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 $208.93 Median $1,096.48 Typical High $1,479.11 | Facility | None | $208.93 | $1,096.48 | $1,479.11 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $141.25 Median $389.05 Typical High $602.56 | Facility | TC · Technical part | $141.25 | $389.05 | $602.56 |
Aetna Setting Professional Modifier None (both parts) Typical Low $208.93 Median $208.93 Typical High $1,096.48 | Professional | None (both parts) | $208.93 | $208.93 | $1,096.48 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $66.07 Typical High $346.74 | Professional | 26 · Professional part | $66.07 | $66.07 | $346.74 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $141.25 Median $141.25 Typical High $426.58 | Professional | TC · Technical part | $141.25 | $141.25 | $426.58 |
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 $251.19 Median $309.03 Typical High $537.03 | Professional | None (both parts) | $251.19 | $309.03 | $537.03 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $83.18 Typical High $134.90 | Professional | 26 · Professional part | $70.79 | $83.18 | $134.90 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $173.78 Median $229.09 Typical High $380.19 | Professional | TC · Technical part | $173.78 | $229.09 | $380.19 |
Cigna Setting Facility Modifier None Typical Low $489.78 Median $794.33 Typical High $1,862.09 | Facility | None | $489.78 | $794.33 | $1,862.09 |
Cigna Setting Professional Modifier None (both parts) Typical Low $213.80 Median $302.00 Typical High $691.83 | Professional | None (both parts) | $213.80 | $302.00 | $691.83 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $89.13 Typical High $181.97 | Professional | 26 · Professional part | $66.07 | $89.13 | $181.97 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $147.91 Median $199.53 Typical High $467.74 | Professional | TC · Technical part | $147.91 | $199.53 | $467.74 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $489.78 Median $758.58 Typical High $1,862.09 | Facility | None | $489.78 | $758.58 | $1,862.09 |
Medical Mutual of Ohio Setting Professional Modifier None (both parts) Typical Low $213.80 Median $302.00 Typical High $691.83 | Professional | None (both parts) | $213.80 | $302.00 | $691.83 |
Medical Mutual of Ohio Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $89.13 Typical High $181.97 | Professional | 26 · Professional part | $66.07 | $89.13 | $181.97 |
Medical Mutual of Ohio Setting Professional Modifier TC · Technical part Typical Low $147.91 Median $194.98 Typical High $467.74 | Professional | TC · Technical part | $147.91 | $194.98 | $467.74 |
Molina Setting Professional Modifier None (both parts) Typical Low $72.44 Median $190.55 Typical High $288.40 | Professional | None (both parts) | $72.44 | $190.55 | $288.40 |
SummaCare Setting Professional Modifier None (both parts) Typical Low $223.87 Median $281.84 Typical High $436.52 | Professional | None (both parts) | $223.87 | $281.84 | $436.52 |
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 $218.78 Median $288.40 Typical High $588.84 | Professional | None (both parts) | $218.78 | $288.40 | $588.84 |
United Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $83.18 Typical High $190.55 | Professional | 26 · Professional part | $58.88 | $83.18 | $190.55 |
United Setting Professional Modifier TC · Technical part Typical Low $154.88 Median $213.80 Typical High $407.38 | Professional | TC · Technical part | $154.88 | $213.80 | $407.38 |
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 $120.23 Median $288.40 Typical High $741.31 | Facility | 52 · Reduced service | $120.23 | $288.40 | $741.31 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $47.86 Median $114.82 Typical High $295.12 | Facility | 53 · Discontinued | $47.86 | $114.82 | $295.12 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $165.96 Median $457.09 Typical High $1,071.52 | Facility | FX · Film X-ray | $165.96 | $457.09 | $1,071.52 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $102.33 Median $102.33 Typical High $549.54 | Professional | 52 · Reduced service | $102.33 | $102.33 | $549.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $41.69 Median $41.69 Typical High $218.78 | Professional | 53 · Discontinued | $41.69 | $41.69 | $218.78 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $165.96 Median $165.96 Typical High $549.54 | Professional | FX · Film X-ray | $165.96 | $165.96 | $549.54 |
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
$263
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.