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 $208.93 Median $288.40 Typical High $537.03 | Facility | None | $208.93 | $288.40 | $537.03 |
Aetna Setting Professional Modifier None Typical Low $208.93 Median $234.42 Typical High $562.34 | Professional | None | $208.93 | $234.42 | $562.34 |
CareFirst Setting Professional Modifier None Typical Low $263.03 Median $263.03 Typical High $295.12 | Professional | None | $263.03 | $263.03 | $295.12 |
Cigna Setting Professional Modifier None Typical Low $177.83 Median $208.93 Typical High $549.54 | Professional | None | $177.83 | $208.93 | $549.54 |
Kaiser Permanente Setting Professional Modifier None Typical Low $302.00 Median $478.63 Typical High $630.96 | Professional | None | $302.00 | $478.63 | $630.96 |
United Setting Professional Modifier None Typical Low $120.23 Median $269.15 Typical High $616.60 | Professional | None | $120.23 | $269.15 | $616.60 |
Wellpoint Setting Professional Modifier None Typical Low $478.63 Median $676.08 Typical High $758.58 | Professional | None | $478.63 | $676.08 | $758.58 |
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 $104.71 Median $104.71 Typical High $114.82 | Professional | 52 · Reduced service | $104.71 | $104.71 | $114.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $41.69 Median $41.69 Typical High $46.77 | Professional | 53 · Discontinued | $41.69 | $41.69 | $46.77 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $169.82 Median $169.82 Typical High $186.21 | Professional | FX · Film X-ray | $169.82 | $169.82 | $186.21 |
Where Maryland sits
The same service costs 5.1 times more in Alaska than in Kentucky. 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· 44th of 51
$263
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.