How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 TC · Technical part Typical Low $87.10 Median $89.13 Typical High $100.00 | Professional | TC · Technical part | $87.10 | $89.13 | $100.00 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $83.18 Typical High $83.18 | Professional | TC · Technical part | $75.86 | $83.18 | $83.18 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $53.70 Median $53.70 Typical High $63.10 | Professional | TC · Technical part | $53.70 | $53.70 | $63.10 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $134.90 Typical High $151.36 | Professional | TC · Technical part | $95.50 | $134.90 | $151.36 |
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 None (both parts) Typical Low $3,019.95 Median $3,019.95 Typical High $3,019.95 | Professional | None (both parts) | $3,019.95 | $3,019.95 | $3,019.95 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $83.18 Median $93.33 Typical High $107.15 | Professional | None (both parts) | $83.18 | $93.33 | $107.15 |
United Setting Professional Modifier None (both parts) Typical Low $128.82 Median $204.17 Typical High $446.68 | Professional | None (both parts) | $128.82 | $204.17 | $446.68 |
Where Maryland sits
The same service costs 61.7 times more in Delaware than in California. 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· 43rd of 51
$115
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.