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 $114.82 Median $851.14 Typical High $1,122.02 | Facility | None | $114.82 | $851.14 | $1,122.02 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $91.20 Median $251.19 Typical High $389.05 | Facility | TC · Technical part | $91.20 | $251.19 | $389.05 |
Aetna Setting Professional Modifier None (both parts) Typical Low $114.82 Median $114.82 Typical High $851.14 | Professional | None (both parts) | $114.82 | $114.82 | $851.14 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $23.44 Typical High $125.89 | Professional | 26 · Professional part | $23.44 | $23.44 | $125.89 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $91.20 Typical High $275.42 | Professional | TC · Technical part | $91.20 | $91.20 | $275.42 |
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 $147.91 Median $190.55 Typical High $331.13 | Professional | None (both parts) | $147.91 | $190.55 | $331.13 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $32.36 Typical High $54.95 | Professional | 26 · Professional part | $27.54 | $32.36 | $54.95 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $114.82 Median $158.49 Typical High $263.03 | Professional | TC · Technical part | $114.82 | $158.49 | $263.03 |
Cigna Setting Facility Modifier None Typical Low $346.74 Median $501.19 Typical High $1,380.38 | Facility | None | $346.74 | $501.19 | $1,380.38 |
Cigna Setting Professional Modifier None (both parts) Typical Low $112.20 Median $177.83 Typical High $389.05 | Professional | None (both parts) | $112.20 | $177.83 | $389.05 |
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 $87.10 Median $147.91 Typical High $309.03 | Professional | TC · Technical part | $87.10 | $147.91 | $309.03 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $380.19 Median $501.19 Typical High $1,380.38 | Facility | None | $380.19 | $501.19 | $1,380.38 |
Medical Mutual of Ohio Setting Professional Modifier None (both parts) Typical Low $112.20 Median $181.97 Typical High $416.87 | Professional | None (both parts) | $112.20 | $181.97 | $416.87 |
Medical Mutual of Ohio Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $33.11 Typical High $74.13 | Professional | 26 · Professional part | $23.99 | $33.11 | $74.13 |
Medical Mutual of Ohio Setting Professional Modifier TC · Technical part Typical Low $87.10 Median $131.83 Typical High $295.12 | Professional | TC · Technical part | $87.10 | $131.83 | $295.12 |
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 $128.82 Median $162.18 Typical High $263.03 | Professional | None (both parts) | $128.82 | $162.18 | $263.03 |
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 $120.23 Median $173.78 Typical High $331.13 | Professional | None (both parts) | $120.23 | $173.78 | $331.13 |
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 $95.50 Median $141.25 Typical High $263.03 | Professional | TC · Technical part | $95.50 | $141.25 | $263.03 |
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 $67.61 Median $186.21 Typical High $562.34 | Facility | 52 · Reduced service | $67.61 | $186.21 | $562.34 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $26.92 Median $74.13 Typical High $223.87 | Facility | 53 · Discontinued | $26.92 | $74.13 | $223.87 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $91.20 Median $295.12 Typical High $831.76 | Facility | FX · Film X-ray | $91.20 | $295.12 | $831.76 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $57.54 Median $57.54 Typical High $426.58 | Professional | 52 · Reduced service | $57.54 | $57.54 | $426.58 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $22.91 Median $22.91 Typical High $169.82 | Professional | 53 · Discontinued | $22.91 | $22.91 | $169.82 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $91.20 Median $91.20 Typical High $354.81 | Professional | FX · Film X-ray | $91.20 | $91.20 | $354.81 |
Where Ohio sits
The same service costs 5.2 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· 39th of 51
$174
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.