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 $1,584.89 Median $1,584.89 Typical High $1,584.89 | Professional | None (both parts) | $1,584.89 | $1,584.89 | $1,584.89 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $1,513.56 Median $1,698.24 Typical High $1,698.24 | Professional | None (both parts) | $1,513.56 | $1,698.24 | $1,698.24 |
Cigna Setting Professional Modifier None (both parts) Typical Low $1,122.02 Median $1,122.02 Typical High $1,122.02 | Professional | None (both parts) | $1,122.02 | $1,122.02 | $1,122.02 |
Kaiser Permanente Setting Professional Modifier None Typical Low $2,137.96 Median $2,454.71 Typical High $3,162.28 | Professional | None | $2,137.96 | $2,454.71 | $3,162.28 |
United Setting Professional Modifier None (both parts) Typical Low $891.25 Median $1,071.52 Typical High $1,862.09 | Professional | None (both parts) | $891.25 | $1,071.52 | $1,862.09 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $1,071.52 Median $1,071.52 Typical High $1,698.24 | Professional | None (both parts) | $1,071.52 | $1,071.52 | $1,698.24 |
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 $1,584.89 Median $1,584.89 Typical High $1,584.89 | Professional | 26 · Professional part | $1,584.89 | $1,584.89 | $1,584.89 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $794.33 Median $794.33 Typical High $794.33 | Professional | 52 · Reduced service | $794.33 | $794.33 | $794.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $316.23 Median $316.23 Typical High $316.23 | Professional | 53 · Discontinued | $316.23 | $316.23 | $316.23 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $2,290.87 Median $2,754.23 Typical High $3,388.44 | Professional | TC · Technical part | $2,290.87 | $2,754.23 | $3,388.44 |
Where Maryland sits
The same service costs 229.1 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
$1,585
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.