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 $181.97 Median $851.14 Typical High $1,122.02 | Facility | None | $181.97 | $851.14 | $1,122.02 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $151.36 Median $416.87 Typical High $630.96 | Facility | TC · Technical part | $151.36 | $416.87 | $630.96 |
Aetna Setting Professional Modifier None (both parts) Typical Low $181.97 Median $181.97 Typical High $851.14 | Professional | None (both parts) | $181.97 | $181.97 | $851.14 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $32.36 Typical High $154.88 | Professional | 26 · Professional part | $32.36 | $32.36 | $154.88 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $151.36 Median $151.36 Typical High $446.68 | Professional | TC · Technical part | $151.36 | $151.36 | $446.68 |
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 $144.54 Median $165.96 Typical High $295.12 | Professional | None (both parts) | $144.54 | $165.96 | $295.12 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $40.74 Typical High $66.07 | Professional | 26 · Professional part | $33.88 | $40.74 | $66.07 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $107.15 Median $151.36 Typical High $204.17 | Professional | TC · Technical part | $107.15 | $151.36 | $204.17 |
Cigna Setting Facility Modifier None Typical Low $537.03 Median $870.96 Typical High $1,380.38 | Facility | None | $537.03 | $870.96 | $1,380.38 |
Cigna Setting Professional Modifier None (both parts) Typical Low $190.55 Median $245.47 Typical High $537.03 | Professional | None (both parts) | $190.55 | $245.47 | $537.03 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $43.65 Typical High $89.13 | Professional | 26 · Professional part | $32.36 | $43.65 | $89.13 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $154.88 Median $204.17 Typical High $478.63 | Professional | TC · Technical part | $154.88 | $204.17 | $478.63 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $537.03 Median $831.76 Typical High $1,380.38 | Facility | None | $537.03 | $831.76 | $1,380.38 |
Medical Mutual of Ohio Setting Professional Modifier None (both parts) Typical Low $190.55 Median $245.47 Typical High $537.03 | Professional | None (both parts) | $190.55 | $245.47 | $537.03 |
Medical Mutual of Ohio Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $43.65 Typical High $89.13 | Professional | 26 · Professional part | $32.36 | $43.65 | $89.13 |
Medical Mutual of Ohio Setting Professional Modifier TC · Technical part Typical Low $158.49 Median $204.17 Typical High $446.68 | Professional | TC · Technical part | $158.49 | $204.17 | $446.68 |
Molina Setting Professional Modifier None (both parts) Typical Low $44.67 Median $204.17 Typical High $295.12 | Professional | None (both parts) | $44.67 | $204.17 | $295.12 |
SummaCare Setting Professional Modifier None (both parts) Typical Low $208.93 Median $263.03 Typical High $380.19 | Professional | None (both parts) | $208.93 | $263.03 | $380.19 |
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 $134.90 Median $229.09 Typical High $524.81 | Professional | None (both parts) | $134.90 | $229.09 | $524.81 |
United Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $40.74 Typical High $91.20 | Professional | 26 · Professional part | $28.18 | $40.74 | $91.20 |
United Setting Professional Modifier TC · Technical part Typical Low $120.23 Median $190.55 Typical High $436.52 | Professional | TC · Technical part | $120.23 | $190.55 | $436.52 |
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 $107.15 Median $309.03 Typical High $562.34 | Facility | 52 · Reduced service | $107.15 | $309.03 | $562.34 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $42.66 Median $123.03 Typical High $223.87 | Facility | 53 · Discontinued | $42.66 | $123.03 | $223.87 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $151.36 Median $489.78 Typical High $831.76 | Facility | FX · Film X-ray | $151.36 | $489.78 | $831.76 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $91.20 Median $91.20 Typical High $426.58 | Professional | 52 · Reduced service | $91.20 | $91.20 | $426.58 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $36.31 Median $36.31 Typical High $169.82 | Professional | 53 · Discontinued | $36.31 | $36.31 | $169.82 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $144.54 Median $144.54 Typical High $575.44 | Professional | FX · Film X-ray | $144.54 | $144.54 | $575.44 |
Where Ohio sits
The same service costs 4.6 times more in Alaska 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· 43rd of 51
$204
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.