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 $1,348.96 Median $1,380.38 Typical High $1,621.81 | Professional | None | $1,348.96 | $1,380.38 | $1,621.81 |
CareFirst Setting Professional Modifier None Typical Low $1,479.11 Median $1,659.59 Typical High $1,659.59 | Professional | None | $1,479.11 | $1,659.59 | $1,659.59 |
Cigna Setting Professional Modifier None Typical Low $954.99 Median $1,445.44 Typical High $5,248.07 | Professional | None | $954.99 | $1,445.44 | $5,248.07 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,819.70 Median $2,187.76 Typical High $2,754.23 | Professional | None | $1,819.70 | $2,187.76 | $2,754.23 |
United Setting Professional Modifier None Typical Low $812.83 Median $1,047.13 Typical High $1,698.24 | Professional | None | $812.83 | $1,047.13 | $1,698.24 |
Wellpoint Setting Professional Modifier None Typical Low $1,778.28 Median $1,778.28 Typical High $1,778.28 | Professional | None | $1,778.28 | $1,778.28 | $1,778.28 |
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 $676.08 Median $691.83 Typical High $776.25 | Professional | 52 · Reduced service | $676.08 | $691.83 | $776.25 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $269.15 Median $275.42 Typical High $309.03 | Professional | 53 · Discontinued | $269.15 | $275.42 | $309.03 |
Where Maryland sits
The same service costs 4.3 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· 43rd of 51
$1,479
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.