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 $323.59 Median $331.13 Typical High $331.13 | Professional | None | $323.59 | $331.13 | $331.13 |
CareFirst Setting Professional Modifier None Typical Low $316.23 Median $354.81 Typical High $380.19 | Professional | None | $316.23 | $354.81 | $380.19 |
Cigna Setting Professional Modifier None Typical Low $204.17 Median $323.59 Typical High $1,258.93 | Professional | None | $204.17 | $323.59 | $1,258.93 |
Kaiser Permanente Setting Professional Modifier None Typical Low $416.87 Median $524.81 Typical High $660.69 | Professional | None | $416.87 | $524.81 | $660.69 |
United Setting Professional Modifier None Typical Low $74.13 Median $199.53 Typical High $371.54 | Professional | None | $74.13 | $199.53 | $371.54 |
Wellpoint Setting Professional Modifier None Typical Low $346.74 Median $346.74 Typical High $346.74 | Professional | None | $346.74 | $346.74 | $346.74 |
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 $162.18 Median $165.96 Typical High $165.96 | Professional | 52 · Reduced service | $162.18 | $165.96 | $165.96 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $64.57 Median $66.07 Typical High $67.61 | Professional | 53 · Discontinued | $64.57 | $66.07 | $67.61 |
Where Maryland sits
The same service costs 7.1 times more in Texas than in North Carolina. 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· 33rd of 51
$331
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.