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 $398.11 Median $1,071.52 Typical High $1,778.28 | Facility | None | $398.11 | $1,071.52 | $1,778.28 |
Aetna Setting Professional Modifier None Typical Low $398.11 Median $676.08 Typical High $1,778.28 | Professional | None | $398.11 | $676.08 | $1,778.28 |
Ambetter Setting Professional Modifier None Typical Low $331.13 Median $331.13 Typical High $331.13 | Professional | None | $331.13 | $331.13 | $331.13 |
Anthem BCBS Setting Professional Modifier None Typical Low $407.38 Median $467.74 Typical High $758.58 | Professional | None | $407.38 | $467.74 | $758.58 |
Aultcare Setting Professional Modifier None Typical Low $575.44 Median $758.58 Typical High $831.76 | Professional | None | $575.44 | $758.58 | $831.76 |
Cigna Setting Professional Modifier None Typical Low $407.38 Median $524.81 Typical High $977.24 | Professional | None | $407.38 | $524.81 | $977.24 |
Medical Mutual of Ohio Setting Professional Modifier None Typical Low $407.38 Median $575.44 Typical High $977.24 | Professional | None | $407.38 | $575.44 | $977.24 |
Molina Setting Professional Modifier None Typical Low $416.87 Median $524.81 Typical High $691.83 | Professional | None | $416.87 | $524.81 | $691.83 |
SummaCare Setting Professional Modifier None Typical Low $436.52 Median $501.19 Typical High $645.65 | Professional | None | $436.52 | $501.19 | $645.65 |
United Setting Professional Modifier None Typical Low $302.00 Median $446.68 Typical High $870.96 | Professional | None | $302.00 | $446.68 | $870.96 |
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 $194.98 Median $537.03 Typical High $891.25 | Facility | 52 · Reduced service | $194.98 | $537.03 | $891.25 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $79.43 Median $218.78 Typical High $354.81 | Facility | 53 · Discontinued | $79.43 | $218.78 | $354.81 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $316.23 Median $954.99 Typical High $1,318.26 | Facility | FX · Film X-ray | $316.23 | $954.99 | $1,318.26 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $194.98 Median $194.98 Typical High $977.24 | Professional | 52 · Reduced service | $194.98 | $194.98 | $977.24 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $79.43 Median $79.43 Typical High $398.11 | Professional | 53 · Discontinued | $79.43 | $79.43 | $398.11 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $316.23 Median $316.23 Typical High $954.99 | Professional | FX · Film X-ray | $316.23 | $316.23 | $954.99 |
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· 31st of 51
$513
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.