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 $63.10 Median $2,951.21 Typical High $3,890.45 | Facility | None | $63.10 | $2,951.21 | $3,890.45 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $56.23 Median $154.88 Typical High $234.42 | Facility | TC · Technical part | $56.23 | $154.88 | $234.42 |
Aetna Setting Professional Modifier None (both parts) Typical Low $63.10 Median $63.10 Typical High $2,951.21 | Professional | None (both parts) | $63.10 | $63.10 | $2,951.21 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $7.59 Median $7.59 Typical High $41.69 | Professional | 26 · Professional part | $7.59 | $7.59 | $41.69 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $56.23 Median $56.23 Typical High $165.96 | Professional | TC · Technical part | $56.23 | $56.23 | $165.96 |
Anthem BCBS Setting Facility Modifier None Typical Low $3,090.30 Median $3,548.13 Typical High $4,168.69 | Facility | None | $3,090.30 | $3,548.13 | $4,168.69 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $45.71 Median $51.29 Typical High $95.50 | Professional | None (both parts) | $45.71 | $51.29 | $95.50 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $8.91 Median $10.47 Typical High $18.20 | Professional | 26 · Professional part | $8.91 | $10.47 | $18.20 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $35.48 Median $43.65 Typical High $81.28 | Professional | TC · Technical part | $35.48 | $43.65 | $81.28 |
Cigna Setting Facility Modifier None Typical Low $213.80 Median $331.13 Typical High $4,466.84 | Facility | None | $213.80 | $331.13 | $4,466.84 |
Cigna Setting Professional Modifier None (both parts) Typical Low $61.66 Median $85.11 Typical High $199.53 | Professional | None (both parts) | $61.66 | $85.11 | $199.53 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $7.59 Median $10.72 Typical High $22.39 | Professional | 26 · Professional part | $7.59 | $10.72 | $22.39 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $52.48 Median $75.86 Typical High $181.97 | Professional | TC · Technical part | $52.48 | $75.86 | $181.97 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $229.09 Median $316.23 Typical High $4,466.84 | Facility | None | $229.09 | $316.23 | $4,466.84 |
Medical Mutual of Ohio Setting Professional Modifier None (both parts) Typical Low $61.66 Median $85.11 Typical High $199.53 | Professional | None (both parts) | $61.66 | $85.11 | $199.53 |
Medical Mutual of Ohio Setting Professional Modifier 26 · Professional part Typical Low $7.59 Median $10.72 Typical High $22.39 | Professional | 26 · Professional part | $7.59 | $10.72 | $22.39 |
Medical Mutual of Ohio Setting Professional Modifier TC · Technical part Typical Low $53.70 Median $75.86 Typical High $181.97 | Professional | TC · Technical part | $53.70 | $75.86 | $181.97 |
Molina Setting Professional Modifier None (both parts) Typical Low $61.66 Median $79.43 Typical High $107.15 | Professional | None (both parts) | $61.66 | $79.43 | $107.15 |
SummaCare Setting Professional Modifier None (both parts) Typical Low $72.44 Median $89.13 Typical High $131.83 | Professional | None (both parts) | $72.44 | $89.13 | $131.83 |
United Setting Facility Modifier None Typical Low $2,691.53 Median $3,090.30 Typical High $4,365.16 | Facility | None | $2,691.53 | $3,090.30 | $4,365.16 |
United Setting Professional Modifier None (both parts) Typical Low $45.71 Median $79.43 Typical High $181.97 | Professional | None (both parts) | $45.71 | $79.43 | $181.97 |
United Setting Professional Modifier 26 · Professional part Typical Low $6.61 Median $9.77 Typical High $21.88 | Professional | 26 · Professional part | $6.61 | $9.77 | $21.88 |
United Setting Professional Modifier TC · Technical part Typical Low $44.67 Median $69.18 Typical High $162.18 | Professional | TC · Technical part | $44.67 | $69.18 | $162.18 |
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 $37.15 Median $114.82 Typical High $1,949.84 | Facility | 52 · Reduced service | $37.15 | $114.82 | $1,949.84 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $14.79 Median $45.71 Typical High $776.25 | Facility | 53 · Discontinued | $14.79 | $45.71 | $776.25 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $56.23 Median $181.97 Typical High $2,884.03 | Facility | FX · Film X-ray | $56.23 | $181.97 | $2,884.03 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $31.62 Median $31.62 Typical High $1,479.11 | Professional | 52 · Reduced service | $31.62 | $31.62 | $1,479.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.59 Median $12.59 Typical High $588.84 | Professional | 53 · Discontinued | $12.59 | $12.59 | $588.84 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $51.29 Median $51.29 Typical High $218.78 | Professional | FX · Film X-ray | $51.29 | $51.29 | $218.78 |
Where Ohio sits
The same service costs 8.1 times more in Alabama 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
$72.44
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.