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 $295.12 Median $1,047.13 Typical High $1,122.02 | Facility | None | $295.12 | $1,047.13 | $1,122.02 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $251.19 Median $676.08 Typical High $1,047.13 | Facility | TC · Technical part | $251.19 | $676.08 | $1,047.13 |
Aetna Setting Professional Modifier None (both parts) Typical Low $295.12 Median $524.81 Typical High $1,122.02 | Professional | None (both parts) | $295.12 | $524.81 | $1,122.02 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $72.44 Typical High $186.21 | Professional | 26 · Professional part | $44.67 | $72.44 | $186.21 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $251.19 Median $407.38 Typical High $954.99 | Professional | TC · Technical part | $251.19 | $407.38 | $954.99 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $35.48 Typical High $35.48 | Professional | 26 · Professional part | $35.48 | $35.48 | $35.48 |
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 $229.09 Median $257.04 Typical High $446.68 | Professional | None (both parts) | $229.09 | $257.04 | $446.68 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $52.48 Typical High $89.13 | Professional | 26 · Professional part | $45.71 | $52.48 | $89.13 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $181.97 Median $204.17 Typical High $363.08 | Professional | TC · Technical part | $181.97 | $204.17 | $363.08 |
Cigna Setting Facility Modifier None Typical Low $831.76 Median $1,348.96 Typical High $1,995.26 | Facility | None | $831.76 | $1,348.96 | $1,995.26 |
Cigna Setting Professional Modifier None (both parts) Typical Low $295.12 Median $389.05 Typical High $831.76 | Professional | None (both parts) | $295.12 | $389.05 | $831.76 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $60.26 Typical High $125.89 | Professional | 26 · Professional part | $45.71 | $60.26 | $125.89 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $251.19 Median $331.13 Typical High $776.25 | Professional | TC · Technical part | $251.19 | $331.13 | $776.25 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $870.96 Median $1,348.96 Typical High $1,995.26 | Facility | None | $870.96 | $1,348.96 | $1,995.26 |
Medical Mutual of Ohio Setting Professional Modifier None (both parts) Typical Low $295.12 Median $389.05 Typical High $831.76 | Professional | None (both parts) | $295.12 | $389.05 | $831.76 |
Medical Mutual of Ohio Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $60.26 Typical High $125.89 | Professional | 26 · Professional part | $45.71 | $60.26 | $125.89 |
Medical Mutual of Ohio Setting Professional Modifier TC · Technical part Typical Low $257.04 Median $331.13 Typical High $724.44 | Professional | TC · Technical part | $257.04 | $331.13 | $724.44 |
Molina Setting Professional Modifier None (both parts) Typical Low $44.67 Median $316.23 Typical High $457.09 | Professional | None (both parts) | $44.67 | $316.23 | $457.09 |
SummaCare Setting Professional Modifier None (both parts) Typical Low $309.03 Median $389.05 Typical High $562.34 | Professional | None (both parts) | $309.03 | $389.05 | $562.34 |
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 $213.80 Median $354.81 Typical High $851.14 | Professional | None (both parts) | $213.80 | $354.81 | $851.14 |
United Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $53.70 Typical High $128.82 | Professional | 26 · Professional part | $37.15 | $53.70 | $128.82 |
United Setting Professional Modifier TC · Technical part Typical Low $181.97 Median $309.03 Typical High $707.95 | Professional | TC · Technical part | $181.97 | $309.03 | $707.95 |
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 $169.82 Median $426.58 Typical High $562.34 | Facility | 52 · Reduced service | $169.82 | $426.58 | $562.34 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $67.61 Median $169.82 Typical High $223.87 | Facility | 53 · Discontinued | $67.61 | $169.82 | $223.87 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $251.19 Median $676.08 Typical High $831.76 | Facility | FX · Film X-ray | $251.19 | $676.08 | $831.76 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $147.91 Median $147.91 Typical High $562.34 | Professional | 52 · Reduced service | $147.91 | $147.91 | $562.34 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $58.88 Median $58.88 Typical High $223.87 | Professional | 53 · Discontinued | $58.88 | $58.88 | $223.87 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $234.42 Median $234.42 Typical High $812.83 | Professional | FX · Film X-ray | $234.42 | $234.42 | $812.83 |
Where Ohio sits
The same service costs 3.8 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· 46th of 51
$324
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.