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 $2,691.53 Median $2,691.53 Typical High $2,691.53 | Professional | None (both parts) | $2,691.53 | $2,691.53 | $2,691.53 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $2,570.40 Median $2,884.03 Typical High $2,884.03 | Professional | None (both parts) | $2,570.40 | $2,884.03 | $2,884.03 |
Cigna Setting Professional Modifier None (both parts) Typical Low $1,905.46 Median $1,905.46 Typical High $1,905.46 | Professional | None (both parts) | $1,905.46 | $1,905.46 | $1,905.46 |
Kaiser Permanente Setting Professional Modifier None Typical Low $3,630.78 Median $4,168.69 Typical High $5,370.32 | Professional | None | $3,630.78 | $4,168.69 | $5,370.32 |
United Setting Professional Modifier None (both parts) Typical Low $1,513.56 Median $1,819.70 Typical High $3,162.28 | Professional | None (both parts) | $1,513.56 | $1,819.70 | $3,162.28 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $2,884.03 Median $2,884.03 Typical High $2,884.03 | Professional | None (both parts) | $2,884.03 | $2,884.03 | $2,884.03 |
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 $2,691.53 Median $2,691.53 Typical High $2,691.53 | Professional | 26 · Professional part | $2,691.53 | $2,691.53 | $2,691.53 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $1,318.26 Median $1,348.96 Typical High $1,348.96 | Professional | 52 · Reduced service | $1,318.26 | $1,348.96 | $1,348.96 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $537.03 Median $537.03 Typical High $537.03 | Professional | 53 · Discontinued | $537.03 | $537.03 | $537.03 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $3,890.45 Median $4,677.35 Typical High $5,754.40 | Professional | TC · Technical part | $3,890.45 | $4,677.35 | $5,754.40 |
Where Maryland sits
The same service costs 8.9 times more in Texas than in New Mexico. 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· 35th of 51
$2,692
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.