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 $162.18 Median $165.96 Typical High $186.21 | Professional | None | $162.18 | $165.96 | $186.21 |
CareFirst Setting Professional Modifier None Typical Low $158.49 Median $177.83 Typical High $177.83 | Professional | None | $158.49 | $177.83 | $177.83 |
Cigna Setting Professional Modifier None Typical Low $117.49 Median $181.97 Typical High $630.96 | Professional | None | $117.49 | $181.97 | $630.96 |
Kaiser Permanente Setting Professional Modifier None Typical Low $218.78 Median $263.03 Typical High $331.13 | Professional | None | $218.78 | $263.03 | $331.13 |
United Setting Professional Modifier None Typical Low $100.00 Median $125.89 Typical High $204.17 | Professional | None | $100.00 | $125.89 | $204.17 |
Wellpoint Setting Professional Modifier None Typical Low $218.78 Median $218.78 Typical High $218.78 | Professional | None | $218.78 | $218.78 | $218.78 |
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 $81.28 Median $83.18 Typical High $91.20 | Professional | 52 · Reduced service | $81.28 | $83.18 | $91.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $32.36 Median $33.11 Typical High $36.31 | Professional | 53 · Discontinued | $32.36 | $33.11 | $36.31 |
Where Maryland sits
The same service costs 3.1 times more in Alaska than in New Jersey. 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· 50th of 51
$166
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.