio Setting Professional Modifier None (both parts) Typical Low $245.47 Median $309.03 Typical High $676.08 | Professional | None (both parts) | $245.47 | $309.03 | $676.08 |
Medical Mutual of Ohio Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $44.67 Typical High $87.10 | Professional | 26 · Professional part | $31.62 | $44.67 | $87.10 |
Medical Mutual of Ohio Setting Professional Modifier TC · Technical part Typical Low $213.80 Median $275.42 Typical High $588.84 | Professional | TC · Technical part | $213.80 | $275.42 | $588.84 |
Molina Setting Professional Modifier None (both parts) Typical Low $44.67 Median $281.84 Typical High $398.11 | Professional | None (both parts) | $44.67 | $281.84 | $398.11 |
SummaCare Setting Professional Modifier None (both parts) Typical Low $257.04 Median $316.23 Typical High $457.09 | Professional | None (both parts) | $257.04 | $316.23 | $457.09 |
United Setting Facility Modifier None Typical Low $812.83 Median $954.99 Typical High $1,348.96 | Facility | None | $812.83 | $954.99 | $1,348.96 |
United Setting Professional Modifier None (both parts) Typical Low $177.83 Median $302.00 Typical High $676.08 | Professional | None (both parts) | $177.83 | $302.00 | $676.08 |
United Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $41.69 Typical High $91.20 | Professional | 26 · Professional part | $28.18 | $41.69 | $91.20 |
United Setting Professional Modifier TC · Technical part Typical Low $154.88 Median $263.03 Typical High $575.44 | Professional | TC · Technical part | $154.88 | $263.03 | $575.44 |
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 $134.90 Median $407.38 Typical High $562.34 | Facility | 52 · Reduced service | $134.90 | $407.38 | $562.34 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $53.70 Median $162.18 Typical High $223.87 | Facility | 53 · Discontinued | $53.70 | $162.18 | $223.87 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $199.53 Median $645.65 Typical High $831.76 | Facility | FX · Film X-ray | $199.53 | $645.65 | $831.76 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $117.49 Median $117.49 Typical High $467.74 | Professional | 52 · Reduced service | $117.49 | $117.49 | $467.74 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $46.77 Median $46.77 Typical High $186.21 | Professional | 53 · Discontinued | $46.77 | $46.77 | $186.21 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $186.21 Median $186.21 Typical High $676.08 | Professional | FX · Film X-ray | $186.21 | $186.21 | $676.08 |
Where Ohio sits
The same service costs 4.6 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· 44th of 51
$269
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.