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 $109.65 Median $112.20 Typical High $112.20 | Professional | None | $109.65 | $112.20 | $112.20 |
CareFirst Setting Professional Modifier None Typical Low $107.15 Median $117.49 Typical High $134.90 | Professional | None | $107.15 | $117.49 | $134.90 |
Cigna Setting Facility Modifier None Typical Low $79.43 Median $104.71 Typical High $190.55 | Facility | None | $79.43 | $104.71 | $190.55 |
Cigna Setting Professional Modifier None Typical Low $79.43 Median $141.25 Typical High $363.08 | Professional | None | $79.43 | $141.25 | $363.08 |
Kaiser Permanente Setting Professional Modifier None Typical Low $147.91 Median $169.82 Typical High $288.40 | Professional | None | $147.91 | $169.82 | $288.40 |
United Setting Professional Modifier None Typical Low $66.07 Median $87.10 Typical High $123.03 | Professional | None | $66.07 | $87.10 | $123.03 |
Wellpoint Setting Professional Modifier None Typical Low $57.54 Median $144.54 Typical High $144.54 | Professional | None | $57.54 | $144.54 | $144.54 |
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 $54.95 Median $56.23 Typical High $56.23 | Professional | 52 · Reduced service | $54.95 | $56.23 | $56.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $21.88 Median $22.39 Typical High $22.39 | Professional | 53 · Discontinued | $21.88 | $22.39 | $22.39 |
Where Maryland sits
The same service costs 5.8 times more in Kansas 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· 49th of 51
$112
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.