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 $56.23 Median $134.90 Typical High $1,096.48 | Facility | None | $56.23 | $134.90 | $1,096.48 |
Aetna Setting Professional Modifier None Typical Low $56.23 Median $56.23 Typical High $218.78 | Professional | None | $56.23 | $56.23 | $218.78 |
Anthem BCBS Setting Facility Modifier None Typical Low $870.96 Median $1,000.00 Typical High $1,174.90 | Facility | None | $870.96 | $1,000.00 | $1,174.90 |
Anthem BCBS Setting Professional Modifier None Typical Low $75.86 Median $169.82 Typical High $257.04 | Professional | None | $75.86 | $169.82 | $257.04 |
Cigna Setting Facility Modifier None Typical Low $120.23 Median $186.21 Typical High $1,202.26 | Facility | None | $120.23 | $186.21 | $1,202.26 |
Cigna Setting Professional Modifier None Typical Low $51.29 Median $66.07 Typical High $234.42 | Professional | None | $51.29 | $66.07 | $234.42 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $131.83 Median $218.78 Typical High $1,380.38 | Facility | None | $131.83 | $218.78 | $1,380.38 |
Medical Mutual of Ohio Setting Professional Modifier None Typical Low $53.70 Median $61.66 Typical High $234.42 | Professional | None | $53.70 | $61.66 | $234.42 |
Molina Setting Professional Modifier None Typical Low $30.90 Median $43.65 Typical High $57.54 | Professional | None | $30.90 | $43.65 | $57.54 |
SummaCare Setting Professional Modifier None Typical Low $51.29 Median $56.23 Typical High $114.82 | Professional | None | $51.29 | $56.23 | $114.82 |
United Setting Facility Modifier None Typical Low $724.44 Median $831.76 Typical High $1,202.26 | Facility | None | $724.44 | $831.76 | $1,202.26 |
United Setting Professional Modifier None Typical Low $53.70 Median $81.28 Typical High $218.78 | Professional | None | $53.70 | $81.28 | $218.78 |
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 $32.36 Median $85.11 Typical High $549.54 | Facility | 52 · Reduced service | $32.36 | $85.11 | $549.54 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $13.18 Median $33.88 Typical High $218.78 | Facility | 53 · Discontinued | $13.18 | $33.88 | $218.78 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $44.67 Median $134.90 Typical High $812.83 | Facility | FX · Film X-ray | $44.67 | $134.90 | $812.83 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $28.18 Median $28.18 Typical High $109.65 | Professional | 52 · Reduced service | $28.18 | $28.18 | $109.65 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $11.22 Median $11.22 Typical High $43.65 | Professional | 53 · Discontinued | $11.22 | $11.22 | $43.65 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $44.67 Median $44.67 Typical High $54.95 | Professional | FX · Film X-ray | $44.67 | $44.67 | $54.95 |
Where Ohio sits
The same service costs 4.1 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· 15th of 51
$123
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.