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 $173.78 Median $851.14 Typical High $1,122.02 | Facility | None | $173.78 | $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 $173.78 Median $173.78 Typical High $851.14 | Professional | None (both parts) | $173.78 | $173.78 | $851.14 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $23.44 Typical High $52.48 | Professional | 26 · Professional part | $23.44 | $23.44 | $52.48 |
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 $93.33 Median $114.82 Typical High $213.80 | Professional | None (both parts) | $93.33 | $114.82 | $213.80 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $26.92 Typical High $44.67 | Professional | 26 · Professional part | $22.91 | $26.92 | $44.67 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $87.10 Typical High $177.83 | Professional | TC · Technical part | $69.18 | $87.10 | $177.83 |
Cigna Setting Facility Modifier None Typical Low $436.52 Median $794.33 Typical High $1,380.38 | Facility | None | $436.52 | $794.33 | $1,380.38 |
Cigna Setting Professional Modifier None (both parts) Typical Low $162.18 Median $213.80 Typical High $478.63 | Professional | None (both parts) | $162.18 | $213.80 | $478.63 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $30.90 Typical High $63.10 | Professional | 26 · Professional part | $23.44 | $30.90 | $63.10 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $138.04 Median $177.83 Typical High $436.52 | Professional | TC · Technical part | $138.04 | $177.83 | $436.52 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $436.52 Median $741.31 Typical High $1,380.38 | Facility | None | $436.52 | $741.31 | $1,380.38 |
Medical Mutual of Ohio Setting Professional Modifier None (both parts) Typical Low $162.18 Median $213.80 Typical High $467.74 | Professional | None (both parts) | $162.18 | $213.80 | $467.74 |
Medical Mutual of Ohio Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $30.90 Typical High $63.10 | Professional | 26 · Professional part | $23.44 | $30.90 | $63.10 |
Medical Mutual of Ohio Setting Professional Modifier TC · Technical part Typical Low $144.54 Median $177.83 Typical High $407.38 | Professional | TC · Technical part | $144.54 | $177.83 | $407.38 |
Molina Setting Professional Modifier None (both parts) Typical Low $123.03 Median $158.49 Typical High $218.78 | Professional | None (both parts) | $123.03 | $158.49 | $218.78 |
SummaCare Setting Professional Modifier None (both parts) Typical Low $169.82 Median $208.93 Typical High $309.03 | Professional | None (both parts) | $169.82 | $208.93 | $309.03 |
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 $109.65 Median $190.55 Typical High $501.19 | Professional | None (both parts) | $109.65 | $190.55 | $501.19 |
United Setting Professional Modifier 26 · Professional part Typical Low $18.62 Median $26.92 Typical High $67.61 | Professional | 26 · Professional part | $18.62 | $26.92 | $67.61 |
United Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $165.96 Typical High $436.52 | Professional | TC · Technical part | $91.20 | $165.96 | $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 $93.33 Median $223.87 Typical High $562.34 | Facility | 52 · Reduced service | $93.33 | $223.87 | $562.34 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $37.15 Median $89.13 Typical High $223.87 | Facility | 53 · Discontinued | $37.15 | $89.13 | $223.87 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $147.91 Median $489.78 Typical High $831.76 | Facility | FX · Film X-ray | $147.91 | $489.78 | $831.76 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $87.10 Median $87.10 Typical High $426.58 | Professional | 52 · Reduced service | $87.10 | $87.10 | $426.58 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $34.67 Median $34.67 Typical High $169.82 | Professional | 53 · Discontinued | $34.67 | $34.67 | $169.82 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $138.04 Median $138.04 Typical High $575.44 | Professional | FX · Film X-ray | $138.04 | $138.04 | $575.44 |
Where Ohio sits
The same service costs 5.5 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· 47th of 51
$166
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.