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 $147.91 Median $1,096.48 Typical High $1,479.11 | Facility | None | $147.91 | $1,096.48 | $1,479.11 |
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 $147.91 Median $147.91 Typical High $1,096.48 | Professional | None (both parts) | $147.91 | $147.91 | $1,096.48 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $13.49 Median $13.49 Typical High $61.66 | Professional | 26 · Professional part | $13.49 | $13.49 | $61.66 |
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 $1,148.15 Median $1,348.96 Typical High $1,584.89 | Facility | None | $1,148.15 | $1,348.96 | $1,584.89 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $74.13 Median $95.50 Typical High $190.55 | Professional | None (both parts) | $74.13 | $95.50 | $190.55 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $14.13 Median $16.60 Typical High $27.54 | Professional | 26 · Professional part | $14.13 | $16.60 | $27.54 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $81.28 Typical High $169.82 | Professional | TC · Technical part | $58.88 | $81.28 | $169.82 |
Cigna Setting Facility Modifier None Typical Low $467.74 Median $776.25 Typical High $1,862.09 | Facility | None | $467.74 | $776.25 | $1,862.09 |
Cigna Setting Professional Modifier None (both parts) Typical Low $147.91 Median $190.55 Typical High $426.58 | Professional | None (both parts) | $147.91 | $190.55 | $426.58 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $13.80 Median $17.78 Typical High $37.15 | Professional | 26 · Professional part | $13.80 | $17.78 | $37.15 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $134.90 Median $169.82 Typical High $426.58 | Professional | TC · Technical part | $134.90 | $169.82 | $426.58 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $467.74 Median $741.31 Typical High $1,862.09 | Facility | None | $467.74 | $741.31 | $1,862.09 |
Medical Mutual of Ohio Setting Professional Modifier None (both parts) Typical Low $141.25 Median $190.55 Typical High $416.87 | Professional | None (both parts) | $141.25 | $190.55 | $416.87 |
Medical Mutual of Ohio Setting Professional Modifier 26 · Professional part Typical Low $13.80 Median $17.78 Typical High $37.15 | Professional | 26 · Professional part | $13.80 | $17.78 | $37.15 |
Medical Mutual of Ohio Setting Professional Modifier TC · Technical part Typical Low $138.04 Median $169.82 Typical High $389.05 | Professional | TC · Technical part | $138.04 | $169.82 | $389.05 |
Molina Setting Professional Modifier None (both parts) Typical Low $123.03 Median $158.49 Typical High $218.78 | Professional | None (both parts) | $123.03 | $158.49 | $218.78 |
SummaCare Setting Professional Modifier None (both parts) Typical Low $158.49 Median $199.53 Typical High $288.40 | Professional | None (both parts) | $158.49 | $199.53 | $288.40 |
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 $114.82 Median $177.83 Typical High $426.58 | Professional | None (both parts) | $114.82 | $177.83 | $426.58 |
United Setting Professional Modifier 26 · Professional part Typical Low $12.02 Median $16.60 Typical High $38.90 | Professional | 26 · Professional part | $12.02 | $16.60 | $38.90 |
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 $85.11 Median $275.42 Typical High $741.31 | Facility | 52 · Reduced service | $85.11 | $275.42 | $741.31 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $34.67 Median $109.65 Typical High $295.12 | Facility | 53 · Discontinued | $34.67 | $109.65 | $295.12 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $134.90 Median $436.52 Typical High $1,071.52 | Facility | FX · Film X-ray | $134.90 | $436.52 | $1,071.52 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $74.13 Median $74.13 Typical High $549.54 | Professional | 52 · Reduced service | $74.13 | $74.13 | $549.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $29.51 Median $29.51 Typical High $218.78 | Professional | 53 · Discontinued | $29.51 | $29.51 | $218.78 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $117.49 Median $117.49 Typical High $524.81 | Professional | FX · Film X-ray | $117.49 | $117.49 | $524.81 |
Where Ohio sits
The same service costs 4.3 times more in Alabama than in Indiana. 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· 47th of 51
$151
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.