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 $158.49 Median $158.49 Typical High $162.18 | Professional | None | $158.49 | $158.49 | $162.18 |
CareFirst Setting Professional Modifier None Typical Low $154.88 Median $169.82 Typical High $186.21 | Professional | None | $154.88 | $169.82 | $186.21 |
Cigna Setting Professional Modifier None Typical Low $100.00 Median $158.49 Typical High $616.60 | Professional | None | $100.00 | $158.49 | $616.60 |
Kaiser Permanente Setting Professional Modifier None Typical Low $213.80 Median $257.04 Typical High $323.59 | Professional | None | $213.80 | $257.04 | $323.59 |
United Setting Professional Modifier None Typical Low $63.10 Median $107.15 Typical High $177.83 | Professional | None | $63.10 | $107.15 | $177.83 |
Wellpoint Setting Professional Modifier None Typical Low $169.82 Median $169.82 Typical High $169.82 | Professional | None | $169.82 | $169.82 | $169.82 |
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 $79.43 Median $79.43 Typical High $81.28 | Professional | 52 · Reduced service | $79.43 | $79.43 | $81.28 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $31.62 Median $32.36 Typical High $32.36 | Professional | 53 · Discontinued | $31.62 | $32.36 | $32.36 |
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· 45th of 51
$158
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.