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 $194.98 Median $851.14 Typical High $1,122.02 | Facility | None | $194.98 | $851.14 | $1,122.02 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $144.54 Median $398.11 Typical High $602.56 | Facility | TC · Technical part | $144.54 | $398.11 | $602.56 |
Aetna Setting Professional Modifier None (both parts) Typical Low $194.98 Median $194.98 Typical High $851.14 | Professional | None (both parts) | $194.98 | $194.98 | $851.14 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $53.70 Typical High $239.88 | Professional | 26 · Professional part | $53.70 | $53.70 | $239.88 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $144.54 Median $144.54 Typical High $426.58 | Professional | TC · Technical part | $144.54 | $144.54 | $426.58 |
Anthem BCBS Setting Facility Modifier None Typical Low $891.25 Median $1,023.29 Typical High $2,398.83 | Facility | None | $891.25 | $1,023.29 | $2,398.83 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $234.42 Median $275.42 Typical High $467.74 | Professional | None (both parts) | $234.42 | $275.42 | $467.74 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $66.07 Typical High $109.65 | Professional | 26 · Professional part | $56.23 | $66.07 | $109.65 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $177.83 Median $208.93 Typical High $354.81 | Professional | TC · Technical part | $177.83 | $208.93 | $354.81 |
Cigna Setting Facility Modifier None Typical Low $489.78 Median $812.83 Typical High $1,380.38 | Facility | None | $489.78 | $812.83 | $1,380.38 |
Cigna Setting Professional Modifier None (both parts) Typical Low $199.53 Median $275.42 Typical High $602.56 | Professional | None (both parts) | $199.53 | $275.42 | $602.56 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $70.79 Typical High $147.91 | Professional | 26 · Professional part | $53.70 | $70.79 | $147.91 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $147.91 Median $199.53 Typical High $478.63 | Professional | TC · Technical part | $147.91 | $199.53 | $478.63 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $489.78 Median $776.25 Typical High $1,380.38 | Facility | None | $489.78 | $776.25 | $1,380.38 |
Medical Mutual of Ohio Setting Professional Modifier None (both parts) Typical Low $199.53 Median $275.42 Typical High $602.56 | Professional | None (both parts) | $199.53 | $275.42 | $602.56 |
Medical Mutual of Ohio Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $70.79 Typical High $147.91 | Professional | 26 · Professional part | $53.70 | $70.79 | $147.91 |
Medical Mutual of Ohio Setting Professional Modifier TC · Technical part Typical Low $147.91 Median $199.53 Typical High $478.63 | Professional | TC · Technical part | $147.91 | $199.53 | $478.63 |
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 $213.80 Median $269.15 Typical High $398.11 | Professional | None (both parts) | $213.80 | $269.15 | $398.11 |
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 $208.93 Median $263.03 Typical High $562.34 | Professional | None (both parts) | $208.93 | $263.03 | $562.34 |
United Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $66.07 Typical High $151.36 | Professional | 26 · Professional part | $46.77 | $66.07 | $151.36 |
United Setting Professional Modifier TC · Technical part Typical Low $151.36 Median $199.53 Typical High $416.87 | Professional | TC · Technical part | $151.36 | $199.53 | $416.87 |
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 $114.82 Median $295.12 Typical High $562.34 | Facility | 52 · Reduced service | $114.82 | $295.12 | $562.34 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $45.71 Median $117.49 Typical High $223.87 | Facility | 53 · Discontinued | $45.71 | $117.49 | $223.87 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $158.49 Median $467.74 Typical High $831.76 | Facility | FX · Film X-ray | $158.49 | $467.74 | $831.76 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $97.72 Median $97.72 Typical High $426.58 | Professional | 52 · Reduced service | $97.72 | $97.72 | $426.58 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $38.90 Median $38.90 Typical High $169.82 | Professional | 53 · Discontinued | $38.90 | $38.90 | $169.82 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $158.49 Median $158.49 Typical High $562.34 | Professional | FX · Film X-ray | $158.49 | $158.49 | $562.34 |
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· 40th 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.