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 $1,445.44 Median $1,479.11 Typical High $1,479.11 | Professional | None (both parts) | $1,445.44 | $1,479.11 | $1,479.11 |
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 |
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 $812.83 Median $977.24 Typical High $1,698.24 | Professional | None (both parts) | $812.83 | $977.24 | $1,698.24 |
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 |
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 $724.44 Median $724.44 Typical High $724.44 | Professional | 52 · Reduced service | $724.44 | $724.44 | $724.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $288.40 Median $295.12 Typical High $295.12 | Professional | 53 · Discontinued | $288.40 | $295.12 | $295.12 |
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 16.6 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
$1,445
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.