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 $151.36 Median $154.88 Typical High $154.88 | Professional | None | $151.36 | $154.88 | $154.88 |
CareFirst Setting Professional Modifier None Typical Low $147.91 Median $162.18 Typical High $169.82 | Professional | None | $147.91 | $162.18 | $169.82 |
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 $138.04 Median $186.21 Typical High $398.11 | Professional | None | $138.04 | $186.21 | $398.11 |
Kaiser Permanente Setting Professional Modifier None Typical Low $158.49 Median $177.83 Typical High $269.15 | Professional | None | $158.49 | $177.83 | $269.15 |
United Setting Facility Modifier None Typical Low $64.57 Median $144.54 Typical High $616.60 | Facility | None | $64.57 | $144.54 | $616.60 |
United Setting Professional Modifier None Typical Low $138.04 Median $204.17 Typical High $389.05 | Professional | None | $138.04 | $204.17 | $389.05 |
Wellpoint Setting Professional Modifier None Typical Low $147.91 Median $147.91 Typical High $234.42 | Professional | None | $147.91 | $147.91 | $234.42 |
1 more rate 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 54 · Surgery only Typical Low $114.82 Median $117.49 Typical High $117.49 | Professional | 54 · Surgery only | $114.82 | $117.49 | $117.49 |
Where Maryland sits
The same service costs 4.3 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· 46th of 51
$162
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.