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 $190.55 Median $1,096.48 Typical High $1,479.11 | Facility | None | $190.55 | $1,096.48 | $1,479.11 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $147.91 Median $407.38 Typical High $630.96 | Facility | TC · Technical part | $147.91 | $407.38 | $630.96 |
Aetna Setting Professional Modifier None (both parts) Typical Low $190.55 Median $190.55 Typical High $1,096.48 | Professional | None (both parts) | $190.55 | $190.55 | $1,096.48 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $40.74 Typical High $218.78 | Professional | 26 · Professional part | $40.74 | $40.74 | $218.78 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $147.91 Median $147.91 Typical High $446.68 | Professional | TC · Technical part | $147.91 | $147.91 | $446.68 |
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 $194.98 Median $234.42 Typical High $407.38 | Professional | None (both parts) | $194.98 | $234.42 | $407.38 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $51.29 Typical High $83.18 | Professional | 26 · Professional part | $43.65 | $51.29 | $83.18 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $151.36 Median $186.21 Typical High $316.23 | Professional | TC · Technical part | $151.36 | $186.21 | $316.23 |
Cigna Setting Facility Modifier None Typical Low $512.86 Median $812.83 Typical High $1,862.09 | Facility | None | $512.86 | $812.83 | $1,862.09 |
Cigna Setting Professional Modifier None (both parts) Typical Low $194.98 Median $263.03 Typical High $588.84 | Professional | None (both parts) | $194.98 | $263.03 | $588.84 |
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 $154.88 Median $208.93 Typical High $467.74 | Professional | TC · Technical part | $154.88 | $208.93 | $467.74 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $524.81 Median $812.83 Typical High $1,862.09 | Facility | None | $524.81 | $812.83 | $1,862.09 |
Medical Mutual of Ohio Setting Professional Modifier None (both parts) Typical Low $194.98 Median $269.15 Typical High $549.54 | Professional | None (both parts) | $194.98 | $269.15 | $549.54 |
Medical Mutual of Ohio 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 |
Medical Mutual of Ohio Setting Professional Modifier TC · Technical part Typical Low $154.88 Median $208.93 Typical High $436.52 | Professional | TC · Technical part | $154.88 | $208.93 | $436.52 |
Molina Setting Professional Modifier None (both parts) Typical Low $44.67 Median $204.17 Typical High $295.12 | Professional | None (both parts) | $44.67 | $204.17 | $295.12 |
SummaCare Setting Professional Modifier None (both parts) Typical Low $208.93 Median $257.04 Typical High $380.19 | Professional | None (both parts) | $208.93 | $257.04 | $380.19 |
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 $181.97 Median $257.04 Typical High $549.54 | Professional | None (both parts) | $181.97 | $257.04 | $549.54 |
United Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $51.29 Typical High $117.49 | Professional | 26 · Professional part | $36.31 | $51.29 | $117.49 |
United Setting Professional Modifier TC · Technical part Typical Low $144.54 Median $204.17 Typical High $426.58 | Professional | TC · Technical part | $144.54 | $204.17 | $426.58 |
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 $109.65 Median $302.00 Typical High $741.31 | Facility | 52 · Reduced service | $109.65 | $302.00 | $741.31 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $44.67 Median $120.23 Typical High $295.12 | Facility | 53 · Discontinued | $44.67 | $120.23 | $295.12 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $151.36 Median $478.63 Typical High $1,071.52 | Facility | FX · Film X-ray | $151.36 | $478.63 | $1,071.52 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $95.50 Median $95.50 Typical High $549.54 | Professional | 52 · Reduced service | $95.50 | $95.50 | $549.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $38.02 Median $38.02 Typical High $218.78 | Professional | 53 · Discontinued | $38.02 | $38.02 | $218.78 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $151.36 Median $151.36 Typical High $575.44 | Professional | FX · Film X-ray | $151.36 | $151.36 | $575.44 |
Where Ohio sits
The same service costs 4.6 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
$229
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.