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 $89.13 Median $239.88 Typical High $323.59 | Facility | None | $89.13 | $239.88 | $323.59 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $16.22 Median $30.20 Typical High $104.71 | Facility | 26 · Professional part | $16.22 | $30.20 | $104.71 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $85.11 Median $165.96 Typical High $309.03 | Facility | TC · Technical part | $85.11 | $165.96 | $309.03 |
Aetna Setting Professional Modifier None (both parts) Typical Low $89.13 Median $89.13 Typical High $537.03 | Professional | None (both parts) | $89.13 | $89.13 | $537.03 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $16.22 Median $16.22 Typical High $112.20 | Professional | 26 · Professional part | $16.22 | $16.22 | $112.20 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $72.44 Typical High $218.78 | Professional | TC · Technical part | $72.44 | $72.44 | $218.78 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $83.18 Median $89.13 Typical High $154.88 | Professional | None (both parts) | $83.18 | $89.13 | $154.88 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $17.78 Median $20.89 Typical High $34.67 | Professional | 26 · Professional part | $17.78 | $20.89 | $34.67 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $69.18 Typical High $120.23 | Professional | TC · Technical part | $63.10 | $69.18 | $120.23 |
Cigna Setting Facility Modifier None Typical Low $257.04 Median $407.38 Typical High $1,380.38 | Facility | None | $257.04 | $407.38 | $1,380.38 |
Cigna Setting Professional Modifier None (both parts) Typical Low $93.33 Median $120.23 Typical High $281.84 | Professional | None (both parts) | $93.33 | $120.23 | $281.84 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $16.60 Median $21.88 Typical High $45.71 | Professional | 26 · Professional part | $16.60 | $21.88 | $45.71 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $77.62 Median $100.00 Typical High $245.47 | Professional | TC · Technical part | $77.62 | $100.00 | $245.47 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $263.03 Median $407.38 Typical High $1,380.38 | Facility | None | $263.03 | $407.38 | $1,380.38 |
Medical Mutual of Ohio Setting Professional Modifier None (both parts) Typical Low $95.50 Median $125.89 Typical High $269.15 | Professional | None (both parts) | $95.50 | $125.89 | $269.15 |
Medical Mutual of Ohio Setting Professional Modifier 26 · Professional part Typical Low $16.60 Median $21.88 Typical High $45.71 | Professional | 26 · Professional part | $16.60 | $21.88 | $45.71 |
Medical Mutual of Ohio Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $104.71 Typical High $234.42 | Professional | TC · Technical part | $79.43 | $104.71 | $234.42 |
Molina Setting Professional Modifier None (both parts) Typical Low $66.07 Median $97.72 Typical High $147.91 | Professional | None (both parts) | $66.07 | $97.72 | $147.91 |
SummaCare Setting Professional Modifier None (both parts) Typical Low $102.33 Median $125.89 Typical High $181.97 | Professional | None (both parts) | $102.33 | $125.89 | $181.97 |
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 $75.86 Median $112.20 Typical High $257.04 | Professional | None (both parts) | $75.86 | $112.20 | $257.04 |
United Setting Professional Modifier 26 · Professional part Typical Low $14.45 Median $20.42 Typical High $46.77 | Professional | 26 · Professional part | $14.45 | $20.42 | $46.77 |
United Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $93.33 Typical High $208.93 | Professional | TC · Technical part | $60.26 | $93.33 | $208.93 |
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 $52.48 Median $120.23 Typical High $162.18 | Facility | 52 · Reduced service | $52.48 | $120.23 | $162.18 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $20.89 Median $47.86 Typical High $64.57 | Facility | 53 · Discontinued | $20.89 | $47.86 | $64.57 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $72.44 Median $194.98 Typical High $245.47 | Facility | FX · Film X-ray | $72.44 | $194.98 | $245.47 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $44.67 Median $44.67 Typical High $269.15 | Professional | 52 · Reduced service | $44.67 | $44.67 | $269.15 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $17.78 Median $17.78 Typical High $109.65 | Professional | 53 · Discontinued | $17.78 | $17.78 | $109.65 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $70.79 Median $70.79 Typical High $234.42 | Professional | FX · Film X-ray | $70.79 | $70.79 | $234.42 |
Where Ohio sits
The same service costs 5.5 times more in Alabama than in Florida. 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
$102
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.