How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $15.85 Median $15.85 Typical High $281.84 | Facility | None | $15.85 | $15.85 | $281.84 |
Aetna Setting Professional Modifier None Typical Low $15.85 Median $15.85 Typical High $275.42 | Professional | None | $15.85 | $15.85 | $275.42 |
Anthem BCBS Setting Professional Modifier None Typical Low $25.70 Median $77.62 Typical High $123.03 | Professional | None | $25.70 | $77.62 | $123.03 |
Cigna Setting Professional Modifier None Typical Low $13.80 Median $23.44 Typical High $144.54 | Professional | None | $13.80 | $23.44 | $144.54 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $416.87 Median $416.87 Typical High $416.87 | Facility | None | $416.87 | $416.87 | $416.87 |
Medical Mutual of Ohio Setting Professional Modifier None Typical Low $13.80 Median $23.99 Typical High $144.54 | Professional | None | $13.80 | $23.99 | $144.54 |
Molina Setting Professional Modifier None Typical Low $30.20 Median $38.90 Typical High $53.70 | Professional | None | $30.20 | $38.90 | $53.70 |
SummaCare Setting Professional Modifier None Typical Low $18.20 Median $20.89 Typical High $36.31 | Professional | None | $18.20 | $20.89 | $36.31 |
United Setting Professional Modifier None Typical Low $14.13 Median $30.20 Typical High $93.33 | Professional | None | $14.13 | $30.20 | $93.33 |
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 $7.41 Median $8.91 Typical High $15.49 | Facility | 52 · Reduced service | $7.41 | $8.91 | $15.49 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $2.95 Median $3.55 Typical High $6.17 | Facility | 53 · Discontinued | $2.95 | $3.55 | $6.17 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $11.75 Median $15.49 Typical High $21.88 | Facility | FX · Film X-ray | $11.75 | $15.49 | $21.88 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $7.94 Median $7.94 Typical High $131.83 | Professional | 52 · Reduced service | $7.94 | $7.94 | $131.83 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.16 Median $3.16 Typical High $53.70 | Professional | 53 · Discontinued | $3.16 | $3.16 | $53.70 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $12.59 Median $12.59 Typical High $15.49 | Professional | FX · Film X-ray | $12.59 | $12.59 | $15.49 |
Where Ohio sits
The same service costs 5.5 times more in Alabama than in Pennsylvania. 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· 12th of 51
$52.48
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.