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 $1,819.70 Median $1,819.70 Typical High $1,819.70 | Professional | None (both parts) | $1,819.70 | $1,819.70 | $1,819.70 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $1,778.28 Median $1,949.84 Typical High $1,949.84 | Professional | None (both parts) | $1,778.28 | $1,949.84 | $1,949.84 |
Cigna Setting Professional Modifier None (both parts) Typical Low $1,288.25 Median $1,288.25 Typical High $1,288.25 | Professional | None (both parts) | $1,288.25 | $1,288.25 | $1,288.25 |
Kaiser Permanente Setting Professional Modifier None Typical Low $2,454.71 Median $2,818.38 Typical High $3,715.35 | Professional | None | $2,454.71 | $2,818.38 | $3,715.35 |
United Setting Professional Modifier None (both parts) Typical Low $1,023.29 Median $1,230.27 Typical High $2,137.96 | Professional | None (both parts) | $1,023.29 | $1,230.27 | $2,137.96 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $1,230.27 Median $1,230.27 Typical High $1,949.84 | Professional | None (both parts) | $1,230.27 | $1,230.27 | $1,949.84 |
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 $1,819.70 Median $1,819.70 Typical High $1,819.70 | Professional | 26 · Professional part | $1,819.70 | $1,819.70 | $1,819.70 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $912.01 Median $912.01 Typical High $912.01 | Professional | 52 · Reduced service | $912.01 | $912.01 | $912.01 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $363.08 Median $363.08 Typical High $363.08 | Professional | 53 · Discontinued | $363.08 | $363.08 | $363.08 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $2,630.27 Median $3,162.28 Typical High $3,981.07 | Professional | TC · Technical part | $2,630.27 | $3,162.28 | $3,981.07 |
Where Maryland sits
The same service costs 8.9 times more in Alaska than in Ohio. 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· 35th of 51
$1,820
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.