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 $3,715.35 Median $3,715.35 Typical High $3,715.35 | Professional | None (both parts) | $3,715.35 | $3,715.35 | $3,715.35 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $3,630.78 Median $3,981.07 Typical High $3,981.07 | Professional | None (both parts) | $3,630.78 | $3,981.07 | $3,981.07 |
Kaiser Permanente Setting Professional Modifier None Typical Low $5,011.87 Median $5,754.40 Typical High $7,585.78 | Professional | None | $5,011.87 | $5,754.40 | $7,585.78 |
United Setting Professional Modifier None (both parts) Typical Low $2,089.30 Median $2,511.89 Typical High $4,365.16 | Professional | None (both parts) | $2,089.30 | $2,511.89 | $4,365.16 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $3,981.07 Median $3,981.07 Typical High $3,981.07 | Professional | None (both parts) | $3,981.07 | $3,981.07 | $3,981.07 |
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 $1,862.09 Median $1,862.09 Typical High $1,862.09 | Professional | 52 · Reduced service | $1,862.09 | $1,862.09 | $1,862.09 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $741.31 Median $758.58 Typical High $758.58 | Professional | 53 · Discontinued | $741.31 | $758.58 | $758.58 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $5,370.32 Median $6,456.54 Typical High $8,128.31 | Professional | TC · Technical part | $5,370.32 | $6,456.54 | $8,128.31 |
Where Maryland sits
The same service costs 12.0 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· 36th of 51
$3,715
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.