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 $229.09 Median $229.09 Typical High $234.42 | Professional | None | $229.09 | $229.09 | $234.42 |
CareFirst Setting Professional Modifier None Typical Low $223.87 Median $245.47 Typical High $245.47 | Professional | None | $223.87 | $245.47 | $245.47 |
Cigna Setting Professional Modifier None Typical Low $97.72 Median $218.78 Typical High $891.25 | Professional | None | $97.72 | $218.78 | $891.25 |
Kaiser Permanente Setting Professional Modifier None Typical Low $295.12 Median $371.54 Typical High $457.09 | Professional | None | $295.12 | $371.54 | $457.09 |
United Setting Professional Modifier None Typical Low $67.61 Median $154.88 Typical High $257.04 | Professional | None | $67.61 | $154.88 | $257.04 |
Wellpoint Setting Professional Modifier None Typical Low $245.47 Median $245.47 Typical High $245.47 | Professional | None | $245.47 | $245.47 | $245.47 |
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 $114.82 Median $114.82 Typical High $117.49 | Professional | 52 · Reduced service | $114.82 | $114.82 | $117.49 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $45.71 Median $45.71 Typical High $46.77 | Professional | 53 · Discontinued | $45.71 | $45.71 | $46.77 |
Where Maryland sits
The same service costs 5.9 times more in Texas than in Kentucky. 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· 34th of 51
$229
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.