How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 Facility Modifier None Typical Low $295.12 Median $295.12 Typical High $295.12 | Facility | None | $295.12 | $295.12 | $295.12 |
Aetna Setting Professional Modifier None Typical Low $147.91 Median $151.36 Typical High $181.97 | Professional | None | $147.91 | $151.36 | $181.97 |
CareFirst Setting Professional Modifier None Typical Low $162.18 Median $181.97 Typical High $181.97 | Professional | None | $162.18 | $181.97 | $181.97 |
Cigna Setting Professional Modifier None Typical Low $104.71 Median $158.49 Typical High $575.44 | Professional | None | $104.71 | $158.49 | $575.44 |
Kaiser Permanente Setting Professional Modifier None Typical Low $199.53 Median $239.88 Typical High $302.00 | Professional | None | $199.53 | $239.88 | $302.00 |
United Setting Professional Modifier None Typical Low $91.20 Median $114.82 Typical High $186.21 | Professional | None | $91.20 | $114.82 | $186.21 |
Wellpoint Setting Professional Modifier None Typical Low $199.53 Median $199.53 Typical High $199.53 | Professional | None | $199.53 | $199.53 | $199.53 |
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 $74.13 Median $75.86 Typical High $83.18 | Professional | 52 · Reduced service | $74.13 | $75.86 | $83.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $29.51 Median $30.20 Typical High $33.11 | Professional | 53 · Discontinued | $29.51 | $30.20 | $33.11 |
Where Maryland sits
The same service costs 3.2 times more in Alaska than in Delaware. 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· 48th of 51
$162
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.