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 $169.82 Median $1,096.48 Typical High $1,479.11 | Facility | None | $169.82 | $1,096.48 | $1,479.11 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $134.90 Median $371.54 Typical High $562.34 | Facility | TC · Technical part | $134.90 | $371.54 | $562.34 |
Aetna Setting Professional Modifier None (both parts) Typical Low $169.82 Median $169.82 Typical High $1,096.48 | Professional | None (both parts) | $169.82 | $169.82 | $1,096.48 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $35.48 Typical High $66.07 | Professional | 26 · Professional part | $35.48 | $35.48 | $66.07 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $134.90 Median $134.90 Typical High $398.11 | Professional | TC · Technical part | $134.90 | $134.90 | $398.11 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,148.15 Median $1,348.96 Typical High $2,398.83 | Facility | None | $1,148.15 | $1,348.96 | $2,398.83 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $173.78 Median $181.97 Typical High $316.23 | Professional | None (both parts) | $173.78 | $181.97 | $316.23 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $44.67 Typical High $72.44 | Professional | 26 · Professional part | $38.02 | $44.67 | $72.44 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $123.03 Median $144.54 Typical High $239.88 | Professional | TC · Technical part | $123.03 | $144.54 | $239.88 |
Cigna Setting Facility Modifier None Typical Low $457.09 Median $724.44 Typical High $1,862.09 | Facility | None | $457.09 | $724.44 | $1,862.09 |
Cigna Setting Professional Modifier None (both parts) Typical Low $169.82 Median $223.87 Typical High $524.81 | Professional | None (both parts) | $169.82 | $223.87 | $524.81 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $47.86 Typical High $100.00 | Professional | 26 · Professional part | $35.48 | $47.86 | $100.00 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $134.90 Median $177.83 Typical High $416.87 | Professional | TC · Technical part | $134.90 | $177.83 | $416.87 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $457.09 Median $724.44 Typical High $1,862.09 | Facility | None | $457.09 | $724.44 | $1,862.09 |
Medical Mutual of Ohio Setting Professional Modifier None (both parts) Typical Low $169.82 Median $234.42 Typical High $478.63 | Professional | None (both parts) | $169.82 | $234.42 | $478.63 |
Medical Mutual of Ohio Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $47.86 Typical High $100.00 | Professional | 26 · Professional part | $35.48 | $47.86 | $100.00 |
Medical Mutual of Ohio Setting Professional Modifier TC · Technical part Typical Low $134.90 Median $177.83 Typical High $389.05 | Professional | TC · Technical part | $134.90 | $177.83 | $389.05 |
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 $186.21 Median $234.42 Typical High $338.84 | Professional | None (both parts) | $186.21 | $234.42 | $338.84 |
United Setting Facility Modifier None Typical Low $1,122.02 Median $1,288.25 Typical High $1,862.09 | Facility | None | $1,122.02 | $1,288.25 | $1,862.09 |
United Setting Professional Modifier None (both parts) Typical Low $158.49 Median $218.78 Typical High $489.78 | Professional | None (both parts) | $158.49 | $218.78 | $489.78 |
United Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $44.67 Typical High $102.33 | Professional | 26 · Professional part | $31.62 | $44.67 | $102.33 |
United Setting Professional Modifier TC · Technical part Typical Low $125.89 Median $173.78 Typical High $389.05 | Professional | TC · Technical part | $125.89 | $173.78 | $389.05 |
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 $97.72 Median $199.53 Typical High $741.31 | Facility | 52 · Reduced service | $97.72 | $199.53 | $741.31 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $38.90 Median $79.43 Typical High $295.12 | Facility | 53 · Discontinued | $38.90 | $79.43 | $295.12 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $134.90 Median $436.52 Typical High $1,071.52 | Facility | FX · Film X-ray | $134.90 | $436.52 | $1,071.52 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $85.11 Median $85.11 Typical High $549.54 | Professional | 52 · Reduced service | $85.11 | $85.11 | $549.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $33.88 Median $33.88 Typical High $218.78 | Professional | 53 · Discontinued | $33.88 | $33.88 | $218.78 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $134.90 Median $134.90 Typical High $512.86 | Professional | FX · Film X-ray | $134.90 | $134.90 | $512.86 |
Where Ohio sits
The same service costs 4.7 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
$200
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.