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 $2,570.40 Median $2,570.40 Typical High $2,570.40 | Professional | None (both parts) | $2,570.40 | $2,570.40 | $2,570.40 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $2,454.71 Median $2,754.23 Typical High $2,754.23 | Professional | None (both parts) | $2,454.71 | $2,754.23 | $2,754.23 |
Kaiser Permanente Setting Professional Modifier None Typical Low $3,467.37 Median $3,981.07 Typical High $5,128.61 | Professional | None | $3,467.37 | $3,981.07 | $5,128.61 |
United Setting Professional Modifier None (both parts) Typical Low $1,445.44 Median $1,737.80 Typical High $3,019.95 | Professional | None (both parts) | $1,445.44 | $1,737.80 | $3,019.95 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $2,754.23 Median $2,754.23 Typical High $2,754.23 | Professional | None (both parts) | $2,754.23 | $2,754.23 | $2,754.23 |
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 $1,258.93 Median $1,288.25 Typical High $1,288.25 | Professional | 52 · Reduced service | $1,258.93 | $1,288.25 | $1,288.25 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $512.86 Median $512.86 Typical High $512.86 | Professional | 53 · Discontinued | $512.86 | $512.86 | $512.86 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $3,715.35 Median $4,466.84 Typical High $5,495.41 | Professional | TC · Technical part | $3,715.35 | $4,466.84 | $5,495.41 |
Where Maryland sits
The same service costs 35.5 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· 30th of 51
$2,570
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.