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 $100.00 Median $275.42 Typical High $457.09 | Facility | None | $100.00 | $275.42 | $457.09 |
Aetna Setting Professional Modifier None Typical Low $100.00 Median $138.04 Typical High $457.09 | Professional | None | $100.00 | $138.04 | $457.09 |
Anthem BCBS Setting Professional Modifier None Typical Low $104.71 Median $120.23 Typical High $194.98 | Professional | None | $104.71 | $120.23 | $194.98 |
Cigna Setting Professional Modifier None Typical Low $102.33 Median $134.90 Typical High $263.03 | Professional | None | $102.33 | $134.90 | $263.03 |
Medical Mutual of Ohio Setting Professional Modifier None Typical Low $102.33 Median $134.90 Typical High $245.47 | Professional | None | $102.33 | $134.90 | $245.47 |
Molina Setting Professional Modifier None Typical Low $93.33 Median $123.03 Typical High $162.18 | Professional | None | $93.33 | $123.03 | $162.18 |
SummaCare Setting Professional Modifier None Typical Low $109.65 Median $128.82 Typical High $169.82 | Professional | None | $109.65 | $128.82 | $169.82 |
United Setting Professional Modifier None Typical Low $81.28 Median $117.49 Typical High $229.09 | Professional | None | $81.28 | $117.49 | $229.09 |
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 $50.12 Median $138.04 Typical High $229.09 | Facility | 52 · Reduced service | $50.12 | $138.04 | $229.09 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $19.95 Median $54.95 Typical High $91.20 | Facility | 53 · Discontinued | $19.95 | $54.95 | $91.20 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $79.43 Median $239.88 Typical High $338.84 | Facility | FX · Film X-ray | $79.43 | $239.88 | $338.84 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $50.12 Median $50.12 Typical High $251.19 | Professional | 52 · Reduced service | $50.12 | $50.12 | $251.19 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.95 Median $19.95 Typical High $102.33 | Professional | 53 · Discontinued | $19.95 | $19.95 | $102.33 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $79.43 Median $79.43 Typical High $239.88 | Professional | FX · Film X-ray | $79.43 | $79.43 | $239.88 |
Where Ohio sits
The same service costs 4.2 times more in Alaska than in New York. 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· 39th 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.