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 $851.14 Typical High $1,122.02 | Facility | None | $154.88 | $851.14 | $1,122.02 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $134.90 Median $371.54 Typical High $575.44 | Facility | TC · Technical part | $134.90 | $371.54 | $575.44 |
Aetna Setting Professional Modifier None (both parts) Typical Low $154.88 Median $154.88 Typical High $851.14 | Professional | None (both parts) | $154.88 | $154.88 | $851.14 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $19.95 Median $19.95 Typical High $85.11 | Professional | 26 · Professional part | $19.95 | $19.95 | $85.11 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $134.90 Median $134.90 Typical High $407.38 | Professional | TC · Technical part | $134.90 | $134.90 | $407.38 |
Anthem BCBS Setting Facility Modifier None Typical Low $891.25 Median $1,023.29 Typical High $1,202.26 | Facility | None | $891.25 | $1,023.29 | $1,202.26 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $128.82 Median $151.36 Typical High $257.04 | Professional | None (both parts) | $128.82 | $151.36 | $257.04 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $20.42 Median $23.99 Typical High $39.81 | Professional | 26 · Professional part | $20.42 | $23.99 | $39.81 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $107.15 Median $131.83 Typical High $223.87 | Professional | TC · Technical part | $107.15 | $131.83 | $223.87 |
Cigna Setting Facility Modifier None Typical Low $457.09 Median $741.31 Typical High $1,380.38 | Facility | None | $457.09 | $741.31 | $1,380.38 |
Cigna Setting Professional Modifier None (both parts) Typical Low $158.49 Median $204.17 Typical High $436.52 | Professional | None (both parts) | $158.49 | $204.17 | $436.52 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $19.95 Median $26.92 Typical High $54.95 | Professional | 26 · Professional part | $19.95 | $26.92 | $54.95 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $138.04 Median $177.83 Typical High $426.58 | Professional | TC · Technical part | $138.04 | $177.83 | $426.58 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $467.74 Median $741.31 Typical High $1,380.38 | Facility | None | $467.74 | $741.31 | $1,380.38 |
Medical Mutual of Ohio Setting Professional Modifier None (both parts) Typical Low $162.18 Median $204.17 Typical High $436.52 | Professional | None (both parts) | $162.18 | $204.17 | $436.52 |
Medical Mutual of Ohio Setting Professional Modifier 26 · Professional part Typical Low $19.95 Median $26.92 Typical High $54.95 | Professional | 26 · Professional part | $19.95 | $26.92 | $54.95 |
Medical Mutual of Ohio Setting Professional Modifier TC · Technical part Typical Low $141.25 Median $177.83 Typical High $389.05 | Professional | TC · Technical part | $141.25 | $177.83 | $389.05 |
Molina Setting Professional Modifier None (both parts) Typical Low $128.82 Median $177.83 Typical High $251.19 | Professional | None (both parts) | $128.82 | $177.83 | $251.19 |
SummaCare Setting Professional Modifier None (both parts) Typical Low $169.82 Median $208.93 Typical High $309.03 | Professional | None (both parts) | $169.82 | $208.93 | $309.03 |
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 $120.23 Median $190.55 Typical High $446.68 | Professional | None (both parts) | $120.23 | $190.55 | $446.68 |
United Setting Professional Modifier 26 · Professional part Typical Low $16.98 Median $23.99 Typical High $57.54 | Professional | 26 · Professional part | $16.98 | $23.99 | $57.54 |
United Setting Professional Modifier TC · Technical part Typical Low $104.71 Median $165.96 Typical High $389.05 | Professional | TC · Technical part | $104.71 | $165.96 | $389.05 |
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 $89.13 Median $275.42 Typical High $562.34 | Facility | 52 · Reduced service | $89.13 | $275.42 | $562.34 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $35.48 Median $109.65 Typical High $223.87 | Facility | 53 · Discontinued | $35.48 | $109.65 | $223.87 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $134.90 Median $436.52 Typical High $831.76 | Facility | FX · Film X-ray | $134.90 | $436.52 | $831.76 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $77.62 Median $77.62 Typical High $426.58 | Professional | 52 · Reduced service | $77.62 | $77.62 | $426.58 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $30.90 Median $30.90 Typical High $169.82 | Professional | 53 · Discontinued | $30.90 | $30.90 | $169.82 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $123.03 Median $123.03 Typical High $524.81 | Professional | FX · Film X-ray | $123.03 | $123.03 | $524.81 |
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· 42nd of 51
$178
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.