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 $177.83 Median $851.14 Typical High $1,122.02 | Facility | None | $177.83 | $851.14 | $1,122.02 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $138.04 Median $380.19 Typical High $575.44 | Facility | TC · Technical part | $138.04 | $380.19 | $575.44 |
Aetna Setting Professional Modifier None (both parts) Typical Low $177.83 Median $177.83 Typical High $851.14 | Professional | None (both parts) | $177.83 | $177.83 | $851.14 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $41.69 Typical High $141.25 | Professional | 26 · Professional part | $41.69 | $41.69 | $141.25 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $138.04 Median $138.04 Typical High $407.38 | Professional | TC · Technical part | $138.04 | $138.04 | $407.38 |
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 $169.82 Median $186.21 Typical High $309.03 | Professional | None (both parts) | $169.82 | $186.21 | $309.03 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $48.98 Typical High $81.28 | Professional | 26 · Professional part | $42.66 | $48.98 | $81.28 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $123.03 Median $134.90 Typical High $234.42 | Professional | TC · Technical part | $123.03 | $134.90 | $234.42 |
Cigna Setting Facility Modifier None Typical Low $363.08 Median $794.33 Typical High $1,380.38 | Facility | None | $363.08 | $794.33 | $1,380.38 |
Cigna Setting Professional Modifier None (both parts) Typical Low $181.97 Median $229.09 Typical High $489.78 | Professional | None (both parts) | $181.97 | $229.09 | $489.78 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $54.95 Typical High $114.82 | Professional | 26 · Professional part | $41.69 | $54.95 | $114.82 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $138.04 Median $177.83 Typical High $389.05 | Professional | TC · Technical part | $138.04 | $177.83 | $389.05 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $363.08 Median $741.31 Typical High $1,380.38 | Facility | None | $363.08 | $741.31 | $1,380.38 |
Medical Mutual of Ohio Setting Professional Modifier None (both parts) Typical Low $181.97 Median $234.42 Typical High $489.78 | Professional | None (both parts) | $181.97 | $234.42 | $489.78 |
Medical Mutual of Ohio Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $56.23 Typical High $114.82 | Professional | 26 · Professional part | $41.69 | $56.23 | $114.82 |
Medical Mutual of Ohio Setting Professional Modifier TC · Technical part Typical Low $138.04 Median $181.97 Typical High $380.19 | Professional | TC · Technical part | $138.04 | $181.97 | $380.19 |
Molina Setting Professional Modifier None (both parts) Typical Low $44.67 Median $186.21 Typical High $288.40 | Professional | None (both parts) | $44.67 | $186.21 | $288.40 |
SummaCare Setting Professional Modifier None (both parts) Typical Low $190.55 Median $234.42 Typical High $346.74 | Professional | None (both parts) | $190.55 | $234.42 | $346.74 |
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 $154.88 Median $213.80 Typical High $512.86 | Professional | None (both parts) | $154.88 | $213.80 | $512.86 |
United Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $50.12 Typical High $120.23 | Professional | 26 · Professional part | $33.88 | $50.12 | $120.23 |
United Setting Professional Modifier TC · Technical part Typical Low $120.23 Median $165.96 Typical High $398.11 | Professional | TC · Technical part | $120.23 | $165.96 | $398.11 |
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 $102.33 Median $263.03 Typical High $562.34 | Facility | 52 · Reduced service | $102.33 | $263.03 | $562.34 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $41.69 Median $104.71 Typical High $223.87 | Facility | 53 · Discontinued | $41.69 | $104.71 | $223.87 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $141.25 Median $446.68 Typical High $831.76 | Facility | FX · Film X-ray | $141.25 | $446.68 | $831.76 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $89.13 Median $89.13 Typical High $426.58 | Professional | 52 · Reduced service | $89.13 | $89.13 | $426.58 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $35.48 Median $35.48 Typical High $169.82 | Professional | 53 · Discontinued | $35.48 | $35.48 | $169.82 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $141.25 Median $141.25 Typical High $524.81 | Professional | FX · Film X-ray | $141.25 | $141.25 | $524.81 |
Where Ohio sits
The same service costs 5.0 times more in Alaska than in Texas. 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· 44th of 51
$195
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.