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 $229.09 Median $2,951.21 Typical High $3,890.45 | Facility | None | $229.09 | $2,951.21 | $3,890.45 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $204.17 Median $562.34 Typical High $870.96 | Facility | TC · Technical part | $204.17 | $562.34 | $870.96 |
Aetna Setting Professional Modifier None (both parts) Typical Low $229.09 Median $229.09 Typical High $2,951.21 | Professional | None (both parts) | $229.09 | $229.09 | $2,951.21 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $23.44 Typical High $128.82 | Professional | 26 · Professional part | $23.44 | $23.44 | $128.82 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $204.17 Median $204.17 Typical High $616.60 | Professional | TC · Technical part | $204.17 | $204.17 | $616.60 |
Anthem BCBS Setting Facility Modifier None Typical Low $3,090.30 Median $3,548.13 Typical High $4,168.69 | Facility | None | $3,090.30 | $3,548.13 | $4,168.69 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $204.17 Median $223.87 Typical High $380.19 | Professional | None (both parts) | $204.17 | $223.87 | $380.19 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $33.11 Typical High $54.95 | Professional | 26 · Professional part | $26.92 | $33.11 | $54.95 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $173.78 Median $194.98 Typical High $338.84 | Professional | TC · Technical part | $173.78 | $194.98 | $338.84 |
Cigna Setting Facility Modifier None Typical Low $758.58 Median $1,148.15 Typical High $4,466.84 | Facility | None | $758.58 | $1,148.15 | $4,466.84 |
Cigna Setting Professional Modifier None (both parts) Typical Low $239.88 Median $309.03 Typical High $724.44 | Professional | None (both parts) | $239.88 | $309.03 | $724.44 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $33.11 Typical High $69.18 | Professional | 26 · Professional part | $23.99 | $33.11 | $69.18 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $213.80 Median $275.42 Typical High $676.08 | Professional | TC · Technical part | $213.80 | $275.42 | $676.08 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $831.76 Median $1,096.48 Typical High $4,466.84 | Facility | None | $831.76 | $1,096.48 | $4,466.84 |
Medical Mutual of Ohio Setting Professional Modifier None (both parts) Typical Low $239.88 Median $316.23 Typical High $707.95 | Professional | None (both parts) | $239.88 | $316.23 | $707.95 |
Medical Mutual of Ohio Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $33.11 Typical High $70.79 | Professional | 26 · Professional part | $23.99 | $33.11 | $70.79 |
Medical Mutual of Ohio Setting Professional Modifier TC · Technical part Typical Low $218.78 Median $281.84 Typical High $676.08 | Professional | TC · Technical part | $218.78 | $281.84 | $676.08 |
Molina Setting Professional Modifier None (both parts) Typical Low $44.67 Median $281.84 Typical High $398.11 | Professional | None (both parts) | $44.67 | $281.84 | $398.11 |
SummaCare Setting Professional Modifier None (both parts) Typical Low $251.19 Median $309.03 Typical High $489.78 | Professional | None (both parts) | $251.19 | $309.03 | $489.78 |
United Setting Facility Modifier None Typical Low $2,691.53 Median $3,090.30 Typical High $4,365.16 | Facility | None | $2,691.53 | $3,090.30 | $4,365.16 |
United Setting Professional Modifier None (both parts) Typical Low $190.55 Median $309.03 Typical High $660.69 | Professional | None (both parts) | $190.55 | $309.03 | $660.69 |
United Setting Professional Modifier 26 · Professional part Typical Low $20.89 Median $30.90 Typical High $67.61 | Professional | 26 · Professional part | $20.89 | $30.90 | $67.61 |
United Setting Professional Modifier TC · Technical part Typical Low $173.78 Median $281.84 Typical High $588.84 | Professional | TC · Technical part | $173.78 | $281.84 | $588.84 |
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 $131.83 Median $416.87 Typical High $1,949.84 | Facility | 52 · Reduced service | $131.83 | $416.87 | $1,949.84 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $52.48 Median $165.96 Typical High $776.25 | Facility | 53 · Discontinued | $52.48 | $165.96 | $776.25 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $204.17 Median $660.69 Typical High $2,884.03 | Facility | FX · Film X-ray | $204.17 | $660.69 | $2,884.03 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $114.82 Median $114.82 Typical High $1,479.11 | Professional | 52 · Reduced service | $114.82 | $114.82 | $1,479.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $45.71 Median $45.71 Typical High $588.84 | Professional | 53 · Discontinued | $45.71 | $45.71 | $588.84 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $181.97 Median $181.97 Typical High $794.33 | Professional | FX · Film X-ray | $181.97 | $181.97 | $794.33 |
Where Ohio sits
The same service costs 4.3 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· 41st of 51
$275
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.