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 Typical Low $831.76 Median $1,479.11 Typical High $2,511.89 | Professional | None | $831.76 | $1,479.11 | $2,511.89 |
CareFirst Setting Professional Modifier None Typical Low $1,479.11 Median $1,659.59 Typical High $1,659.59 | Professional | None | $1,479.11 | $1,659.59 | $1,659.59 |
Cigna Setting Facility Modifier None Typical Low $489.78 Median $602.56 Typical High $2,691.53 | Facility | None | $489.78 | $602.56 | $2,691.53 |
Cigna Setting Professional Modifier None Typical Low $831.76 Median $1,047.13 Typical High $2,630.27 | Professional | None | $831.76 | $1,047.13 | $2,630.27 |
Kaiser Permanente Setting Professional Modifier None Typical Low $870.96 Median $977.24 Typical High $1,584.89 | Professional | None | $870.96 | $977.24 | $1,584.89 |
United Setting Facility Modifier None Typical Low $257.04 Median $537.03 Typical High $1,230.27 | Facility | None | $257.04 | $537.03 | $1,230.27 |
United Setting Professional Modifier None Typical Low $794.33 Median $1,122.02 Typical High $2,041.74 | Professional | None | $794.33 | $1,122.02 | $2,041.74 |
Wellpoint Setting Professional Modifier None Typical Low $870.96 Median $870.96 Typical High $1,288.25 | Professional | None | $870.96 | $870.96 | $1,288.25 |
2 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 $426.58 Median $741.31 Typical High $741.31 | Professional | 52 · Reduced service | $426.58 | $741.31 | $741.31 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $173.78 Median $295.12 Typical High $295.12 | Professional | 53 · Discontinued | $173.78 | $295.12 | $295.12 |
Where Maryland sits
The same service costs 3.5 times more in Alaska than in Utah. 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· 28th of 51
$1,230
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.