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 $208.93 Median $213.80 Typical High $234.42 | Professional | None | $208.93 | $213.80 | $234.42 |
CareFirst Setting Professional Modifier None Typical Low $229.09 Median $257.04 Typical High $257.04 | Professional | None | $229.09 | $257.04 | $257.04 |
Cigna Setting Professional Modifier None Typical Low $147.91 Median $199.53 Typical High $812.83 | Professional | None | $147.91 | $199.53 | $812.83 |
Kaiser Permanente Setting Professional Modifier None Typical Low $281.84 Median $338.84 Typical High $426.58 | Professional | None | $281.84 | $338.84 | $426.58 |
United Setting Professional Modifier None Typical Low $117.49 Median $141.25 Typical High $245.47 | Professional | None | $117.49 | $141.25 | $245.47 |
Wellpoint Setting Professional Modifier None Typical Low $223.87 Median $223.87 Typical High $223.87 | Professional | None | $223.87 | $223.87 | $223.87 |
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 $104.71 Median $107.15 Typical High $114.82 | Professional | 52 · Reduced service | $104.71 | $107.15 | $114.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $41.69 Median $42.66 Typical High $46.77 | Professional | 53 · Discontinued | $41.69 | $42.66 | $46.77 |
Where Maryland sits
The same service costs 3.7 times more in Alaska 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· 39th of 51
$229
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.