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 $389.05 Median $851.14 Typical High $3,630.78 | Facility | None | $389.05 | $851.14 | $3,630.78 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $52.48 Median $97.72 Typical High $138.04 | Facility | 26 · Professional part | $52.48 | $97.72 | $138.04 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $331.13 Median $616.60 Typical High $912.01 | Facility | TC · Technical part | $331.13 | $616.60 | $912.01 |
Aetna Setting Professional Modifier None (both parts) Typical Low $257.04 Median $467.74 Typical High $1,096.48 | Professional | None (both parts) | $257.04 | $467.74 | $1,096.48 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $51.29 Typical High $154.88 | Professional | 26 · Professional part | $35.48 | $51.29 | $154.88 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $223.87 Median $371.54 Typical High $891.25 | Professional | TC · Technical part | $223.87 | $371.54 | $891.25 |
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 $245.47 Median $257.04 Typical High $436.52 | Professional | None (both parts) | $245.47 | $257.04 | $436.52 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $45.71 Typical High $77.62 | Professional | 26 · Professional part | $38.90 | $45.71 | $77.62 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $199.53 Median $234.42 Typical High $371.54 | Professional | TC · Technical part | $199.53 | $234.42 | $371.54 |
Cigna Setting Facility Modifier None Typical Low $812.83 Median $1,258.93 Typical High $1,862.09 | Facility | None | $812.83 | $1,258.93 | $1,862.09 |
Cigna Setting Professional Modifier None (both parts) Typical Low $269.15 Median $346.74 Typical High $776.25 | Professional | None (both parts) | $269.15 | $346.74 | $776.25 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $47.86 Typical High $100.00 | Professional | 26 · Professional part | $35.48 | $47.86 | $100.00 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $234.42 Median $295.12 Typical High $691.83 | Professional | TC · Technical part | $234.42 | $295.12 | $691.83 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $812.83 Median $1,202.26 Typical High $1,862.09 | Facility | None | $812.83 | $1,202.26 | $1,862.09 |
Medical Mutual of Ohio Setting Professional Modifier None (both parts) Typical Low $269.15 Median $354.81 Typical High $776.25 | Professional | None (both parts) | $269.15 | $354.81 | $776.25 |
Medical Mutual of Ohio Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $50.12 Typical High $117.49 | Professional | 26 · Professional part | $35.48 | $50.12 | $117.49 |
Medical Mutual of Ohio Setting Professional Modifier TC · Technical part Typical Low $234.42 Median $302.00 Typical High $676.08 | Professional | TC · Technical part | $234.42 | $302.00 | $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 $154.88 Median $190.55 Typical High $281.84 | Professional | None (both parts) | $154.88 | $190.55 | $281.84 |
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 $229.09 Median $331.13 Typical High $741.31 | Professional | None (both parts) | $229.09 | $331.13 | $741.31 |
United Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $45.71 Typical High $102.33 | Professional | 26 · Professional part | $31.62 | $45.71 | $102.33 |
United Setting Professional Modifier TC · Technical part Typical Low $194.98 Median $288.40 Typical High $645.65 | Professional | TC · Technical part | $194.98 | $288.40 | $645.65 |
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 $147.91 Median $457.09 Typical High $1,949.84 | Facility | 52 · Reduced service | $147.91 | $457.09 | $1,949.84 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $58.88 Median $181.97 Typical High $776.25 | Facility | 53 · Discontinued | $58.88 | $181.97 | $776.25 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $223.87 Median $724.44 Typical High $2,884.03 | Facility | FX · Film X-ray | $223.87 | $724.44 | $2,884.03 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $128.82 Median $128.82 Typical High $1,479.11 | Professional | 52 · Reduced service | $128.82 | $128.82 | $1,479.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $51.29 Median $51.29 Typical High $588.84 | Professional | 53 · Discontinued | $51.29 | $51.29 | $588.84 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $208.93 Median $208.93 Typical High $870.96 | Professional | FX · Film X-ray | $208.93 | $208.93 | $870.96 |
Where Ohio sits
The same service costs 3.7 times more in Alaska 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· 44th of 51
$302
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.