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 $346.74 Median $354.81 Typical High $380.19 | Professional | None | $346.74 | $354.81 | $380.19 |
CareFirst Setting Professional Modifier None Typical Low $416.87 Median $467.74 Typical High $467.74 | Professional | None | $416.87 | $467.74 | $467.74 |
Cigna Setting Professional Modifier None Typical Low $239.88 Median $331.13 Typical High $1,348.96 | Professional | None | $239.88 | $331.13 | $1,348.96 |
Kaiser Permanente Setting Professional Modifier None Typical Low $467.74 Median $562.34 Typical High $707.95 | Professional | None | $467.74 | $562.34 | $707.95 |
United Setting Professional Modifier None Typical Low $194.98 Median $234.42 Typical High $407.38 | Professional | None | $194.98 | $234.42 | $407.38 |
Wellpoint Setting Professional Modifier None Typical Low $371.54 Median $371.54 Typical High $371.54 | Professional | None | $371.54 | $371.54 | $371.54 |
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 $173.78 Median $173.78 Typical High $190.55 | Professional | 52 · Reduced service | $173.78 | $173.78 | $190.55 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $69.18 Median $70.79 Typical High $77.62 | Professional | 53 · Discontinued | $69.18 | $70.79 | $77.62 |
Where Maryland sits
The same service costs 3.7 times more in Alaska than in Delaware. 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· 35th of 51
$417
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.