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 $218.78 Median $218.78 Typical High $239.88 | Professional | None | $218.78 | $218.78 | $239.88 |
CareFirst Setting Professional Modifier None Typical Low $239.88 Median $263.03 Typical High $263.03 | Professional | None | $239.88 | $263.03 | $263.03 |
Cigna Setting Professional Modifier None Typical Low $154.88 Median $239.88 Typical High $851.14 | Professional | None | $154.88 | $239.88 | $851.14 |
Kaiser Permanente Setting Professional Modifier None Typical Low $295.12 Median $354.81 Typical High $446.68 | Professional | None | $295.12 | $354.81 | $446.68 |
United Setting Professional Modifier None Typical Low $131.83 Median $169.82 Typical High $275.42 | Professional | None | $131.83 | $169.82 | $275.42 |
Wellpoint Setting Professional Modifier None Typical Low $288.40 Median $288.40 Typical High $288.40 | Professional | None | $288.40 | $288.40 | $288.40 |
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 $109.65 Median $109.65 Typical High $117.49 | Professional | 52 · Reduced service | $109.65 | $109.65 | $117.49 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $43.65 Median $44.67 Typical High $47.86 | Professional | 53 · Discontinued | $43.65 | $44.67 | $47.86 |
Where Maryland sits
The same service costs 3.8 times more in Alaska than in Alabama. 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· 42nd of 51
$240
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.