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 $1,288.25 Median $1,318.26 Typical High $1,318.26 | Professional | None (both parts) | $1,288.25 | $1,318.26 | $1,318.26 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $1,412.54 Median $1,548.82 Typical High $1,548.82 | Professional | None (both parts) | $1,412.54 | $1,548.82 | $1,548.82 |
Cigna Setting Professional Modifier None (both parts) Typical Low $933.25 Median $933.25 Typical High $933.25 | Professional | None (both parts) | $933.25 | $933.25 | $933.25 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,949.84 Median $2,238.72 Typical High $2,951.21 | Professional | None | $1,949.84 | $2,238.72 | $2,951.21 |
United Setting Professional Modifier None (both parts) Typical Low $741.31 Median $870.96 Typical High $1,621.81 | Professional | None (both parts) | $741.31 | $870.96 | $1,621.81 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $977.24 Median $977.24 Typical High $1,548.82 | Professional | None (both parts) | $977.24 | $977.24 | $1,548.82 |
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 $1,288.25 Median $1,318.26 Typical High $1,318.26 | Professional | 26 · Professional part | $1,288.25 | $1,318.26 | $1,318.26 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $645.65 Median $660.69 Typical High $660.69 | Professional | 52 · Reduced service | $645.65 | $660.69 | $660.69 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $257.04 Median $263.03 Typical High $263.03 | Professional | 53 · Discontinued | $257.04 | $263.03 | $263.03 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $2,089.30 Median $2,511.89 Typical High $3,162.28 | Professional | TC · Technical part | $2,089.30 | $2,511.89 | $3,162.28 |
Where Maryland sits
The same service costs 154.9 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· 38th of 51
$1,413
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.