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 $288.40 Median $295.12 Typical High $295.12 | Professional | None (both parts) | $288.40 | $295.12 | $295.12 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $281.84 Median $309.03 Typical High $309.03 | Professional | None (both parts) | $281.84 | $309.03 | $309.03 |
Cigna Setting Professional Modifier None (both parts) Typical Low $446.68 Median $446.68 Typical High $562.34 | Professional | None (both parts) | $446.68 | $446.68 | $562.34 |
Kaiser Permanente Setting Professional Modifier None Typical Low $371.54 Median $446.68 Typical High $588.84 | Professional | None | $371.54 | $446.68 | $588.84 |
United Setting Professional Modifier None (both parts) Typical Low $165.96 Median $194.98 Typical High $331.13 | Professional | None (both parts) | $165.96 | $194.98 | $331.13 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $6.17 Median $6.17 Typical High $15.85 | Professional | None (both parts) | $6.17 | $6.17 | $15.85 |
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 26 · Professional part Typical Low $288.40 Median $295.12 Typical High $295.12 | Professional | 26 · Professional part | $288.40 | $295.12 | $295.12 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $144.54 Median $147.91 Typical High $147.91 | Professional | 52 · Reduced service | $144.54 | $147.91 | $147.91 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $57.54 Median $58.88 Typical High $58.88 | Professional | 53 · Discontinued | $57.54 | $58.88 | $58.88 |
Where Maryland sits
The same service costs 134.9 times more in Alaska than in Kentucky. 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
$295
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.