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 $213.80 Median $851.14 Typical High $1,122.02 | Facility | None | $213.80 | $851.14 | $1,122.02 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $177.83 Median $489.78 Typical High $741.31 | Facility | TC · Technical part | $177.83 | $489.78 | $741.31 |
Aetna Setting Professional Modifier None (both parts) Typical Low $213.80 Median $213.80 Typical High $851.14 | Professional | None (both parts) | $213.80 | $213.80 | $851.14 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $35.48 Typical High $151.36 | Professional | 26 · Professional part | $35.48 | $35.48 | $151.36 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $177.83 Median $177.83 Typical High $524.81 | Professional | TC · Technical part | $177.83 | $177.83 | $524.81 |
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 $190.55 Median $199.53 Typical High $354.81 | Professional | None (both parts) | $190.55 | $199.53 | $354.81 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $43.65 Typical High $70.79 | Professional | 26 · Professional part | $37.15 | $43.65 | $70.79 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $144.54 Median $158.49 Typical High $281.84 | Professional | TC · Technical part | $144.54 | $158.49 | $281.84 |
Cigna Setting Facility Modifier None Typical Low $602.56 Median $1,000.00 Typical High $1,412.54 | Facility | None | $602.56 | $1,000.00 | $1,412.54 |
Cigna Setting Professional Modifier None (both parts) Typical Low $213.80 Median $281.84 Typical High $602.56 | Professional | None (both parts) | $213.80 | $281.84 | $602.56 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $47.86 Typical High $97.72 | Professional | 26 · Professional part | $35.48 | $47.86 | $97.72 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $181.97 Median $234.42 Typical High $549.54 | Professional | TC · Technical part | $181.97 | $234.42 | $549.54 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $602.56 Median $954.99 Typical High $1,412.54 | Facility | None | $602.56 | $954.99 | $1,412.54 |
Medical Mutual of Ohio Setting Professional Modifier None (both parts) Typical Low $213.80 Median $281.84 Typical High $602.56 | Professional | None (both parts) | $213.80 | $281.84 | $602.56 |
Medical Mutual of Ohio Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $47.86 Typical High $97.72 | Professional | 26 · Professional part | $35.48 | $47.86 | $97.72 |
Medical Mutual of Ohio Setting Professional Modifier TC · Technical part Typical Low $181.97 Median $234.42 Typical High $501.19 | Professional | TC · Technical part | $181.97 | $234.42 | $501.19 |
Molina Setting Professional Modifier None (both parts) Typical Low $44.67 Median $239.88 Typical High $346.74 | Professional | None (both parts) | $44.67 | $239.88 | $346.74 |
SummaCare Setting Professional Modifier None (both parts) Typical Low $223.87 Median $281.84 Typical High $407.38 | Professional | None (both parts) | $223.87 | $281.84 | $407.38 |
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 $257.04 Typical High $602.56 | Professional | None (both parts) | $177.83 | $257.04 | $602.56 |
United Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $43.65 Typical High $102.33 | Professional | 26 · Professional part | $30.20 | $43.65 | $102.33 |
United Setting Professional Modifier TC · Technical part Typical Low $147.91 Median $218.78 Typical High $512.86 | Professional | TC · Technical part | $147.91 | $218.78 | $512.86 |
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 $120.23 Median $363.08 Typical High $562.34 | Facility | 52 · Reduced service | $120.23 | $363.08 | $562.34 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $48.98 Median $144.54 Typical High $223.87 | Facility | 53 · Discontinued | $48.98 | $144.54 | $223.87 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $177.83 Median $575.44 Typical High $831.76 | Facility | FX · Film X-ray | $177.83 | $575.44 | $831.76 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $104.71 Median $104.71 Typical High $426.58 | Professional | 52 · Reduced service | $104.71 | $104.71 | $426.58 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $42.66 Median $42.66 Typical High $169.82 | Professional | 53 · Discontinued | $42.66 | $42.66 | $169.82 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $169.82 Median $169.82 Typical High $676.08 | Professional | FX · Film X-ray | $169.82 | $169.82 | $676.08 |
Where Ohio sits
The same service costs 4.6 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· 43rd of 51
$240
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.