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 $588.84 Median $602.56 Typical High $602.56 | Professional | None (both parts) | $588.84 | $602.56 | $602.56 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $575.44 Median $630.96 Typical High $630.96 | Professional | None (both parts) | $575.44 | $630.96 | $630.96 |
Kaiser Permanente Setting Professional Modifier None Typical Low $794.33 Median $912.01 Typical High $1,202.26 | Professional | None | $794.33 | $912.01 | $1,202.26 |
United Setting Professional Modifier None (both parts) Typical Low $331.13 Median $398.11 Typical High $691.83 | Professional | None (both parts) | $331.13 | $398.11 | $691.83 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $398.11 Median $398.11 Typical High $630.96 | Professional | None (both parts) | $398.11 | $398.11 | $630.96 |
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 $295.12 Median $295.12 Typical High $295.12 | Professional | 52 · Reduced service | $295.12 | $295.12 | $295.12 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $117.49 Median $120.23 Typical High $120.23 | Professional | 53 · Discontinued | $117.49 | $120.23 | $120.23 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $851.14 Median $1,023.29 Typical High $1,288.25 | Professional | TC · Technical part | $851.14 | $1,023.29 | $1,288.25 |
Where Maryland sits
The same service costs 12.0 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· 33rd of 51
$589
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.