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 $154.88 Median $426.58 Typical High $660.69 | Facility | None | $154.88 | $426.58 | $660.69 |
Aetna Setting Professional Modifier None Typical Low $154.88 Median $234.42 Typical High $524.81 | Professional | None | $154.88 | $234.42 | $524.81 |
Ambetter Setting Professional Modifier None Typical Low $131.83 Median $213.80 Typical High $257.04 | Professional | None | $131.83 | $213.80 | $257.04 |
Anthem BCBS Setting Professional Modifier None Typical Low $162.18 Median $186.21 Typical High $295.12 | Professional | None | $162.18 | $186.21 | $295.12 |
Aultcare Setting Professional Modifier None Typical Low $190.55 Median $234.42 Typical High $331.13 | Professional | None | $190.55 | $234.42 | $331.13 |
CareSource Setting Professional Modifier None Typical Low $158.49 Median $190.55 Typical High $218.78 | Professional | None | $158.49 | $190.55 | $218.78 |
Cigna Setting Professional Modifier None Typical Low $162.18 Median $208.93 Typical High $389.05 | Professional | None | $162.18 | $208.93 | $389.05 |
Medical Mutual of Ohio Setting Professional Modifier None Typical Low $158.49 Median $288.40 Typical High $467.74 | Professional | None | $158.49 | $288.40 | $467.74 |
Molina Setting Professional Modifier None Typical Low $158.49 Median $204.17 Typical High $269.15 | Professional | None | $158.49 | $204.17 | $269.15 |
SummaCare Setting Professional Modifier None Typical Low $169.82 Median $218.78 Typical High $316.23 | Professional | None | $169.82 | $218.78 | $316.23 |
United Setting Professional Modifier None Typical Low $120.23 Median $177.83 Typical High $346.74 | Professional | None | $120.23 | $177.83 | $346.74 |
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 $77.62 Median $213.80 Typical High $331.13 | Facility | 52 · Reduced service | $77.62 | $213.80 | $331.13 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $30.90 Median $85.11 Typical High $131.83 | Facility | 53 · Discontinued | $30.90 | $85.11 | $131.83 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $125.89 Median $371.54 Typical High $524.81 | Facility | FX · Film X-ray | $125.89 | $371.54 | $524.81 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $77.62 Median $77.62 Typical High $245.47 | Professional | 52 · Reduced service | $77.62 | $77.62 | $245.47 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $30.90 Median $30.90 Typical High $97.72 | Professional | 53 · Discontinued | $30.90 | $30.90 | $97.72 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $125.89 Median $125.89 Typical High $371.54 | Professional | FX · Film X-ray | $125.89 | $125.89 | $371.54 |
Where Ohio sits
The same service costs 4.5 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· 32nd of 51
$204
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.