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 $102.33 Median $851.14 Typical High $1,122.02 | Facility | None | $102.33 | $851.14 | $1,122.02 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $77.62 Median $213.80 Typical High $331.13 | Facility | TC · Technical part | $77.62 | $213.80 | $331.13 |
Aetna Setting Professional Modifier None (both parts) Typical Low $102.33 Median $102.33 Typical High $851.14 | Professional | None (both parts) | $102.33 | $102.33 | $851.14 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $23.44 Typical High $120.23 | Professional | 26 · Professional part | $23.44 | $23.44 | $120.23 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $77.62 Median $77.62 Typical High $234.42 | Professional | TC · Technical part | $77.62 | $77.62 | $234.42 |
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 $120.23 Median $141.25 Typical High $251.19 | Professional | None (both parts) | $120.23 | $141.25 | $251.19 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $32.36 Typical High $53.70 | Professional | 26 · Professional part | $27.54 | $32.36 | $53.70 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $87.10 Median $109.65 Typical High $190.55 | Professional | TC · Technical part | $87.10 | $109.65 | $190.55 |
Cigna Setting Facility Modifier None Typical Low $295.12 Median $457.09 Typical High $1,380.38 | Facility | None | $295.12 | $457.09 | $1,380.38 |
Cigna Setting Professional Modifier None (both parts) Typical Low $100.00 Median $144.54 Typical High $323.59 | Professional | None (both parts) | $100.00 | $144.54 | $323.59 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $33.11 Typical High $69.18 | Professional | 26 · Professional part | $23.99 | $33.11 | $69.18 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $109.65 Typical High $251.19 | Professional | TC · Technical part | $74.13 | $109.65 | $251.19 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $295.12 Median $426.58 Typical High $1,380.38 | Facility | None | $295.12 | $426.58 | $1,380.38 |
Medical Mutual of Ohio Setting Professional Modifier None (both parts) Typical Low $100.00 Median $151.36 Typical High $323.59 | Professional | None (both parts) | $100.00 | $151.36 | $323.59 |
Medical Mutual of Ohio Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $33.11 Typical High $72.44 | Professional | 26 · Professional part | $23.99 | $33.11 | $72.44 |
Medical Mutual of Ohio Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $109.65 Typical High $251.19 | Professional | TC · Technical part | $74.13 | $109.65 | $251.19 |
Molina Setting Professional Modifier None (both parts) Typical Low $44.67 Median $131.83 Typical High $194.98 | Professional | None (both parts) | $44.67 | $131.83 | $194.98 |
SummaCare Setting Professional Modifier None (both parts) Typical Low $112.20 Median $141.25 Typical High $208.93 | Professional | None (both parts) | $112.20 | $141.25 | $208.93 |
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 $107.15 Median $138.04 Typical High $295.12 | Professional | None (both parts) | $107.15 | $138.04 | $295.12 |
United Setting Professional Modifier 26 · Professional part Typical Low $20.89 Median $30.90 Typical High $67.61 | Professional | 26 · Professional part | $20.89 | $30.90 | $67.61 |
United Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $104.71 Typical High $223.87 | Professional | TC · Technical part | $81.28 | $104.71 | $223.87 |
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 $58.88 Median $158.49 Typical High $562.34 | Facility | 52 · Reduced service | $58.88 | $158.49 | $562.34 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $23.99 Median $63.10 Typical High $223.87 | Facility | 53 · Discontinued | $23.99 | $63.10 | $223.87 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $81.28 Median $251.19 Typical High $831.76 | Facility | FX · Film X-ray | $81.28 | $251.19 | $831.76 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $51.29 Median $51.29 Typical High $426.58 | Professional | 52 · Reduced service | $51.29 | $51.29 | $426.58 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $20.42 Median $20.42 Typical High $169.82 | Professional | 53 · Discontinued | $20.42 | $20.42 | $169.82 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $81.28 Median $81.28 Typical High $302.00 | Professional | FX · Film X-ray | $81.28 | $81.28 | $302.00 |
Where Ohio sits
The same service costs 4.6 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· 41st of 51
$141
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.