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 $204.17 Median $204.17 Typical High $223.87 | Professional | None | $204.17 | $204.17 | $223.87 |
CareFirst Setting Professional Modifier None Typical Low $223.87 Median $245.47 Typical High $245.47 | Professional | None | $223.87 | $245.47 | $245.47 |
Cigna Setting Professional Modifier None Typical Low $141.25 Median $194.98 Typical High $794.33 | Professional | None | $141.25 | $194.98 | $794.33 |
Kaiser Permanente Setting Professional Modifier None Typical Low $275.42 Median $331.13 Typical High $416.87 | Professional | None | $275.42 | $331.13 | $416.87 |
United Setting Professional Modifier None Typical Low $114.82 Median $138.04 Typical High $239.88 | Professional | None | $114.82 | $138.04 | $239.88 |
Wellpoint Setting Professional Modifier None Typical Low $138.04 Median $138.04 Typical High $218.78 | Professional | None | $138.04 | $138.04 | $218.78 |
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 $102.33 Median $102.33 Typical High $112.20 | Professional | 52 · Reduced service | $102.33 | $102.33 | $112.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $40.74 Median $41.69 Typical High $44.67 | Professional | 53 · Discontinued | $40.74 | $41.69 | $44.67 |
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· 39th of 51
$224
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.