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 $154.88 Median $1,096.48 Typical High $1,479.11 | Facility | None | $154.88 | $1,096.48 | $1,479.11 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $109.65 Median $302.00 Typical High $467.74 | Facility | TC · Technical part | $109.65 | $302.00 | $467.74 |
Aetna Setting Professional Modifier None (both parts) Typical Low $154.88 Median $154.88 Typical High $1,096.48 | Professional | None (both parts) | $154.88 | $154.88 | $1,096.48 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $43.65 Typical High $123.03 | Professional | 26 · Professional part | $43.65 | $43.65 | $123.03 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $109.65 Median $109.65 Typical High $331.13 | Professional | TC · Technical part | $109.65 | $109.65 | $331.13 |
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 $186.21 Median $218.78 Typical High $380.19 | Professional | None (both parts) | $186.21 | $218.78 | $380.19 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $54.95 Typical High $91.20 | Professional | 26 · Professional part | $46.77 | $54.95 | $91.20 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $131.83 Median $165.96 Typical High $281.84 | Professional | TC · Technical part | $131.83 | $165.96 | $281.84 |
Cigna Setting Facility Modifier None Typical Low $380.19 Median $616.60 Typical High $1,862.09 | Facility | None | $380.19 | $616.60 | $1,862.09 |
Cigna Setting Professional Modifier None (both parts) Typical Low $154.88 Median $213.80 Typical High $467.74 | Professional | None (both parts) | $154.88 | $213.80 | $467.74 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $58.88 Typical High $123.03 | Professional | 26 · Professional part | $44.67 | $58.88 | $123.03 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $112.20 Median $154.88 Typical High $363.08 | Professional | TC · Technical part | $112.20 | $154.88 | $363.08 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $380.19 Median $588.84 Typical High $1,862.09 | Facility | None | $380.19 | $588.84 | $1,862.09 |
Medical Mutual of Ohio Setting Professional Modifier None (both parts) Typical Low $154.88 Median $213.80 Typical High $467.74 | Professional | None (both parts) | $154.88 | $213.80 | $467.74 |
Medical Mutual of Ohio Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $58.88 Typical High $123.03 | Professional | 26 · Professional part | $44.67 | $58.88 | $123.03 |
Medical Mutual of Ohio Setting Professional Modifier TC · Technical part Typical Low $112.20 Median $151.36 Typical High $363.08 | Professional | TC · Technical part | $112.20 | $151.36 | $363.08 |
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 $165.96 Median $208.93 Typical High $316.23 | Professional | None (both parts) | $165.96 | $208.93 | $316.23 |
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 $162.18 Median $204.17 Typical High $446.68 | Professional | None (both parts) | $162.18 | $204.17 | $446.68 |
United Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $54.95 Typical High $125.89 | Professional | 26 · Professional part | $39.81 | $54.95 | $125.89 |
United Setting Professional Modifier TC · Technical part Typical Low $117.49 Median $154.88 Typical High $316.23 | Professional | TC · Technical part | $117.49 | $154.88 | $316.23 |
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 $87.10 Median $190.55 Typical High $741.31 | Facility | 52 · Reduced service | $87.10 | $190.55 | $741.31 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $35.48 Median $75.86 Typical High $295.12 | Facility | 53 · Discontinued | $35.48 | $75.86 | $295.12 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $123.03 Median $354.81 Typical High $1,071.52 | Facility | FX · Film X-ray | $123.03 | $354.81 | $1,071.52 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $77.62 Median $77.62 Typical High $549.54 | Professional | 52 · Reduced service | $77.62 | $77.62 | $549.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $30.90 Median $30.90 Typical High $218.78 | Professional | 53 · Discontinued | $30.90 | $30.90 | $218.78 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $123.03 Median $123.03 Typical High $426.58 | Professional | FX · Film X-ray | $123.03 | $123.03 | $426.58 |
Where Ohio sits
The same service costs 4.8 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· 38th of 51
$214
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.