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 $162.18 Median $851.14 Typical High $1,122.02 | Facility | None | $162.18 | $851.14 | $1,122.02 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $125.89 Median $346.74 Typical High $537.03 | Facility | TC · Technical part | $125.89 | $346.74 | $537.03 |
Aetna Setting Professional Modifier None (both parts) Typical Low $162.18 Median $446.68 Typical High $616.60 | Professional | None (both parts) | $162.18 | $446.68 | $616.60 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $40.74 Typical High $141.25 | Professional | 26 · Professional part | $34.67 | $40.74 | $141.25 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $125.89 Median $173.78 Typical High $467.74 | Professional | TC · Technical part | $125.89 | $173.78 | $467.74 |
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 $125.89 Median $144.54 Typical High $263.03 | Professional | None (both parts) | $125.89 | $144.54 | $263.03 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $43.65 Typical High $72.44 | Professional | 26 · Professional part | $37.15 | $43.65 | $72.44 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $102.33 Typical High $186.21 | Professional | TC · Technical part | $85.11 | $102.33 | $186.21 |
Cigna Setting Facility Modifier None Typical Low $426.58 Median $724.44 Typical High $1,380.38 | Facility | None | $426.58 | $724.44 | $1,380.38 |
Cigna Setting Professional Modifier None (both parts) Typical Low $162.18 Median $208.93 Typical High $457.09 | Professional | None (both parts) | $162.18 | $208.93 | $457.09 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $46.77 Typical High $97.72 | Professional | 26 · Professional part | $34.67 | $46.77 | $97.72 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $125.89 Median $165.96 Typical High $389.05 | Professional | TC · Technical part | $125.89 | $165.96 | $389.05 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $426.58 Median $676.08 Typical High $1,380.38 | Facility | None | $426.58 | $676.08 | $1,380.38 |
Medical Mutual of Ohio Setting Professional Modifier None (both parts) Typical Low $162.18 Median $208.93 Typical High $446.68 | Professional | None (both parts) | $162.18 | $208.93 | $446.68 |
Medical Mutual of Ohio Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $46.77 Typical High $97.72 | Professional | 26 · Professional part | $34.67 | $46.77 | $97.72 |
Medical Mutual of Ohio Setting Professional Modifier TC · Technical part Typical Low $128.82 Median $165.96 Typical High $354.81 | Professional | TC · Technical part | $128.82 | $165.96 | $354.81 |
Molina Setting Professional Modifier None (both parts) Typical Low $44.67 Median $165.96 Typical High $245.47 | Professional | None (both parts) | $44.67 | $165.96 | $245.47 |
SummaCare Setting Professional Modifier None (both parts) Typical Low $173.78 Median $218.78 Typical High $316.23 | Professional | None (both parts) | $173.78 | $218.78 | $316.23 |
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 $120.23 Median $194.98 Typical High $467.74 | Professional | None (both parts) | $120.23 | $194.98 | $467.74 |
United Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $43.65 Typical High $100.00 | Professional | 26 · Professional part | $30.90 | $43.65 | $100.00 |
United Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $154.88 Typical High $363.08 | Professional | TC · Technical part | $95.50 | $154.88 | $363.08 |
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 $93.33 Median $257.04 Typical High $562.34 | Facility | 52 · Reduced service | $93.33 | $257.04 | $562.34 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $37.15 Median $102.33 Typical High $223.87 | Facility | 53 · Discontinued | $37.15 | $102.33 | $223.87 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $128.82 Median $407.38 Typical High $831.76 | Facility | FX · Film X-ray | $128.82 | $407.38 | $831.76 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $79.43 Median $79.43 Typical High $426.58 | Professional | 52 · Reduced service | $79.43 | $79.43 | $426.58 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $32.36 Median $32.36 Typical High $169.82 | Professional | 53 · Discontinued | $32.36 | $32.36 | $169.82 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $128.82 Median $128.82 Typical High $489.78 | Professional | FX · Film X-ray | $128.82 | $128.82 | $489.78 |
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
$174
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.