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 $93.33 Median $95.50 Typical High $117.49 | Professional | None | $93.33 | $95.50 | $117.49 |
CareFirst Setting Professional Modifier None Typical Low $102.33 Median $114.82 Typical High $125.89 | Professional | None | $102.33 | $114.82 | $125.89 |
Cigna Setting Professional Modifier None Typical Low $67.61 Median $95.50 Typical High $371.54 | Professional | None | $67.61 | $95.50 | $371.54 |
Kaiser Permanente Setting Professional Modifier None Typical Low $128.82 Median $151.36 Typical High $190.55 | Professional | None | $128.82 | $151.36 | $190.55 |
United Setting Professional Modifier None Typical Low $57.54 Median $67.61 Typical High $114.82 | Professional | None | $57.54 | $67.61 | $114.82 |
Wellpoint Setting Professional Modifier None Typical Low $109.65 Median $109.65 Typical High $109.65 | Professional | None | $109.65 | $109.65 | $109.65 |
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 $46.77 Median $47.86 Typical High $53.70 | Professional | 52 · Reduced service | $46.77 | $47.86 | $53.70 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.05 Median $19.05 Typical High $21.88 | Professional | 53 · Discontinued | $19.05 | $19.05 | $21.88 |
Where Maryland sits
The same service costs 4.6 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· 39th of 51
$102
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.