How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 Facility Modifier None Typical Low $89.13 Median $144.54 Typical High $177.83 | Facility | None | $89.13 | $144.54 | $177.83 |
Aetna Setting Professional Modifier None Typical Low $89.13 Median $91.20 Typical High $97.72 | Professional | None | $89.13 | $91.20 | $97.72 |
CareFirst Setting Professional Modifier None Typical Low $97.72 Median $109.65 Typical High $109.65 | Professional | None | $97.72 | $109.65 | $109.65 |
Cigna Setting Professional Modifier None Typical Low $66.07 Median $100.00 Typical High $354.81 | Professional | None | $66.07 | $100.00 | $354.81 |
Kaiser Permanente Setting Professional Modifier None Typical Low $123.03 Median $144.54 Typical High $181.97 | Professional | None | $123.03 | $144.54 | $181.97 |
United Setting Professional Modifier None Typical Low $54.95 Median $69.18 Typical High $112.20 | Professional | None | $54.95 | $69.18 | $112.20 |
Wellpoint Setting Professional Modifier None Typical Low $120.23 Median $120.23 Typical High $120.23 | Professional | None | $120.23 | $120.23 | $120.23 |
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 $44.67 Median $45.71 Typical High $48.98 | Professional | 52 · Reduced service | $44.67 | $45.71 | $48.98 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $18.20 Median $18.20 Typical High $19.50 | Professional | 53 · Discontinued | $18.20 | $18.20 | $19.50 |
Where Maryland sits
The same service costs 4.4 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· 46th of 51
$97.72
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.