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 $446.68 Median $457.09 Typical High $457.09 | Professional | None (both parts) | $446.68 | $457.09 | $457.09 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $436.52 Median $489.78 Typical High $489.78 | Professional | None (both parts) | $436.52 | $489.78 | $489.78 |
Cigna Setting Professional Modifier None (both parts) Typical Low $323.59 Median $323.59 Typical High $323.59 | Professional | None (both parts) | $323.59 | $323.59 | $323.59 |
Kaiser Permanente Setting Professional Modifier None Typical Low $602.56 Median $691.83 Typical High $912.01 | Professional | None | $602.56 | $691.83 | $912.01 |
United Setting Professional Modifier None (both parts) Typical Low $257.04 Median $302.00 Typical High $537.03 | Professional | None (both parts) | $257.04 | $302.00 | $537.03 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $302.00 Median $302.00 Typical High $489.78 | Professional | None (both parts) | $302.00 | $302.00 | $489.78 |
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 $446.68 Median $457.09 Typical High $457.09 | Professional | 26 · Professional part | $446.68 | $457.09 | $457.09 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $223.87 Median $229.09 Typical High $229.09 | Professional | 52 · Reduced service | $223.87 | $229.09 | $229.09 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $89.13 Median $91.20 Typical High $91.20 | Professional | 53 · Discontinued | $89.13 | $91.20 | $91.20 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $645.65 Median $794.33 Typical High $977.24 | Professional | TC · Technical part | $645.65 | $794.33 | $977.24 |
Where Maryland sits
The same service costs 47.9 times more in Texas than in Alabama. 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· 36th of 51
$447
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.