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 $165.96 Median $851.14 Typical High $1,122.02 | Facility | None | $165.96 | $851.14 | $1,122.02 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $144.54 Median $389.05 Typical High $616.60 | Facility | TC · Technical part | $144.54 | $389.05 | $616.60 |
Aetna Setting Professional Modifier None (both parts) Typical Low $165.96 Median $380.19 Typical High $616.60 | Professional | None (both parts) | $165.96 | $380.19 | $616.60 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $38.90 Typical High $81.28 | Professional | 26 · Professional part | $21.88 | $38.90 | $81.28 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $144.54 Median $263.03 Typical High $537.03 | Professional | TC · Technical part | $144.54 | $263.03 | $537.03 |
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 $134.90 Median $141.25 Typical High $257.04 | Professional | None (both parts) | $134.90 | $141.25 | $257.04 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $22.39 Median $26.30 Typical High $44.67 | Professional | 26 · Professional part | $22.39 | $26.30 | $44.67 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $109.65 Median $120.23 Typical High $213.80 | Professional | TC · Technical part | $109.65 | $120.23 | $213.80 |
Cigna Setting Facility Modifier None Typical Low $501.19 Median $831.76 Typical High $1,380.38 | Facility | None | $501.19 | $831.76 | $1,380.38 |
Cigna Setting Professional Modifier None (both parts) Typical Low $169.82 Median $213.80 Typical High $467.74 | Professional | None (both parts) | $169.82 | $213.80 | $467.74 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $29.51 Typical High $61.66 | Professional | 26 · Professional part | $21.88 | $29.51 | $61.66 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $147.91 Median $186.21 Typical High $457.09 | Professional | TC · Technical part | $147.91 | $186.21 | $457.09 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $501.19 Median $794.33 Typical High $1,380.38 | Facility | None | $501.19 | $794.33 | $1,380.38 |
Medical Mutual of Ohio Setting Professional Modifier None (both parts) Typical Low $169.82 Median $218.78 Typical High $467.74 | Professional | None (both parts) | $169.82 | $218.78 | $467.74 |
Medical Mutual of Ohio Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $29.51 Typical High $61.66 | Professional | 26 · Professional part | $21.88 | $29.51 | $61.66 |
Medical Mutual of Ohio Setting Professional Modifier TC · Technical part Typical Low $147.91 Median $190.55 Typical High $407.38 | Professional | TC · Technical part | $147.91 | $190.55 | $407.38 |
Molina Setting Professional Modifier None (both parts) Typical Low $154.88 Median $199.53 Typical High $269.15 | Professional | None (both parts) | $154.88 | $199.53 | $269.15 |
SummaCare Setting Professional Modifier None (both parts) Typical Low $181.97 Median $223.87 Typical High $323.59 | Professional | None (both parts) | $181.97 | $223.87 | $323.59 |
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 $125.89 Median $199.53 Typical High $478.63 | Professional | None (both parts) | $125.89 | $199.53 | $478.63 |
United Setting Professional Modifier 26 · Professional part Typical Low $18.62 Median $26.30 Typical High $63.10 | Professional | 26 · Professional part | $18.62 | $26.30 | $63.10 |
United Setting Professional Modifier TC · Technical part Typical Low $109.65 Median $177.83 Typical High $416.87 | Professional | TC · Technical part | $109.65 | $177.83 | $416.87 |
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 $97.72 Median $239.88 Typical High $562.34 | Facility | 52 · Reduced service | $97.72 | $239.88 | $562.34 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $38.90 Median $95.50 Typical High $223.87 | Facility | 53 · Discontinued | $38.90 | $95.50 | $223.87 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $144.54 Median $467.74 Typical High $831.76 | Facility | FX · Film X-ray | $144.54 | $467.74 | $831.76 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $83.18 Median $83.18 Typical High $426.58 | Professional | 52 · Reduced service | $83.18 | $83.18 | $426.58 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $33.11 Median $33.11 Typical High $169.82 | Professional | 53 · Discontinued | $33.11 | $33.11 | $169.82 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $134.90 Median $134.90 Typical High $562.34 | Professional | FX · Film X-ray | $134.90 | $134.90 | $562.34 |
Where Ohio sits
The same service costs 4.6 times more in Alaska than in Kentucky. 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
$191
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.