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 $128.82 Median $131.83 Typical High $141.25 | Professional | None | $128.82 | $131.83 | $141.25 |
CareFirst Setting Professional Modifier None Typical Low $125.89 Median $141.25 Typical High $141.25 | Professional | None | $125.89 | $141.25 | $141.25 |
Cigna Setting Professional Modifier None Typical Low $81.28 Median $123.03 Typical High $501.19 | Professional | None | $81.28 | $123.03 | $501.19 |
Kaiser Permanente Setting Professional Modifier None Typical Low $173.78 Median $208.93 Typical High $263.03 | Professional | None | $173.78 | $208.93 | $263.03 |
United Setting Professional Modifier None Typical Low $74.13 Median $87.10 Typical High $151.36 | Professional | None | $74.13 | $87.10 | $151.36 |
Wellpoint Setting Professional Modifier None Typical Low $138.04 Median $138.04 Typical High $138.04 | Professional | None | $138.04 | $138.04 | $138.04 |
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 $64.57 Median $66.07 Typical High $70.79 | Professional | 52 · Reduced service | $64.57 | $66.07 | $70.79 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $25.70 Median $26.30 Typical High $28.18 | Professional | 53 · Discontinued | $25.70 | $26.30 | $28.18 |
Where Maryland sits
The same service costs 3.4 times more in Alaska than in Nebraska. 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
$132
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.