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 $93.33 Median $93.33 Typical High $95.50 | Professional | None | $93.33 | $93.33 | $95.50 |
CareFirst Setting Professional Modifier None Typical Low $89.13 Median $100.00 Typical High $100.00 | Professional | None | $89.13 | $100.00 | $100.00 |
Cigna Setting Professional Modifier None Typical Low $61.66 Median $89.13 Typical High $363.08 | Professional | None | $61.66 | $89.13 | $363.08 |
Kaiser Permanente Setting Professional Modifier None Typical Low $125.89 Median $151.36 Typical High $186.21 | Professional | None | $125.89 | $151.36 | $186.21 |
United Setting Professional Modifier None Typical Low $52.48 Median $63.10 Typical High $109.65 | Professional | None | $52.48 | $63.10 | $109.65 |
Wellpoint Setting Professional Modifier None Typical Low $100.00 Median $100.00 Typical High $100.00 | Professional | None | $100.00 | $100.00 | $100.00 |
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 $45.71 Median $46.77 Typical High $47.86 | Professional | 52 · Reduced service | $45.71 | $46.77 | $47.86 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $18.62 Median $18.62 Typical High $19.05 | Professional | 53 · Discontinued | $18.62 | $18.62 | $19.05 |
Where Maryland sits
The same service costs 4.5 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· 46th of 51
$93.33
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.