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 $346.74 Median $812.83 Typical High $1,122.02 | Facility | None | $346.74 | $812.83 | $1,122.02 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $48.98 Median $87.10 Typical High $165.96 | Facility | 26 · Professional part | $48.98 | $87.10 | $165.96 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $295.12 Median $660.69 Typical High $933.25 | Facility | TC · Technical part | $295.12 | $660.69 | $933.25 |
Aetna Setting Professional Modifier None (both parts) Typical Low $288.40 Median $537.03 Typical High $1,047.13 | Professional | None (both parts) | $288.40 | $537.03 | $1,047.13 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $81.28 Typical High $165.96 | Professional | 26 · Professional part | $45.71 | $81.28 | $165.96 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $245.47 Median $446.68 Typical High $831.76 | Professional | TC · Technical part | $245.47 | $446.68 | $831.76 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $36.31 Typical High $38.02 | Professional | 26 · Professional part | $36.31 | $36.31 | $38.02 |
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 $251.19 Typical High $446.68 | Professional | None (both parts) | $229.09 | $251.19 | $446.68 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $54.95 Typical High $91.20 | Professional | 26 · Professional part | $46.77 | $54.95 | $91.20 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $177.83 Median $194.98 Typical High $354.81 | Professional | TC · Technical part | $177.83 | $194.98 | $354.81 |
Cigna Setting Facility Modifier None Typical Low $870.96 Median $1,380.38 Typical High $1,949.84 | Facility | None | $870.96 | $1,380.38 | $1,949.84 |
Cigna Setting Professional Modifier None (both parts) Typical Low $295.12 Median $380.19 Typical High $831.76 | Professional | None (both parts) | $295.12 | $380.19 | $831.76 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $61.66 Typical High $128.82 | Professional | 26 · Professional part | $46.77 | $61.66 | $128.82 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $245.47 Median $323.59 Typical High $776.25 | Professional | TC · Technical part | $245.47 | $323.59 | $776.25 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $870.96 Median $1,258.93 Typical High $1,949.84 | Facility | None | $870.96 | $1,258.93 | $1,949.84 |
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 $46.77 Median $64.57 Typical High $141.25 | Professional | 26 · Professional part | $46.77 | $64.57 | $141.25 |
Medical Mutual of Ohio Setting Professional Modifier TC · Technical part Typical Low $251.19 Median $323.59 Typical High $707.95 | Professional | TC · Technical part | $251.19 | $323.59 | $707.95 |
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 $380.19 Typical High $562.34 | Professional | None (both parts) | $309.03 | $380.19 | $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 $831.76 | Professional | None (both parts) | $213.80 | $354.81 | $831.76 |
United Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $56.23 Typical High $131.83 | Professional | 26 · Professional part | $38.90 | $56.23 | $131.83 |
United Setting Professional Modifier TC · Technical part Typical Low $181.97 Median $302.00 Typical High $707.95 | Professional | TC · Technical part | $181.97 | $302.00 | $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 $165.96 Median $398.11 Typical High $562.34 | Facility | 52 · Reduced service | $165.96 | $398.11 | $562.34 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $67.61 Median $158.49 Typical High $223.87 | Facility | 53 · Discontinued | $67.61 | $158.49 | $223.87 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $245.47 Median $676.08 Typical High $831.76 | Facility | FX · Film X-ray | $245.47 | $676.08 | $831.76 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $144.54 Median $144.54 Typical High $512.86 | Professional | 52 · Reduced service | $144.54 | $144.54 | $512.86 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $58.88 Median $58.88 Typical High $208.93 | Professional | 53 · Discontinued | $58.88 | $58.88 | $208.93 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $234.42 Median $234.42 Typical High $794.33 | Professional | FX · Film X-ray | $234.42 | $234.42 | $794.33 |
Where Ohio sits
The same service costs 4.7 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· 43rd 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.