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 $776.25 Median $1,071.52 Typical High $1,479.11 | Facility | None | $776.25 | $1,071.52 | $1,479.11 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $30.20 Median $93.33 Typical High $112.20 | Facility | 26 · Professional part | $30.20 | $93.33 | $112.20 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $436.52 Median $758.58 Typical High $1,023.29 | Facility | TC · Technical part | $436.52 | $758.58 | $1,023.29 |
Aetna Setting Professional Modifier None (both parts) Typical Low $281.84 Median $776.25 Typical High $1,348.96 | Professional | None (both parts) | $281.84 | $776.25 | $1,348.96 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $45.71 Typical High $151.36 | Professional | 26 · Professional part | $30.20 | $45.71 | $151.36 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $251.19 Median $457.09 Typical High $977.24 | Professional | TC · Technical part | $251.19 | $457.09 | $977.24 |
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 $213.80 Median $229.09 Typical High $426.58 | Professional | None (both parts) | $213.80 | $229.09 | $426.58 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $36.31 Typical High $60.26 | Professional | 26 · Professional part | $31.62 | $36.31 | $60.26 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $181.97 Median $194.98 Typical High $363.08 | Professional | TC · Technical part | $181.97 | $194.98 | $363.08 |
Aultcare Setting Professional Modifier None (both parts) Typical Low $331.13 Median $331.13 Typical High $331.13 | Professional | None (both parts) | $331.13 | $331.13 | $331.13 |
Cigna Setting Facility Modifier None Typical Low $851.14 Median $1,348.96 Typical High $1,995.26 | Facility | None | $851.14 | $1,348.96 | $1,995.26 |
Cigna Setting Professional Modifier None (both parts) Typical Low $281.84 Median $371.54 Typical High $831.76 | Professional | None (both parts) | $281.84 | $371.54 | $831.76 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $40.74 Typical High $85.11 | Professional | 26 · Professional part | $30.90 | $40.74 | $85.11 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $251.19 Median $331.13 Typical High $794.33 | Professional | TC · Technical part | $251.19 | $331.13 | $794.33 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $891.25 Median $1,348.96 Typical High $1,995.26 | Facility | None | $891.25 | $1,348.96 | $1,995.26 |
Medical Mutual of Ohio Setting Professional Modifier None (both parts) Typical Low $281.84 Median $371.54 Typical High $831.76 | Professional | None (both parts) | $281.84 | $371.54 | $831.76 |
Medical Mutual of Ohio Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $40.74 Typical High $85.11 | Professional | 26 · Professional part | $30.90 | $40.74 | $85.11 |
Medical Mutual of Ohio Setting Professional Modifier TC · Technical part Typical Low $263.03 Median $338.84 Typical High $741.31 | Professional | TC · Technical part | $263.03 | $338.84 | $741.31 |
Molina Setting Professional Modifier None (both parts) Typical Low $44.67 Median $316.23 Typical High $457.09 | Professional | None (both parts) | $44.67 | $316.23 | $457.09 |
SummaCare Setting Professional Modifier None (both parts) Typical Low $295.12 Median $371.54 Typical High $537.03 | Professional | None (both parts) | $295.12 | $371.54 | $537.03 |
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 $208.93 Median $346.74 Typical High $812.83 | Professional | None (both parts) | $208.93 | $346.74 | $812.83 |
United Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $37.15 Typical High $87.10 | Professional | 26 · Professional part | $25.70 | $37.15 | $87.10 |
United Setting Professional Modifier TC · Technical part Typical Low $190.55 Median $316.23 Typical High $724.44 | Professional | TC · Technical part | $190.55 | $316.23 | $724.44 |
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 $162.18 Median $512.86 Typical High $741.31 | Facility | 52 · Reduced service | $162.18 | $512.86 | $741.31 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $64.57 Median $204.17 Typical High $295.12 | Facility | 53 · Discontinued | $64.57 | $204.17 | $295.12 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $251.19 Median $812.83 Typical High $1,071.52 | Facility | FX · Film X-ray | $251.19 | $812.83 | $1,071.52 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $141.25 Median $141.25 Typical High $707.95 | Professional | 52 · Reduced service | $141.25 | $141.25 | $707.95 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $56.23 Median $56.23 Typical High $281.84 | Professional | 53 · Discontinued | $56.23 | $56.23 | $281.84 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $223.87 Median $223.87 Typical High $891.25 | Professional | FX · Film X-ray | $223.87 | $223.87 | $891.25 |
Where Ohio sits
The same service costs 4.4 times more in Alaska than in Kentucky. 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· 45th of 51
$309
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.