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 $177.83 Median $177.83 Typical High $194.98 | Professional | None | $177.83 | $177.83 | $194.98 |
CareFirst Setting Professional Modifier None Typical Low $169.82 Median $190.55 Typical High $204.17 | Professional | None | $169.82 | $190.55 | $204.17 |
Cigna Setting Professional Modifier None Typical Low $112.20 Median $177.83 Typical High $691.83 | Professional | None | $112.20 | $177.83 | $691.83 |
Kaiser Permanente Setting Professional Modifier None Typical Low $229.09 Median $288.40 Typical High $354.81 | Professional | None | $229.09 | $288.40 | $354.81 |
United Setting Professional Modifier None Typical Low $67.61 Median $120.23 Typical High $199.53 | Professional | None | $67.61 | $120.23 | $199.53 |
Wellpoint Setting Professional Modifier None Typical Low $190.55 Median $190.55 Typical High $190.55 | Professional | None | $190.55 | $190.55 | $190.55 |
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 $87.10 Median $89.13 Typical High $97.72 | Professional | 52 · Reduced service | $87.10 | $89.13 | $97.72 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $35.48 Median $35.48 Typical High $38.90 | Professional | 53 · Discontinued | $35.48 | $35.48 | $38.90 |
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· 38th of 51
$178
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.