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 $204.17 Median $346.74 Typical High $512.86 | Facility | None | $204.17 | $346.74 | $512.86 |
Aetna Setting Professional Modifier None Typical Low $125.89 Median $190.55 Typical High $407.38 | Professional | None | $125.89 | $190.55 | $407.38 |
Ambetter Setting Professional Modifier None Typical Low $102.33 Median $102.33 Typical High $102.33 | Professional | None | $102.33 | $102.33 | $102.33 |
Anthem BCBS Setting Professional Modifier None Typical Low $123.03 Median $154.88 Typical High $239.88 | Professional | None | $123.03 | $154.88 | $239.88 |
CareSource Setting Professional Modifier None Typical Low $131.83 Median $158.49 Typical High $177.83 | Professional | None | $131.83 | $158.49 | $177.83 |
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 $109.65 Median $158.49 Typical High $288.40 | Professional | None | $109.65 | $158.49 | $288.40 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $363.08 Median $575.44 Typical High $1,000.00 | Facility | None | $363.08 | $575.44 | $1,000.00 |
Medical Mutual of Ohio Setting Professional Modifier None Typical Low $109.65 Median $158.49 Typical High $281.84 | Professional | None | $109.65 | $158.49 | $281.84 |
Molina Setting Professional Modifier None Typical Low $123.03 Median $154.88 Typical High $213.80 | Professional | None | $123.03 | $154.88 | $213.80 |
SummaCare Setting Professional Modifier None Typical Low $144.54 Median $158.49 Typical High $218.78 | Professional | None | $144.54 | $158.49 | $218.78 |
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 $89.13 Median $138.04 Typical High $269.15 | Professional | None | $89.13 | $138.04 | $269.15 |
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 $63.10 Median $173.78 Typical High $269.15 | Facility | 52 · Reduced service | $63.10 | $173.78 | $269.15 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $25.12 Median $69.18 Typical High $107.15 | Facility | 53 · Discontinued | $25.12 | $69.18 | $107.15 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $102.33 Median $302.00 Typical High $426.58 | Facility | FX · Film X-ray | $102.33 | $302.00 | $426.58 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $63.10 Median $63.10 Typical High $204.17 | Professional | 52 · Reduced service | $63.10 | $63.10 | $204.17 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $25.12 Median $25.12 Typical High $81.28 | Professional | 53 · Discontinued | $25.12 | $25.12 | $81.28 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $102.33 Median $102.33 Typical High $302.00 | Professional | FX · Film X-ray | $102.33 | $102.33 | $302.00 |
Where Ohio sits
The same service costs 4.1 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· 36th of 51
$158
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.