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 $15.49 Median $15.49 Typical High $16.98 | Professional | None | $15.49 | $15.49 | $16.98 |
CareFirst Setting Professional Modifier None Typical Low $19.95 Median $21.88 Typical High $28.18 | Professional | None | $19.95 | $21.88 | $28.18 |
Cigna Setting Professional Modifier None Typical Low $15.49 Median $21.38 Typical High $107.15 | Professional | None | $15.49 | $21.38 | $107.15 |
Kaiser Permanente Setting Professional Modifier None Typical Low $20.42 Median $25.70 Typical High $44.67 | Professional | None | $20.42 | $25.70 | $44.67 |
United Setting Professional Modifier None Typical Low $13.80 Median $26.30 Typical High $77.62 | Professional | None | $13.80 | $26.30 | $77.62 |
Wellpoint Setting Professional Modifier None Typical Low $14.79 Median $14.79 Typical High $31.62 | Professional | None | $14.79 | $14.79 | $31.62 |
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 $7.76 Median $7.76 Typical High $8.51 | Professional | 52 · Reduced service | $7.76 | $7.76 | $8.51 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.16 Median $3.16 Typical High $3.39 | Professional | 53 · Discontinued | $3.16 | $3.16 | $3.39 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $12.59 Median $12.59 Typical High $13.80 | Professional | FX · Film X-ray | $12.59 | $12.59 | $13.80 |
Where Maryland 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.
Maryland· 48th of 51
$20.42
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.