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 $95.50 Median $204.17 Typical High $323.59 | Facility | None | $95.50 | $204.17 | $323.59 |
Aetna Setting Professional Modifier None Typical Low $69.18 Median $107.15 Typical High $288.40 | Professional | None | $69.18 | $107.15 | $288.40 |
Ambetter Setting Professional Modifier None Typical Low $72.44 Median $117.49 Typical High $117.49 | Professional | None | $72.44 | $117.49 | $117.49 |
Anthem BCBS Setting Professional Modifier None Typical Low $87.10 Median $109.65 Typical High $177.83 | Professional | None | $87.10 | $109.65 | $177.83 |
CareSource Setting Professional Modifier None Typical Low $81.28 Median $97.72 Typical High $109.65 | Professional | None | $81.28 | $97.72 | $109.65 |
Cigna Setting Facility Modifier None Typical Low $331.13 Median $630.96 Typical High $1,000.00 | Facility | None | $331.13 | $630.96 | $1,000.00 |
Cigna Setting Professional Modifier None Typical Low $70.79 Median $97.72 Typical High $186.21 | Professional | None | $70.79 | $97.72 | $186.21 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $323.59 Median $575.44 Typical High $1,548.82 | Facility | None | $323.59 | $575.44 | $1,548.82 |
Medical Mutual of Ohio Setting Professional Modifier None Typical Low $41.69 Median $107.15 Typical High $758.58 | Professional | None | $41.69 | $107.15 | $758.58 |
Molina Setting Professional Modifier None Typical Low $93.33 Median $114.82 Typical High $158.49 | Professional | None | $93.33 | $114.82 | $158.49 |
SummaCare Setting Professional Modifier None Typical Low $89.13 Median $97.72 Typical High $131.83 | Professional | None | $89.13 | $97.72 | $131.83 |
United Setting Facility Modifier None Typical Low $275.42 Median $323.59 Typical High $457.09 | Facility | None | $275.42 | $323.59 | $457.09 |
United Setting Professional Modifier None Typical Low $56.23 Median $89.13 Typical High $181.97 | Professional | None | $56.23 | $89.13 | $181.97 |
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 $38.90 Median $107.15 Typical High $165.96 | Facility | 52 · Reduced service | $38.90 | $107.15 | $165.96 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $15.49 Median $42.66 Typical High $66.07 | Facility | 53 · Discontinued | $15.49 | $42.66 | $66.07 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $63.10 Median $186.21 Typical High $263.03 | Facility | FX · Film X-ray | $63.10 | $186.21 | $263.03 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $38.90 Median $38.90 Typical High $223.87 | Professional | 52 · Reduced service | $38.90 | $38.90 | $223.87 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $15.49 Median $15.49 Typical High $89.13 | Professional | 53 · Discontinued | $15.49 | $15.49 | $89.13 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $63.10 Median $63.10 Typical High $186.21 | Professional | FX · Film X-ray | $63.10 | $63.10 | $186.21 |
Where Ohio sits
The same service costs 4.5 times more in Alaska than in Kentucky. 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· 26th of 51
$112
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.