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 $257.04 Median $263.03 Typical High $316.23 | Professional | None | $257.04 | $263.03 | $316.23 |
CareFirst Setting Professional Modifier None Typical Low $251.19 Median $281.84 Typical High $281.84 | Professional | None | $251.19 | $281.84 | $281.84 |
Cigna Setting Professional Modifier None Typical Low $173.78 Median $257.04 Typical High $1,000.00 | Professional | None | $173.78 | $257.04 | $1,000.00 |
Kaiser Permanente Setting Professional Modifier None Typical Low $346.74 Median $416.87 Typical High $524.81 | Professional | None | $346.74 | $416.87 | $524.81 |
United Setting Professional Modifier None Typical Low $154.88 Median $177.83 Typical High $309.03 | Professional | None | $154.88 | $177.83 | $309.03 |
Wellpoint Setting Professional Modifier None Typical Low $281.84 Median $281.84 Typical High $281.84 | Professional | None | $281.84 | $281.84 | $281.84 |
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 $128.82 Median $131.83 Typical High $144.54 | Professional | 52 · Reduced service | $128.82 | $131.83 | $144.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $51.29 Median $52.48 Typical High $57.54 | Professional | 53 · Discontinued | $51.29 | $52.48 | $57.54 |
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· 43rd of 51
$263
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.