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 $2,187.76 Median $2,344.23 Typical High $5,128.61 | Professional | None | $2,187.76 | $2,344.23 | $5,128.61 |
CareFirst Setting Professional Modifier None Typical Low $2,511.89 Median $2,754.23 Typical High $3,162.28 | Professional | None | $2,511.89 | $2,754.23 | $3,162.28 |
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 $2,238.72 Median $2,630.27 Typical High $5,754.40 | Professional | None | $2,238.72 | $2,630.27 | $5,754.40 |
Kaiser Permanente Setting Professional Modifier None Typical Low $2,511.89 Median $2,818.38 Typical High $4,466.84 | Professional | None | $2,511.89 | $2,818.38 | $4,466.84 |
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 $2,187.76 Median $2,570.40 Typical High $4,677.35 | Professional | None | $2,187.76 | $2,570.40 | $4,677.35 |
Wellpoint Setting Professional Modifier None Typical Low $2,511.89 Median $3,467.37 Typical High $3,715.35 | Professional | None | $2,511.89 | $3,467.37 | $3,715.35 |
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 $1,096.48 Median $1,148.15 Typical High $1,174.90 | Professional | 52 · Reduced service | $1,096.48 | $1,148.15 | $1,174.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $436.52 Median $457.09 Typical High $467.74 | Professional | 53 · Discontinued | $436.52 | $457.09 | $467.74 |
Where Maryland sits
The same service costs 3.5 times more in Alaska than in Kentucky. 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· 29th of 51
$2,512
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.