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 $1,949.84 Median $1,995.26 Typical High $1,995.26 | Professional | None (both parts) | $1,949.84 | $1,995.26 | $1,995.26 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $1,905.46 Median $2,137.96 Typical High $2,137.96 | Professional | None (both parts) | $1,905.46 | $2,137.96 | $2,137.96 |
Kaiser Permanente Setting Professional Modifier None Typical Low $2,630.27 Median $3,019.95 Typical High $3,981.07 | Professional | None | $2,630.27 | $3,019.95 | $3,981.07 |
United Setting Professional Modifier None (both parts) Typical Low $1,122.02 Median $1,318.26 Typical High $2,290.87 | Professional | None (both parts) | $1,122.02 | $1,318.26 | $2,290.87 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $1,318.26 Median $1,318.26 Typical High $2,137.96 | Professional | None (both parts) | $1,318.26 | $1,318.26 | $2,137.96 |
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 $977.24 Median $1,000.00 Typical High $1,000.00 | Professional | 52 · Reduced service | $977.24 | $1,000.00 | $1,000.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $389.05 Median $398.11 Typical High $398.11 | Professional | 53 · Discontinued | $389.05 | $398.11 | $398.11 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $2,818.38 Median $3,467.37 Typical High $4,265.80 | Professional | TC · Technical part | $2,818.38 | $3,467.37 | $4,265.80 |
Where Maryland sits
The same service costs 31.6 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
$1,950
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.