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 $64.57 Median $851.14 Typical High $1,122.02 | Facility | None | $64.57 | $851.14 | $1,122.02 |
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 $64.57 Median $64.57 Typical High $851.14 | Professional | None (both parts) | $64.57 | $64.57 | $851.14 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $9.12 Median $9.12 Typical High $44.67 | Professional | 26 · Professional part | $9.12 | $9.12 | $44.67 |
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 $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 $69.18 Median $75.86 Typical High $128.82 | Professional | None (both parts) | $69.18 | $75.86 | $128.82 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $10.72 Median $12.59 Typical High $20.89 | Professional | 26 · Professional part | $10.72 | $12.59 | $20.89 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $64.57 Typical High $107.15 | Professional | TC · Technical part | $58.88 | $64.57 | $107.15 |
Cigna Setting Facility Modifier None Typical Low $213.80 Median $331.13 Typical High $1,380.38 | Facility | None | $213.80 | $331.13 | $1,380.38 |
Cigna Setting Professional Modifier None (both parts) Typical Low $63.10 Median $89.13 Typical High $213.80 | Professional | None (both parts) | $63.10 | $89.13 | $213.80 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $9.12 Median $12.88 Typical High $26.92 | Professional | 26 · Professional part | $9.12 | $12.88 | $26.92 |
Cigna 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 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $229.09 Median $316.23 Typical High $1,380.38 | Facility | None | $229.09 | $316.23 | $1,380.38 |
Medical Mutual of Ohio Setting Professional Modifier None (both parts) Typical Low $63.10 Median $91.20 Typical High $213.80 | Professional | None (both parts) | $63.10 | $91.20 | $213.80 |
Medical Mutual of Ohio Setting Professional Modifier 26 · Professional part Typical Low $9.12 Median $12.88 Typical High $26.92 | Professional | 26 · Professional part | $9.12 | $12.88 | $26.92 |
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 $74.13 Median $91.20 Typical High $131.83 | Professional | None (both parts) | $74.13 | $91.20 | $131.83 |
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 $63.10 Median $85.11 Typical High $186.21 | Professional | None (both parts) | $63.10 | $85.11 | $186.21 |
United Setting Professional Modifier 26 · Professional part Typical Low $8.13 Median $12.02 Typical High $26.30 | Professional | 26 · Professional part | $8.13 | $12.02 | $26.30 |
United Setting Professional Modifier TC · Technical part Typical Low $53.70 Median $72.44 Typical High $162.18 | Professional | TC · Technical part | $53.70 | $72.44 | $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 $38.02 Median $114.82 Typical High $562.34 | Facility | 52 · Reduced service | $38.02 | $114.82 | $562.34 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $15.49 Median $45.71 Typical High $223.87 | Facility | 53 · Discontinued | $15.49 | $45.71 | $223.87 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $56.23 Median $181.97 Typical High $831.76 | Facility | FX · Film X-ray | $56.23 | $181.97 | $831.76 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $32.36 Median $32.36 Typical High $426.58 | Professional | 52 · Reduced service | $32.36 | $32.36 | $426.58 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.88 Median $12.88 Typical High $169.82 | Professional | 53 · Discontinued | $12.88 | $12.88 | $169.82 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $52.48 Median $52.48 Typical High $218.78 | Professional | FX · Film X-ray | $52.48 | $52.48 | $218.78 |
Where Ohio sits
The same service costs 7.2 times more in Alabama 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· 43rd of 51
$81.28
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.