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 $562.34 Median $575.44 Typical High $575.44 | Professional | None (both parts) | $562.34 | $575.44 | $575.44 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $549.54 Median $602.56 Typical High $602.56 | Professional | None (both parts) | $549.54 | $602.56 | $602.56 |
Cigna Setting Professional Modifier None (both parts) Typical Low $407.38 Median $407.38 Typical High $407.38 | Professional | None (both parts) | $407.38 | $407.38 | $407.38 |
Kaiser Permanente Setting Professional Modifier None Typical Low $758.58 Median $870.96 Typical High $1,148.15 | Professional | None | $758.58 | $870.96 | $1,148.15 |
United Setting Professional Modifier None (both parts) Typical Low $316.23 Median $380.19 Typical High $660.69 | Professional | None (both parts) | $316.23 | $380.19 | $660.69 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $380.19 Median $380.19 Typical High $602.56 | Professional | None (both parts) | $380.19 | $380.19 | $602.56 |
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 $562.34 Median $575.44 Typical High $575.44 | Professional | 26 · Professional part | $562.34 | $575.44 | $575.44 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $281.84 Median $281.84 Typical High $281.84 | Professional | 52 · Reduced service | $281.84 | $281.84 | $281.84 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $112.20 Median $114.82 Typical High $114.82 | Professional | 53 · Discontinued | $112.20 | $114.82 | $114.82 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $812.83 Median $977.24 Typical High $1,230.27 | Professional | TC · Technical part | $812.83 | $977.24 | $1,230.27 |
Where Maryland sits
The same service costs 12.0 times more in Texas 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· 32nd of 51
$562
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.