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 $407.38 Median $416.87 Typical High $426.58 | Professional | None | $407.38 | $416.87 | $426.58 |
CareFirst Setting Professional Modifier None Typical Low $446.68 Median $501.19 Typical High $549.54 | Professional | None | $446.68 | $501.19 | $549.54 |
Cigna Setting Professional Modifier None Typical Low $295.12 Median $537.03 Typical High $1,621.81 | Professional | None | $295.12 | $537.03 | $1,621.81 |
Kaiser Permanente Setting Professional Modifier None Typical Low $562.34 Median $660.69 Typical High $831.76 | Professional | None | $562.34 | $660.69 | $831.76 |
United Setting Professional Modifier None Typical Low $234.42 Median $275.42 Typical High $489.78 | Professional | None | $234.42 | $275.42 | $489.78 |
Wellpoint Setting Professional Modifier None Typical Low $446.68 Median $446.68 Typical High $446.68 | Professional | None | $446.68 | $446.68 | $446.68 |
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 $204.17 Median $208.93 Typical High $213.80 | Professional | 52 · Reduced service | $204.17 | $208.93 | $213.80 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $83.18 Median $83.18 Typical High $85.11 | Professional | 53 · Discontinued | $83.18 | $83.18 | $85.11 |
Where Maryland sits
The same service costs 4.6 times more in Kansas 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· 45th of 51
$447
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.