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 $53.70 Median $54.95 Typical High $57.54 | Professional | None | $53.70 | $54.95 | $57.54 |
CareFirst Setting Professional Modifier None Typical Low $52.48 Median $58.88 Typical High $58.88 | Professional | None | $52.48 | $58.88 | $58.88 |
Cigna Setting Professional Modifier None Typical Low $38.90 Median $57.54 Typical High $213.80 | Professional | None | $38.90 | $57.54 | $213.80 |
Kaiser Permanente Setting Professional Modifier None Typical Low $74.13 Median $87.10 Typical High $109.65 | Professional | None | $74.13 | $87.10 | $109.65 |
United Setting Professional Modifier None Typical Low $31.62 Median $36.31 Typical High $64.57 | Professional | None | $31.62 | $36.31 | $64.57 |
Wellpoint Setting Professional Modifier None Typical Low $36.31 Median $36.31 Typical High $58.88 | Professional | None | $36.31 | $36.31 | $58.88 |
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 $26.92 Median $27.54 Typical High $28.84 | Professional | 52 · Reduced service | $26.92 | $27.54 | $28.84 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.96 Median $10.96 Typical High $11.48 | Professional | 53 · Discontinued | $10.96 | $10.96 | $11.48 |
Where Maryland sits
The same service costs 3.8 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· 46th of 51
$53.70
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.