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 $181.97 Median $851.14 Typical High $1,122.02 | Facility | None | $181.97 | $851.14 | $1,122.02 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $147.91 Median $407.38 Typical High $630.96 | Facility | TC · Technical part | $147.91 | $407.38 | $630.96 |
Aetna Setting Professional Modifier None (both parts) Typical Low $181.97 Median $181.97 Typical High $851.14 | Professional | None (both parts) | $181.97 | $181.97 | $851.14 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $32.36 Typical High $89.13 | Professional | 26 · Professional part | $32.36 | $32.36 | $89.13 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $147.91 Median $147.91 Typical High $446.68 | Professional | TC · Technical part | $147.91 | $147.91 | $446.68 |
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 $154.88 Median $165.96 Typical High $288.40 | Professional | None (both parts) | $154.88 | $165.96 | $288.40 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $38.02 Typical High $64.57 | Professional | 26 · Professional part | $33.11 | $38.02 | $64.57 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $114.82 Median $125.89 Typical High $229.09 | Professional | TC · Technical part | $114.82 | $125.89 | $229.09 |
Cigna Setting Facility Modifier None Typical Low $512.86 Median $851.14 Typical High $1,380.38 | Facility | None | $512.86 | $851.14 | $1,380.38 |
Cigna Setting Professional Modifier None (both parts) Typical Low $181.97 Median $234.42 Typical High $512.86 | Professional | None (both parts) | $181.97 | $234.42 | $512.86 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $43.65 Typical High $91.20 | Professional | 26 · Professional part | $33.11 | $43.65 | $91.20 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $151.36 Median $190.55 Typical High $467.74 | Professional | TC · Technical part | $151.36 | $190.55 | $467.74 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $512.86 Median $812.83 Typical High $1,380.38 | Facility | None | $512.86 | $812.83 | $1,380.38 |
Medical Mutual of Ohio Setting Professional Modifier None (both parts) Typical Low $186.21 Median $239.88 Typical High $512.86 | Professional | None (both parts) | $186.21 | $239.88 | $512.86 |
Medical Mutual of Ohio Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $43.65 Typical High $91.20 | Professional | 26 · Professional part | $33.11 | $43.65 | $91.20 |
Medical Mutual of Ohio Setting Professional Modifier TC · Technical part Typical Low $151.36 Median $194.98 Typical High $436.52 | Professional | TC · Technical part | $151.36 | $194.98 | $436.52 |
Molina Setting Professional Modifier None (both parts) Typical Low $44.67 Median $204.17 Typical High $295.12 | Professional | None (both parts) | $44.67 | $204.17 | $295.12 |
SummaCare Setting Professional Modifier None (both parts) Typical Low $194.98 Median $239.88 Typical High $346.74 | Professional | None (both parts) | $194.98 | $239.88 | $346.74 |
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 $144.54 Median $218.78 Typical High $524.81 | Professional | None (both parts) | $144.54 | $218.78 | $524.81 |
United Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $38.90 Typical High $93.33 | Professional | 26 · Professional part | $26.92 | $38.90 | $93.33 |
United Setting Professional Modifier TC · Technical part Typical Low $120.23 Median $181.97 Typical High $426.58 | Professional | TC · Technical part | $120.23 | $181.97 | $426.58 |
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 $104.71 Median $229.09 Typical High $562.34 | Facility | 52 · Reduced service | $104.71 | $229.09 | $562.34 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $41.69 Median $91.20 Typical High $223.87 | Facility | 53 · Discontinued | $41.69 | $91.20 | $223.87 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $147.91 Median $478.63 Typical High $831.76 | Facility | FX · Film X-ray | $147.91 | $478.63 | $831.76 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $91.20 Median $91.20 Typical High $426.58 | Professional | 52 · Reduced service | $91.20 | $91.20 | $426.58 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $36.31 Median $36.31 Typical High $169.82 | Professional | 53 · Discontinued | $36.31 | $36.31 | $169.82 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $144.54 Median $144.54 Typical High $575.44 | Professional | FX · Film X-ray | $144.54 | $144.54 | $575.44 |
Where Ohio sits
The same service costs 4.6 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· 44th of 51
$200
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.