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 None Typical Low $588.84 Median $602.56 Typical High $602.56 | Professional | None | $588.84 | $602.56 | $602.56 |
CareFirst Setting Professional Modifier None Typical Low $575.44 Median $645.65 Typical High $645.65 | Professional | None | $575.44 | $645.65 | $645.65 |
Cigna Setting Facility Modifier None Typical Low $218.78 Median $416.87 Typical High $1,047.13 | Facility | None | $218.78 | $416.87 | $1,047.13 |
Cigna Setting Professional Modifier None Typical Low $199.53 Median $446.68 Typical High $1,412.54 | Professional | None | $199.53 | $446.68 | $1,412.54 |
Kaiser Permanente Setting Professional Modifier None Typical Low $758.58 Median $912.01 Typical High $1,202.26 | Professional | None | $758.58 | $912.01 | $1,202.26 |
United Setting Professional Modifier None Typical Low $194.98 Median $398.11 Typical High $537.03 | Professional | None | $194.98 | $398.11 | $537.03 |
Wellpoint Setting Professional Modifier None Typical Low $316.23 Median $630.96 Typical High $630.96 | Professional | None | $316.23 | $630.96 | $630.96 |
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 $295.12 Median $302.00 Typical High $302.00 | Professional | 52 · Reduced service | $295.12 | $302.00 | $302.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $117.49 Median $120.23 Typical High $120.23 | Professional | 53 · Discontinued | $117.49 | $120.23 | $120.23 |
Where Maryland sits
The same service costs 11.0 times more in Alaska 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· 27th of 51
$589
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.