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 $416.87 | Facility | None | $100.00 | $275.42 | $416.87 |
Aetna Setting Professional Modifier None Typical Low $100.00 Median $169.82 Typical High $363.08 | Professional | None | $100.00 | $169.82 | $363.08 |
Ambetter Setting Professional Modifier None Typical Low $87.10 Median $134.90 Typical High $134.90 | Professional | None | $87.10 | $134.90 | $134.90 |
Anthem BCBS Setting Professional Modifier None Typical Low $102.33 Median $109.65 Typical High $177.83 | Professional | None | $102.33 | $109.65 | $177.83 |
Aultcare Setting Professional Modifier None Typical Low $186.21 Median $186.21 Typical High $208.93 | Professional | None | $186.21 | $186.21 | $208.93 |
Cigna Setting Professional Modifier None Typical Low $100.00 Median $128.82 Typical High $239.88 | Professional | None | $100.00 | $128.82 | $239.88 |
Medical Mutual of Ohio Setting Professional Modifier None Typical Low $100.00 Median $165.96 Typical High $316.23 | Professional | None | $100.00 | $165.96 | $316.23 |
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 $107.15 Median $125.89 Typical High $162.18 | Professional | None | $107.15 | $125.89 | $162.18 |
United Setting Professional Modifier None Typical Low $72.44 Median $109.65 Typical High $218.78 | Professional | None | $72.44 | $109.65 | $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 $50.12 Median $138.04 Typical High $208.93 | Facility | 52 · Reduced service | $50.12 | $138.04 | $208.93 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $19.95 Median $54.95 Typical High $85.11 | Facility | 53 · Discontinued | $19.95 | $54.95 | $85.11 |
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 $190.55 | Professional | 52 · Reduced service | $50.12 | $50.12 | $190.55 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.95 Median $19.95 Typical High $75.86 | Professional | 53 · Discontinued | $19.95 | $19.95 | $75.86 |
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 4.4 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
$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.