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 $81.28 Median $81.28 Typical High $102.33 | Professional | None | $81.28 | $81.28 | $102.33 |
CareFirst Setting Professional Modifier None Typical Low $79.43 Median $87.10 Typical High $87.10 | Professional | None | $79.43 | $87.10 | $87.10 |
Cigna Setting Professional Modifier None Typical Low $56.23 Median $87.10 Typical High $316.23 | Professional | None | $56.23 | $87.10 | $316.23 |
Kaiser Permanente Setting Professional Modifier None Typical Low $109.65 Median $131.83 Typical High $162.18 | Professional | None | $109.65 | $131.83 | $162.18 |
United Setting Professional Modifier None Typical Low $48.98 Median $63.10 Typical High $100.00 | Professional | None | $48.98 | $63.10 | $100.00 |
Wellpoint Setting Professional Modifier None Typical Low $107.15 Median $107.15 Typical High $107.15 | Professional | None | $107.15 | $107.15 | $107.15 |
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 $40.74 Median $40.74 Typical High $44.67 | Professional | 52 · Reduced service | $40.74 | $40.74 | $44.67 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $16.22 Median $16.22 Typical High $17.78 | Professional | 53 · Discontinued | $16.22 | $16.22 | $17.78 |
Where Maryland sits
The same service costs 3.9 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· 46th of 51
$81.28
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.