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 $95.50 Median $97.72 Typical High $97.72 | Professional | None | $95.50 | $97.72 | $97.72 |
CareFirst Setting Professional Modifier None Typical Low $93.33 Median $102.33 Typical High $102.33 | Professional | None | $93.33 | $102.33 | $102.33 |
Cigna Setting Facility Modifier None Typical Low $52.48 Median $85.11 Typical High $165.96 | Facility | None | $52.48 | $85.11 | $165.96 |
Cigna Setting Professional Modifier None Typical Low $52.48 Median $87.10 Typical High $229.09 | Professional | None | $52.48 | $87.10 | $229.09 |
Kaiser Permanente Setting Professional Modifier None Typical Low $128.82 Median $147.91 Typical High $194.98 | Professional | None | $128.82 | $147.91 | $194.98 |
United Setting Professional Modifier None Typical Low $45.71 Median $64.57 Typical High $97.72 | Professional | None | $45.71 | $64.57 | $97.72 |
Wellpoint Setting Professional Modifier None Typical Low $50.12 Median $102.33 Typical High $102.33 | Professional | None | $50.12 | $102.33 | $102.33 |
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 $47.86 Median $48.98 Typical High $48.98 | Professional | 52 · Reduced service | $47.86 | $48.98 | $48.98 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.05 Median $19.50 Typical High $19.50 | Professional | 53 · Discontinued | $19.05 | $19.50 | $19.50 |
Where Maryland sits
The same service costs 6.0 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· 40th of 51
$95.50
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.