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 $93.33 Median $97.72 Typical High $194.98 | Professional | None | $93.33 | $97.72 | $194.98 |
CareFirst Setting Professional Modifier None Typical Low $104.71 Median $107.15 Typical High $117.49 | Professional | None | $104.71 | $107.15 | $117.49 |
Cigna Setting Professional Modifier None Typical Low $85.11 Median $102.33 Typical High $204.17 | Professional | None | $85.11 | $102.33 | $204.17 |
Kaiser Permanente Setting Professional Modifier None Typical Low $107.15 Median $128.82 Typical High $181.97 | Professional | None | $107.15 | $128.82 | $181.97 |
United Setting Professional Modifier None Typical Low $75.86 Median $114.82 Typical High $245.47 | Professional | None | $75.86 | $114.82 | $245.47 |
Wellpoint Setting Professional Modifier None Typical Low $112.20 Median $162.18 Typical High $169.82 | Professional | None | $112.20 | $162.18 | $169.82 |
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 $46.77 Median $46.77 Typical High $48.98 | Professional | 52 · Reduced service | $46.77 | $46.77 | $48.98 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $18.62 Median $18.62 Typical High $19.50 | Professional | 53 · Discontinued | $18.62 | $18.62 | $19.50 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $74.13 Median $74.13 Typical High $77.62 | Professional | FX · Film X-ray | $74.13 | $74.13 | $77.62 |
Where Maryland sits
The same service costs 4.4 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.
Maryland· 47th of 51
$107
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.