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 $141.25 Median $851.14 Typical High $1,122.02 | Facility | None | $141.25 | $851.14 | $1,122.02 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $125.89 Median $346.74 Typical High $537.03 | Facility | TC · Technical part | $125.89 | $346.74 | $537.03 |
Aetna Setting Professional Modifier None (both parts) Typical Low $141.25 Median $141.25 Typical High $851.14 | Professional | None (both parts) | $141.25 | $141.25 | $851.14 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $15.49 Median $15.49 Typical High $81.28 | Professional | 26 · Professional part | $15.49 | $15.49 | $81.28 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $125.89 Median $125.89 Typical High $380.19 | Professional | TC · Technical part | $125.89 | $125.89 | $380.19 |
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 $109.65 Median $125.89 Typical High $223.87 | Professional | None (both parts) | $109.65 | $125.89 | $223.87 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $17.38 Median $21.88 Typical High $36.31 | Professional | 26 · Professional part | $17.38 | $21.88 | $36.31 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $89.13 Median $104.71 Typical High $190.55 | Professional | TC · Technical part | $89.13 | $104.71 | $190.55 |
Cigna Setting Facility Modifier None Typical Low $467.74 Median $691.83 Typical High $1,380.38 | Facility | None | $467.74 | $691.83 | $1,380.38 |
Cigna Setting Professional Modifier None (both parts) Typical Low $147.91 Median $190.55 Typical High $457.09 | Professional | None (both parts) | $147.91 | $190.55 | $457.09 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $15.85 Median $21.88 Typical High $46.77 | Professional | 26 · Professional part | $15.85 | $21.88 | $46.77 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $131.83 Median $169.82 Typical High $426.58 | Professional | TC · Technical part | $131.83 | $169.82 | $426.58 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $524.81 Median $691.83 Typical High $1,380.38 | Facility | None | $524.81 | $691.83 | $1,380.38 |
Medical Mutual of Ohio Setting Professional Modifier None (both parts) Typical Low $147.91 Median $190.55 Typical High $446.68 | Professional | None (both parts) | $147.91 | $190.55 | $446.68 |
Medical Mutual of Ohio Setting Professional Modifier 26 · Professional part Typical Low $15.85 Median $21.88 Typical High $46.77 | Professional | 26 · Professional part | $15.85 | $21.88 | $46.77 |
Medical Mutual of Ohio Setting Professional Modifier TC · Technical part Typical Low $134.90 Median $177.83 Typical High $426.58 | Professional | TC · Technical part | $134.90 | $177.83 | $426.58 |
Molina Setting Professional Modifier None (both parts) Typical Low $123.03 Median $158.49 Typical High $218.78 | Professional | None (both parts) | $123.03 | $158.49 | $218.78 |
SummaCare Setting Professional Modifier None (both parts) Typical Low $154.88 Median $194.98 Typical High $302.00 | Professional | None (both parts) | $154.88 | $194.98 | $302.00 |
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 $109.65 Median $190.55 Typical High $407.38 | Professional | None (both parts) | $109.65 | $190.55 | $407.38 |
United Setting Professional Modifier 26 · Professional part Typical Low $13.80 Median $20.42 Typical High $44.67 | Professional | 26 · Professional part | $13.80 | $20.42 | $44.67 |
United Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $173.78 Typical High $363.08 | Professional | TC · Technical part | $97.72 | $173.78 | $363.08 |
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 $83.18 Median $257.04 Typical High $562.34 | Facility | 52 · Reduced service | $83.18 | $257.04 | $562.34 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $33.11 Median $102.33 Typical High $223.87 | Facility | 53 · Discontinued | $33.11 | $102.33 | $223.87 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $125.89 Median $407.38 Typical High $831.76 | Facility | FX · Film X-ray | $125.89 | $407.38 | $831.76 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $70.79 Median $70.79 Typical High $426.58 | Professional | 52 · Reduced service | $70.79 | $70.79 | $426.58 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $28.18 Median $28.18 Typical High $169.82 | Professional | 53 · Discontinued | $28.18 | $28.18 | $169.82 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $114.82 Median $114.82 Typical High $489.78 | Professional | FX · Film X-ray | $114.82 | $114.82 | $489.78 |
Where Ohio sits
The same service costs 4.5 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· 48th of 51
$155
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.