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 $3,090.30 Median $3,162.28 Typical High $3,162.28 | Professional | None (both parts) | $3,090.30 | $3,162.28 | $3,162.28 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $3,019.95 Median $3,311.31 Typical High $3,311.31 | Professional | None (both parts) | $3,019.95 | $3,311.31 | $3,311.31 |
Kaiser Permanente Setting Professional Modifier None Typical Low $4,168.69 Median $4,786.30 Typical High $6,309.57 | Professional | None | $4,168.69 | $4,786.30 | $6,309.57 |
United Setting Professional Modifier None (both parts) Typical Low $1,737.80 Median $2,089.30 Typical High $3,630.78 | Professional | None (both parts) | $1,737.80 | $2,089.30 | $3,630.78 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $2,089.30 Median $2,089.30 Typical High $3,311.31 | Professional | None (both parts) | $2,089.30 | $2,089.30 | $3,311.31 |
3 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 52 · Reduced service Typical Low $1,548.82 Median $1,584.89 Typical High $1,584.89 | Professional | 52 · Reduced service | $1,548.82 | $1,584.89 | $1,584.89 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $616.60 Median $630.96 Typical High $630.96 | Professional | 53 · Discontinued | $616.60 | $630.96 | $630.96 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $4,466.84 Median $5,370.32 Typical High $6,760.83 | Professional | TC · Technical part | $4,466.84 | $5,370.32 | $6,760.83 |
Where Maryland sits
The same service costs 67.6 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
$3,090
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.