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 Professional Modifier None Typical Low $144.54 Median $151.36 Typical High $316.23 | Professional | None | $144.54 | $151.36 | $316.23 |
CareFirst Setting Professional Modifier None Typical Low $165.96 Median $181.97 Typical High $199.53 | Professional | None | $165.96 | $181.97 | $199.53 |
Cigna Setting Professional Modifier None Typical Low $131.83 Median $162.18 Typical High $331.13 | Professional | None | $131.83 | $162.18 | $331.13 |
Kaiser Permanente Setting Professional Modifier None Typical Low $169.82 Median $204.17 Typical High $288.40 | Professional | None | $169.82 | $204.17 | $288.40 |
United Setting Professional Modifier None Typical Low $120.23 Median $186.21 Typical High $389.05 | Professional | None | $120.23 | $186.21 | $389.05 |
Wellpoint Setting Professional Modifier None Typical Low $177.83 Median $257.04 Typical High $269.15 | Professional | None | $177.83 | $257.04 | $269.15 |
3 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 Professional Modifier 52 · Reduced service Typical Low $72.44 Median $72.44 Typical High $75.86 | Professional | 52 · Reduced service | $72.44 | $72.44 | $75.86 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $29.51 Median $29.51 Typical High $30.20 | Professional | 53 · Discontinued | $29.51 | $29.51 | $30.20 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $117.49 Median $117.49 Typical High $120.23 | Professional | FX · Film X-ray | $117.49 | $117.49 | $120.23 |
Where Maryland sits
The same service costs 4.5 times more in Alaska than in Florida. 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.
Maryland· 46th of 51
$178
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.