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 $2,398.83 Median $4,073.80 Typical High $5,011.87 | Facility | None | $2,398.83 | $4,073.80 | $5,011.87 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $100.00 Median $239.88 Typical High $338.84 | Facility | 26 · Professional part | $100.00 | $239.88 | $338.84 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $1,513.56 Median $3,311.31 Typical High $5,128.61 | Facility | TC · Technical part | $1,513.56 | $3,311.31 | $5,128.61 |
Aetna Setting Professional Modifier None (both parts) Typical Low $1,288.25 Median $2,818.38 Typical High $4,677.35 | Professional | None (both parts) | $1,288.25 | $2,818.38 | $4,677.35 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $100.00 Median $125.89 Typical High $302.00 | Professional | 26 · Professional part | $100.00 | $125.89 | $302.00 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $1,202.26 Median $1,412.54 Typical High $4,073.80 | Professional | TC · Technical part | $1,202.26 | $1,412.54 | $4,073.80 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $91.20 Median $91.20 Typical High $91.20 | Professional | 26 · Professional part | $91.20 | $91.20 | $91.20 |
Anthem BCBS Setting Facility Modifier None Typical Low $3,467.37 Median $4,073.80 Typical High $4,786.30 | Facility | None | $3,467.37 | $4,073.80 | $4,786.30 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $812.83 Median $870.96 Typical High $1,698.24 | Professional | None (both parts) | $812.83 | $870.96 | $1,698.24 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $81.28 Typical High $177.83 | Professional | 26 · Professional part | $64.57 | $81.28 | $177.83 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $724.44 Median $794.33 Typical High $1,698.24 | Professional | TC · Technical part | $724.44 | $794.33 | $1,698.24 |
Aultcare Setting Facility Modifier None Typical Low $1,778.28 Median $1,778.28 Typical High $1,778.28 | Facility | None | $1,778.28 | $1,778.28 | $1,778.28 |
Cigna Setting Facility Modifier None Typical Low $1,412.54 Median $2,187.76 Typical High $4,897.79 | Facility | None | $1,412.54 | $2,187.76 | $4,897.79 |
Cigna Setting Professional Modifier None (both parts) Typical Low $478.63 Median $645.65 Typical High $1,621.81 | Professional | None (both parts) | $478.63 | $645.65 | $1,621.81 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $89.13 Typical High $186.21 | Professional | 26 · Professional part | $67.61 | $89.13 | $186.21 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $416.87 Median $562.34 Typical High $1,445.44 | Professional | TC · Technical part | $416.87 | $562.34 | $1,445.44 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $1,548.82 Median $2,187.76 Typical High $4,897.79 | Facility | None | $1,548.82 | $2,187.76 | $4,897.79 |
Medical Mutual of Ohio Setting Professional Modifier None (both parts) Typical Low $512.86 Median $645.65 Typical High $1,479.11 | Professional | None (both parts) | $512.86 | $645.65 | $1,479.11 |
Medical Mutual of Ohio Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $93.33 Typical High $218.78 | Professional | 26 · Professional part | $67.61 | $93.33 | $218.78 |
Medical Mutual of Ohio Setting Professional Modifier TC · Technical part Typical Low $426.58 Median $562.34 Typical High $1,288.25 | Professional | TC · Technical part | $426.58 | $562.34 | $1,288.25 |
Molina Setting Professional Modifier None (both parts) Typical Low $37.15 Median $54.95 Typical High $512.86 | Professional | None (both parts) | $37.15 | $54.95 | $512.86 |
SummaCare Setting Professional Modifier None (both parts) Typical Low $1,047.13 Median $1,258.93 Typical High $1,905.46 | Professional | None (both parts) | $1,047.13 | $1,258.93 | $1,905.46 |
United Setting Facility Modifier None Typical Low $2,951.21 Median $3,388.44 Typical High $4,897.79 | Facility | None | $2,951.21 | $3,388.44 | $4,897.79 |
United Setting Professional Modifier None (both parts) Typical Low $954.99 Median $1,445.44 Typical High $4,168.69 | Professional | None (both parts) | $954.99 | $1,445.44 | $4,168.69 |
United Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $77.62 Typical High $190.55 | Professional | 26 · Professional part | $51.29 | $77.62 | $190.55 |
United Setting Professional Modifier TC · Technical part Typical Low $912.01 Median $1,380.38 Typical High $3,981.07 | Professional | TC · Technical part | $912.01 | $1,380.38 | $3,981.07 |
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 $758.58 Median $1,819.70 Typical High $2,511.89 | Facility | 52 · Reduced service | $758.58 | $1,819.70 | $2,511.89 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $302.00 Median $724.44 Typical High $1,023.29 | Facility | 53 · Discontinued | $302.00 | $724.44 | $1,023.29 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $1,148.15 Median $2,884.03 Typical High $4,073.80 | Facility | FX · Film X-ray | $1,148.15 | $2,884.03 | $4,073.80 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $645.65 Median $645.65 Typical High $2,398.83 | Professional | 52 · Reduced service | $645.65 | $645.65 | $2,398.83 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $257.04 Median $257.04 Typical High $954.99 | Professional | 53 · Discontinued | $257.04 | $257.04 | $954.99 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $1,047.13 Median $1,047.13 Typical High $3,235.94 | Professional | FX · Film X-ray | $1,047.13 | $1,047.13 | $3,235.94 |
Where Ohio sits
The same service costs 3.6 times more in Nebraska than in Montana. 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· 48th of 51
$1,072
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.