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 $194.98 Median $851.14 Typical High $1,122.02 | Facility | None | $194.98 | $851.14 | $1,122.02 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $165.96 Median $457.09 Typical High $707.95 | Facility | TC · Technical part | $165.96 | $457.09 | $707.95 |
Aetna Setting Professional Modifier None (both parts) Typical Low $194.98 Median $194.98 Typical High $851.14 | Professional | None (both parts) | $194.98 | $194.98 | $851.14 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $25.70 Typical High $117.49 | Professional | 26 · Professional part | $25.70 | $25.70 | $117.49 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $165.96 Median $165.96 Typical High $501.19 | Professional | TC · Technical part | $165.96 | $165.96 | $501.19 |
Anthem BCBS Setting Facility Modifier None Typical Low $891.25 Median $1,023.29 Typical High $1,202.26 | Facility | None | $891.25 | $1,023.29 | $1,202.26 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $107.15 Median $131.83 Typical High $269.15 | Professional | None (both parts) | $107.15 | $131.83 | $269.15 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $30.20 Typical High $51.29 | Professional | 26 · Professional part | $26.30 | $30.20 | $51.29 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $102.33 Typical High $229.09 | Professional | TC · Technical part | $79.43 | $102.33 | $229.09 |
Cigna Setting Facility Modifier None Typical Low $562.34 Median $977.24 Typical High $1,380.38 | Facility | None | $562.34 | $977.24 | $1,380.38 |
Cigna Setting Professional Modifier None (both parts) Typical Low $186.21 Median $257.04 Typical High $549.54 | Professional | None (both parts) | $186.21 | $257.04 | $549.54 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $34.67 Typical High $70.79 | Professional | 26 · Professional part | $25.12 | $34.67 | $70.79 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $162.18 Median $213.80 Typical High $512.86 | Professional | TC · Technical part | $162.18 | $213.80 | $512.86 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $562.34 Median $912.01 Typical High $1,380.38 | Facility | None | $562.34 | $912.01 | $1,380.38 |
Medical Mutual of Ohio Setting Professional Modifier None (both parts) Typical Low $186.21 Median $257.04 Typical High $549.54 | Professional | None (both parts) | $186.21 | $257.04 | $549.54 |
Medical Mutual of Ohio Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $34.67 Typical High $70.79 | Professional | 26 · Professional part | $25.12 | $34.67 | $70.79 |
Medical Mutual of Ohio Setting Professional Modifier TC · Technical part Typical Low $165.96 Median $213.80 Typical High $489.78 | Professional | TC · Technical part | $165.96 | $213.80 | $489.78 |
Molina Setting Professional Modifier None (both parts) Typical Low $44.67 Median $239.88 Typical High $346.74 | Professional | None (both parts) | $44.67 | $239.88 | $346.74 |
SummaCare Setting Professional Modifier None (both parts) Typical Low $223.87 Median $281.84 Typical High $407.38 | Professional | None (both parts) | $223.87 | $281.84 | $407.38 |
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 $125.89 Median $223.87 Typical High $562.34 | Professional | None (both parts) | $125.89 | $223.87 | $562.34 |
United Setting Professional Modifier 26 · Professional part Typical Low $21.38 Median $31.62 Typical High $72.44 | Professional | 26 · Professional part | $21.38 | $31.62 | $72.44 |
United Setting Professional Modifier TC · Technical part Typical Low $109.65 Median $194.98 Typical High $478.63 | Professional | TC · Technical part | $109.65 | $194.98 | $478.63 |
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 $112.20 Median $338.84 Typical High $562.34 | Facility | 52 · Reduced service | $112.20 | $338.84 | $562.34 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $44.67 Median $138.04 Typical High $223.87 | Facility | 53 · Discontinued | $44.67 | $138.04 | $223.87 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $165.96 Median $549.54 Typical High $831.76 | Facility | FX · Film X-ray | $165.96 | $549.54 | $831.76 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $97.72 Median $97.72 Typical High $426.58 | Professional | 52 · Reduced service | $97.72 | $97.72 | $426.58 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $38.90 Median $38.90 Typical High $169.82 | Professional | 53 · Discontinued | $38.90 | $38.90 | $169.82 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $154.88 Median $154.88 Typical High $645.65 | Professional | FX · Film X-ray | $154.88 | $154.88 | $645.65 |
Where Ohio sits
The same service costs 4.8 times more in Alaska 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· 43rd of 51
$219
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.