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 $0.72 Median $15.49 Typical High $24.55 | Facility | None | $0.72 | $15.49 | $24.55 |
Aetna Setting Professional Modifier None Typical Low $12.30 Median $13.49 Typical High $18.62 | Professional | None | $12.30 | $13.49 | $18.62 |
CareFirst Setting Professional Modifier None Typical Low $15.85 Median $16.98 Typical High $19.05 | Professional | None | $15.85 | $16.98 | $19.05 |
Cigna Setting Professional Modifier None Typical Low $10.72 Median $12.88 Typical High $22.39 | Professional | None | $10.72 | $12.88 | $22.39 |
Kaiser Permanente Setting Professional Modifier None Typical Low $0.71 Median $0.95 Typical High $23.99 | Professional | None | $0.71 | $0.95 | $23.99 |
United Setting Professional Modifier None Typical Low $10.23 Median $16.60 Typical High $30.90 | Professional | None | $10.23 | $16.60 | $30.90 |
Wellpoint Setting Professional Modifier None Typical Low $0.83 Median $0.83 Typical High $1.07 | Professional | None | $0.83 | $0.83 | $1.07 |
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 $6.17 Median $6.17 Typical High $6.76 | Professional | 52 · Reduced service | $6.17 | $6.17 | $6.76 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.45 Median $2.45 Typical High $2.69 | Professional | 53 · Discontinued | $2.45 | $2.45 | $2.69 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $9.77 Median $9.77 Typical High $10.72 | Professional | FX · Film X-ray | $9.77 | $9.77 | $10.72 |
Where Maryland sits
The same service costs 5.5 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· 34th of 51
$16.98
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.