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 $144.54 Median $144.54 Typical High $151.36 | Professional | None | $144.54 | $144.54 | $151.36 |
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 $102.33 Median $141.25 Typical High $562.34 | Professional | None | $102.33 | $141.25 | $562.34 |
Kaiser Permanente Setting Professional Modifier None Typical Low $194.98 Median $234.42 Typical High $288.40 | Professional | None | $194.98 | $234.42 | $288.40 |
United Setting Professional Modifier None Typical Low $81.28 Median $97.72 Typical High $169.82 | Professional | None | $81.28 | $97.72 | $169.82 |
Wellpoint Setting Professional Modifier None Typical Low $97.72 Median $97.72 Typical High $154.88 | Professional | None | $97.72 | $97.72 | $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 $75.86 | Professional | 52 · Reduced service | $70.79 | $72.44 | $75.86 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $28.84 Median $28.84 Typical High $30.90 | Professional | 53 · Discontinued | $28.84 | $28.84 | $30.90 |
Where Maryland sits
The same service costs 8.3 times more in Texas 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· 44th of 51
$145
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.