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 $95.50 Median $851.14 Typical High $1,122.02 | Facility | None | $95.50 | $851.14 | $1,122.02 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $75.86 Median $208.93 Typical High $323.59 | Facility | TC · Technical part | $75.86 | $208.93 | $323.59 |
Aetna Setting Professional Modifier None (both parts) Typical Low $95.50 Median $95.50 Typical High $851.14 | Professional | None (both parts) | $95.50 | $95.50 | $851.14 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $19.95 Median $19.95 Typical High $123.03 | Professional | 26 · Professional part | $19.95 | $19.95 | $123.03 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $75.86 Typical High $229.09 | Professional | TC · Technical part | $75.86 | $75.86 | $229.09 |
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 $128.82 Typical High $223.87 | Professional | None (both parts) | $109.65 | $128.82 | $223.87 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $28.18 Typical High $46.77 | Professional | 26 · Professional part | $23.99 | $28.18 | $46.77 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $100.00 Typical High $173.78 | Professional | TC · Technical part | $81.28 | $100.00 | $173.78 |
Cigna Setting Facility Modifier None Typical Low $288.40 Median $446.68 Typical High $1,380.38 | Facility | None | $288.40 | $446.68 | $1,380.38 |
Cigna Setting Professional Modifier None (both parts) Typical Low $93.33 Median $134.90 Typical High $309.03 | Professional | None (both parts) | $93.33 | $134.90 | $309.03 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $20.42 Median $28.18 Typical High $60.26 | Professional | 26 · Professional part | $20.42 | $28.18 | $60.26 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $107.15 Typical High $245.47 | Professional | TC · Technical part | $72.44 | $107.15 | $245.47 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $288.40 Median $416.87 Typical High $1,380.38 | Facility | None | $288.40 | $416.87 | $1,380.38 |
Medical Mutual of Ohio Setting Professional Modifier None (both parts) Typical Low $93.33 Median $138.04 Typical High $309.03 | Professional | None (both parts) | $93.33 | $138.04 | $309.03 |
Medical Mutual of Ohio Setting Professional Modifier 26 · Professional part Typical Low $20.42 Median $28.18 Typical High $60.26 | Professional | 26 · Professional part | $20.42 | $28.18 | $60.26 |
Medical Mutual of Ohio Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $107.15 Typical High $245.47 | Professional | TC · Technical part | $72.44 | $107.15 | $245.47 |
Molina Setting Professional Modifier None (both parts) Typical Low $44.67 Median $97.72 Typical High $190.55 | Professional | None (both parts) | $44.67 | $97.72 | $190.55 |
SummaCare Setting Professional Modifier None (both parts) Typical Low $107.15 Median $134.90 Typical High $194.98 | Professional | None (both parts) | $107.15 | $134.90 | $194.98 |
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 $93.33 Median $125.89 Typical High $275.42 | Professional | None (both parts) | $93.33 | $125.89 | $275.42 |
United Setting Professional Modifier 26 · Professional part Typical Low $17.78 Median $26.30 Typical High $57.54 | Professional | 26 · Professional part | $17.78 | $26.30 | $57.54 |
United Setting Professional Modifier TC · Technical part Typical Low $77.62 Median $100.00 Typical High $218.78 | Professional | TC · Technical part | $77.62 | $100.00 | $218.78 |
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 $56.23 Median $154.88 Typical High $562.34 | Facility | 52 · Reduced service | $56.23 | $154.88 | $562.34 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $22.39 Median $61.66 Typical High $223.87 | Facility | 53 · Discontinued | $22.39 | $61.66 | $223.87 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $77.62 Median $245.47 Typical High $831.76 | Facility | FX · Film X-ray | $77.62 | $245.47 | $831.76 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $47.86 Median $47.86 Typical High $426.58 | Professional | 52 · Reduced service | $47.86 | $47.86 | $426.58 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.05 Median $19.05 Typical High $169.82 | Professional | 53 · Discontinued | $19.05 | $19.05 | $169.82 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $77.62 Median $77.62 Typical High $295.12 | Professional | FX · Film X-ray | $77.62 | $77.62 | $295.12 |
Where Ohio sits
The same service costs 5.1 times more in Alabama 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· 40th of 51
$129
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.