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 $154.88 Median $154.88 Typical High $162.18 | Professional | None | $154.88 | $154.88 | $162.18 |
CareFirst Setting Professional Modifier None Typical Low $147.91 Median $165.96 Typical High $165.96 | Professional | None | $147.91 | $165.96 | $165.96 |
Cigna Setting Professional Modifier None Typical Low $109.65 Median $151.36 Typical High $602.56 | Professional | None | $109.65 | $151.36 | $602.56 |
Kaiser Permanente Setting Professional Modifier None Typical Low $208.93 Median $251.19 Typical High $309.03 | Professional | None | $208.93 | $251.19 | $309.03 |
United Setting Professional Modifier None Typical Low $87.10 Median $104.71 Typical High $181.97 | Professional | None | $87.10 | $104.71 | $181.97 |
Wellpoint Setting Professional Modifier None Typical Low $165.96 Median $165.96 Typical High $165.96 | Professional | None | $165.96 | $165.96 | $165.96 |
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 $75.86 Median $77.62 Typical High $81.28 | Professional | 52 · Reduced service | $75.86 | $77.62 | $81.28 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $30.90 Median $30.90 Typical High $33.11 | Professional | 53 · Discontinued | $30.90 | $30.90 | $33.11 |
Where Maryland sits
The same service costs 4.3 times more in Texas than in Oklahoma. 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· 44th of 51
$155
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.