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 $141.25 Median $144.54 Typical High $158.49 | Professional | None | $141.25 | $144.54 | $158.49 |
CareFirst Setting Professional Modifier None Typical Low $138.04 Median $154.88 Typical High $154.88 | Professional | None | $138.04 | $154.88 | $154.88 |
Cigna Setting Professional Modifier None Typical Low $45.71 Median $125.89 Typical High $549.54 | Professional | None | $45.71 | $125.89 | $549.54 |
Kaiser Permanente Setting Professional Modifier None Typical Low $181.97 Median $229.09 Typical High $288.40 | Professional | None | $181.97 | $229.09 | $288.40 |
United Setting Professional Modifier None Typical Low $35.48 Median $87.10 Typical High $162.18 | Professional | None | $35.48 | $87.10 | $162.18 |
Wellpoint Setting Professional Modifier None Typical Low $95.50 Median $95.50 Typical High $154.88 | Professional | None | $95.50 | $95.50 | $154.88 |
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 $70.79 Median $72.44 Typical High $79.43 | Professional | 52 · Reduced service | $70.79 | $72.44 | $79.43 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $28.18 Median $28.84 Typical High $31.62 | Professional | 53 · Discontinued | $28.18 | $28.84 | $31.62 |
Where Maryland sits
The same service costs 5.4 times more in Texas than in Ohio. 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· 30th of 51
$141
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.