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 $275.42 Median $281.84 Typical High $309.03 | Professional | None | $275.42 | $281.84 | $309.03 |
CareFirst Setting Professional Modifier None Typical Low $269.15 Median $302.00 Typical High $302.00 | Professional | None | $269.15 | $302.00 | $302.00 |
Cigna Setting Professional Modifier None Typical Low $194.98 Median $269.15 Typical High $1,096.48 | Professional | None | $194.98 | $269.15 | $1,096.48 |
Kaiser Permanente Setting Professional Modifier None Typical Low $371.54 Median $446.68 Typical High $562.34 | Professional | None | $371.54 | $446.68 | $562.34 |
United Setting Professional Modifier None Typical Low $158.49 Median $186.21 Typical High $316.23 | Professional | None | $158.49 | $186.21 | $316.23 |
Wellpoint Setting Professional Modifier None Typical Low $186.21 Median $186.21 Typical High $302.00 | Professional | None | $186.21 | $186.21 | $302.00 |
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 $138.04 Median $141.25 Typical High $154.88 | Professional | 52 · Reduced service | $138.04 | $141.25 | $154.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $54.95 Median $56.23 Typical High $61.66 | Professional | 53 · Discontinued | $54.95 | $56.23 | $61.66 |
Where Maryland sits
The same service costs 4.9 times more in Alaska than in Alabama. 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· 45th of 51
$275
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.