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 $123.03 Median $123.03 Typical High $125.89 | Professional | None | $123.03 | $123.03 | $125.89 |
CareFirst Setting Professional Modifier None Typical Low $120.23 Median $131.83 Typical High $131.83 | Professional | None | $120.23 | $131.83 | $131.83 |
Cigna Setting Professional Modifier None Typical Low $81.28 Median $117.49 Typical High $478.63 | Professional | None | $81.28 | $117.49 | $478.63 |
Kaiser Permanente Setting Professional Modifier None Typical Low $165.96 Median $199.53 Typical High $245.47 | Professional | None | $165.96 | $199.53 | $245.47 |
United Setting Professional Modifier None Typical Low $69.18 Median $83.18 Typical High $144.54 | Professional | None | $69.18 | $83.18 | $144.54 |
Wellpoint Setting Professional Modifier None Typical Low $131.83 Median $131.83 Typical High $131.83 | Professional | None | $131.83 | $131.83 | $131.83 |
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 $61.66 Median $61.66 Typical High $63.10 | Professional | 52 · Reduced service | $61.66 | $61.66 | $63.10 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $24.55 Median $24.55 Typical High $25.12 | Professional | 53 · Discontinued | $24.55 | $24.55 | $25.12 |
Where Maryland sits
The same service costs 3.7 times more in Alaska than in Florida. 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· 43rd of 51
$123
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.