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 $1,905.46 Median $1,949.84 Typical High $1,949.84 | Professional | None (both parts) | $1,905.46 | $1,949.84 | $1,949.84 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $1,862.09 Median $2,041.74 Typical High $2,041.74 | Professional | None (both parts) | $1,862.09 | $2,041.74 | $2,041.74 |
Kaiser Permanente Setting Professional Modifier None Typical Low $2,570.40 Median $2,951.21 Typical High $3,890.45 | Professional | None | $2,570.40 | $2,951.21 | $3,890.45 |
United Setting Professional Modifier None (both parts) Typical Low $1,071.52 Median $1,288.25 Typical High $2,238.72 | Professional | None (both parts) | $1,071.52 | $1,288.25 | $2,238.72 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $1,288.25 Median $1,288.25 Typical High $2,041.74 | Professional | None (both parts) | $1,288.25 | $1,288.25 | $2,041.74 |
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 $1,905.46 Median $1,949.84 Typical High $1,949.84 | Professional | 26 · Professional part | $1,905.46 | $1,949.84 | $1,949.84 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $954.99 Median $954.99 Typical High $954.99 | Professional | 52 · Reduced service | $954.99 | $954.99 | $954.99 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $380.19 Median $389.05 Typical High $389.05 | Professional | 53 · Discontinued | $380.19 | $389.05 | $389.05 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $2,754.23 Median $3,311.31 Typical High $4,168.69 | Professional | TC · Technical part | $2,754.23 | $3,311.31 | $4,168.69 |
Where Maryland sits
The same service costs 204.2 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· 34th of 51
$1,905
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.