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 $125.89 Median $125.89 Typical High $128.82 | Professional | None | $125.89 | $125.89 | $128.82 |
CareFirst Setting Professional Modifier None Typical Low $120.23 Median $134.90 Typical High $134.90 | Professional | None | $120.23 | $134.90 | $134.90 |
Cigna Setting Professional Modifier None Typical Low $79.43 Median $131.83 Typical High $489.78 | Professional | None | $79.43 | $131.83 | $489.78 |
Kaiser Permanente Setting Professional Modifier None Typical Low $169.82 Median $204.17 Typical High $251.19 | Professional | None | $169.82 | $204.17 | $251.19 |
United Setting Professional Modifier None Typical Low $70.79 Median $85.11 Typical High $147.91 | Professional | None | $70.79 | $85.11 | $147.91 |
Wellpoint Setting Professional Modifier None Typical Low $85.11 Median $85.11 Typical High $134.90 | Professional | None | $85.11 | $85.11 | $134.90 |
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 $63.10 Median $63.10 Typical High $64.57 | Professional | 52 · Reduced service | $63.10 | $63.10 | $64.57 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $25.12 Median $25.12 Typical High $25.70 | Professional | 53 · Discontinued | $25.12 | $25.12 | $25.70 |
Where Maryland sits
The same service costs 5.5 times more in Texas than in Connecticut. 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· 41st of 51
$126
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.