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 $34.67 Median $34.67 Typical High $42.66 | Professional | None | $34.67 | $34.67 | $42.66 |
CareFirst Setting Professional Modifier None Typical Low $33.88 Median $37.15 Typical High $37.15 | Professional | None | $33.88 | $37.15 | $37.15 |
Cigna Setting Professional Modifier None Typical Low $24.55 Median $37.15 Typical High $134.90 | Professional | None | $24.55 | $37.15 | $134.90 |
Kaiser Permanente Setting Professional Modifier None Typical Low $46.77 Median $56.23 Typical High $69.18 | Professional | None | $46.77 | $56.23 | $69.18 |
United Setting Professional Modifier None Typical Low $20.89 Median $23.99 Typical High $41.69 | Professional | None | $20.89 | $23.99 | $41.69 |
Wellpoint Setting Professional Modifier None Typical Low $41.69 Median $41.69 Typical High $41.69 | Professional | None | $41.69 | $41.69 | $41.69 |
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 $17.38 Median $17.38 Typical High $21.38 | Professional | 52 · Reduced service | $17.38 | $17.38 | $21.38 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.92 Median $6.92 Typical High $8.51 | Professional | 53 · Discontinued | $6.92 | $6.92 | $8.51 |
Where Maryland sits
The same service costs 8.3 times more in Texas 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· 46th of 51
$34.67
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.