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 $223.87 Median $223.87 Typical High $245.47 | Professional | None | $223.87 | $223.87 | $245.47 |
CareFirst Setting Professional Modifier None Typical Low $213.80 Median $239.88 Typical High $239.88 | Professional | None | $213.80 | $239.88 | $239.88 |
Cigna Setting Professional Modifier None Typical Low $141.25 Median $223.87 Typical High $870.96 | Professional | None | $141.25 | $223.87 | $870.96 |
Kaiser Permanente Setting Professional Modifier None Typical Low $281.84 Median $363.08 Typical High $446.68 | Professional | None | $281.84 | $363.08 | $446.68 |
United Setting Professional Modifier None Typical Low $37.15 Median $134.90 Typical High $251.19 | Professional | None | $37.15 | $134.90 | $251.19 |
Wellpoint Setting Professional Modifier None Typical Low $239.88 Median $239.88 Typical High $239.88 | Professional | None | $239.88 | $239.88 | $239.88 |
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 $112.20 Median $112.20 Typical High $123.03 | Professional | 52 · Reduced service | $112.20 | $112.20 | $123.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $44.67 Median $44.67 Typical High $48.98 | Professional | 53 · Discontinued | $44.67 | $44.67 | $48.98 |
Where Maryland sits
The same service costs 6.9 times more in Texas than in North Carolina. 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· 32nd of 51
$224
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.