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 (both parts) Typical Low $1,000.00 Median $1,000.00 Typical High $1,000.00 | Professional | None (both parts) | $1,000.00 | $1,000.00 | $1,000.00 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $954.99 Median $1,071.52 Typical High $1,071.52 | Professional | None (both parts) | $954.99 | $1,071.52 | $1,071.52 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,348.96 Median $1,548.82 Typical High $1,995.26 | Professional | None | $1,348.96 | $1,548.82 | $1,995.26 |
United Setting Professional Modifier None (both parts) Typical Low $562.34 Median $660.69 Typical High $1,174.90 | Professional | None (both parts) | $562.34 | $660.69 | $1,174.90 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $660.69 Median $660.69 Typical High $1,071.52 | Professional | None (both parts) | $660.69 | $660.69 | $1,071.52 |
4 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 26 · Professional part Typical Low $1,000.00 Median $1,000.00 Typical High $1,000.00 | Professional | 26 · Professional part | $1,000.00 | $1,000.00 | $1,000.00 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $489.78 Median $501.19 Typical High $501.19 | Professional | 52 · Reduced service | $489.78 | $501.19 | $501.19 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $199.53 Median $199.53 Typical High $199.53 | Professional | 53 · Discontinued | $199.53 | $199.53 | $199.53 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $1,445.44 Median $1,737.80 Typical High $2,137.96 | Professional | TC · Technical part | $1,445.44 | $1,737.80 | $2,137.96 |
Where Maryland sits
The same service costs 11.7 times more in Texas than in New Mexico. 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· 32nd of 51
$1,000
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.