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 $39.81 Median $64.57 Typical High $218.78 | Facility | None | $39.81 | $64.57 | $218.78 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $17.38 Median $47.86 Typical High $74.13 | Facility | TC · Technical part | $17.38 | $47.86 | $74.13 |
Aetna Setting Professional Modifier None (both parts) Typical Low $39.81 Median $39.81 Typical High $245.47 | Professional | None (both parts) | $39.81 | $39.81 | $245.47 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $22.39 Median $22.39 Typical High $162.18 | Professional | 26 · Professional part | $22.39 | $22.39 | $162.18 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $17.38 Median $17.38 Typical High $58.88 | Professional | TC · Technical part | $17.38 | $17.38 | $58.88 |
Anthem BCBS Setting Facility Modifier None Typical Low $54.95 Median $64.57 Typical High $75.86 | Facility | None | $54.95 | $64.57 | $75.86 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $52.48 Median $107.15 Typical High $169.82 | Professional | None (both parts) | $52.48 | $107.15 | $169.82 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $24.55 Median $28.18 Typical High $54.95 | Professional | 26 · Professional part | $24.55 | $28.18 | $54.95 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $25.12 Median $77.62 Typical High $125.89 | Professional | TC · Technical part | $25.12 | $77.62 | $125.89 |
Cigna Setting Facility Modifier None Typical Low $58.88 Median $58.88 Typical High $58.88 | Facility | None | $58.88 | $58.88 | $58.88 |
Cigna Setting Professional Modifier None (both parts) Typical Low $38.90 Median $58.88 Typical High $154.88 | Professional | None (both parts) | $38.90 | $58.88 | $154.88 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $22.39 Median $30.20 Typical High $61.66 | Professional | 26 · Professional part | $22.39 | $30.20 | $61.66 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $16.60 Median $27.54 Typical High $128.82 | Professional | TC · Technical part | $16.60 | $27.54 | $128.82 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $56.23 Median $58.88 Typical High $58.88 | Facility | None | $56.23 | $58.88 | $58.88 |
Medical Mutual of Ohio Setting Professional Modifier None (both parts) Typical Low $38.90 Median $58.88 Typical High $263.03 | Professional | None (both parts) | $38.90 | $58.88 | $263.03 |
Medical Mutual of Ohio Setting Professional Modifier 26 · Professional part Typical Low $22.39 Median $30.20 Typical High $61.66 | Professional | 26 · Professional part | $22.39 | $30.20 | $61.66 |
Medical Mutual of Ohio Setting Professional Modifier TC · Technical part Typical Low $16.60 Median $26.92 Typical High $102.33 | Professional | TC · Technical part | $16.60 | $26.92 | $102.33 |
Molina Setting Professional Modifier None (both parts) Typical Low $30.90 Median $39.81 Typical High $53.70 | Professional | None (both parts) | $30.90 | $39.81 | $53.70 |
SummaCare Setting Professional Modifier None (both parts) Typical Low $44.67 Median $54.95 Typical High $109.65 | Professional | None (both parts) | $44.67 | $54.95 | $109.65 |
United Setting Professional Modifier None (both parts) Typical Low $41.69 Median $79.43 Typical High $181.97 | Professional | None (both parts) | $41.69 | $79.43 | $181.97 |
United Setting Professional Modifier 26 · Professional part Typical Low $19.95 Median $28.18 Typical High $64.57 | Professional | 26 · Professional part | $19.95 | $28.18 | $64.57 |
United Setting Professional Modifier TC · Technical part Typical Low $17.78 Median $34.67 Typical High $120.23 | Professional | TC · Technical part | $17.78 | $34.67 | $120.23 |
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 $19.95 Median $26.30 Typical High $36.31 | Facility | 52 · Reduced service | $19.95 | $26.30 | $36.31 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $7.94 Median $10.72 Typical High $14.79 | Facility | 53 · Discontinued | $7.94 | $10.72 | $14.79 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $31.62 Median $42.66 Typical High $58.88 | Facility | FX · Film X-ray | $31.62 | $42.66 | $58.88 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $19.95 Median $19.95 Typical High $123.03 | Professional | 52 · Reduced service | $19.95 | $19.95 | $123.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.94 Median $7.94 Typical High $48.98 | Professional | 53 · Discontinued | $7.94 | $7.94 | $48.98 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $31.62 Median $31.62 Typical High $51.29 | Professional | FX · Film X-ray | $31.62 | $31.62 | $51.29 |
Where Ohio sits
The same service costs 7.2 times more in Alabama than in Florida. 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· 23rd of 51
$70.79
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.