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 $208.93 Median $851.14 Typical High $1,122.02 | Facility | None | $208.93 | $851.14 | $1,122.02 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $177.83 Median $489.78 Typical High $758.58 | Facility | TC · Technical part | $177.83 | $489.78 | $758.58 |
Aetna Setting Professional Modifier None (both parts) Typical Low $208.93 Median $208.93 Typical High $851.14 | Professional | None (both parts) | $208.93 | $208.93 | $851.14 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $30.90 Typical High $93.33 | Professional | 26 · Professional part | $30.90 | $30.90 | $93.33 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $177.83 Median $177.83 Typical High $537.03 | Professional | TC · Technical part | $177.83 | $177.83 | $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 $186.21 Median $194.98 Typical High $346.74 | Professional | None (both parts) | $186.21 | $194.98 | $346.74 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $36.31 Typical High $61.66 | Professional | 26 · Professional part | $31.62 | $36.31 | $61.66 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $151.36 Median $165.96 Typical High $288.40 | Professional | TC · Technical part | $151.36 | $165.96 | $288.40 |
Cigna Setting Facility Modifier None Typical Low $616.60 Median $1,023.29 Typical High $1,412.54 | Facility | None | $616.60 | $1,023.29 | $1,412.54 |
Cigna Setting Professional Modifier None (both parts) Typical Low $208.93 Median $275.42 Typical High $602.56 | Professional | None (both parts) | $208.93 | $275.42 | $602.56 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $41.69 Typical High $87.10 | Professional | 26 · Professional part | $30.90 | $41.69 | $87.10 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $177.83 Median $234.42 Typical High $562.34 | Professional | TC · Technical part | $177.83 | $234.42 | $562.34 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $616.60 Median $954.99 Typical High $1,412.54 | Facility | None | $616.60 | $954.99 | $1,412.54 |
Medical Mutual of Ohio Setting Professional Modifier None (both parts) Typical Low $208.93 Median $281.84 Typical High $602.56 | Professional | None (both parts) | $208.93 | $281.84 | $602.56 |
Medical Mutual of Ohio Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $41.69 Typical High $87.10 | Professional | 26 · Professional part | $30.90 | $41.69 | $87.10 |
Medical Mutual of Ohio Setting Professional Modifier TC · Technical part Typical Low $177.83 Median $234.42 Typical High $524.81 | Professional | TC · Technical part | $177.83 | $234.42 | $524.81 |
Molina Setting Professional Modifier None (both parts) Typical Low $44.67 Median $239.88 Typical High $346.74 | Professional | None (both parts) | $44.67 | $239.88 | $346.74 |
SummaCare Setting Professional Modifier None (both parts) Typical Low $218.78 Median $275.42 Typical High $398.11 | Professional | None (both parts) | $218.78 | $275.42 | $398.11 |
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 $173.78 Median $245.47 Typical High $602.56 | Professional | None (both parts) | $173.78 | $245.47 | $602.56 |
United Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $37.15 Typical High $89.13 | Professional | 26 · Professional part | $25.70 | $37.15 | $89.13 |
United Setting Professional Modifier TC · Technical part Typical Low $147.91 Median $213.80 Typical High $512.86 | Professional | TC · Technical part | $147.91 | $213.80 | $512.86 |
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 $120.23 Median $288.40 Typical High $562.34 | Facility | 52 · Reduced service | $120.23 | $288.40 | $562.34 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $47.86 Median $117.49 Typical High $223.87 | Facility | 53 · Discontinued | $47.86 | $117.49 | $223.87 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $177.83 Median $575.44 Typical High $831.76 | Facility | FX · Film X-ray | $177.83 | $575.44 | $831.76 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $104.71 Median $104.71 Typical High $426.58 | Professional | 52 · Reduced service | $104.71 | $104.71 | $426.58 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $41.69 Median $41.69 Typical High $169.82 | Professional | 53 · Discontinued | $41.69 | $41.69 | $169.82 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $165.96 Median $165.96 Typical High $676.08 | Professional | FX · Film X-ray | $165.96 | $165.96 | $676.08 |
Where Ohio sits
The same service costs 4.2 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· 43rd of 51
$240
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.