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 $112.20 Median $112.20 Typical High $128.82 | Professional | None | $112.20 | $112.20 | $128.82 |
CareFirst Setting Professional Modifier None Typical Low $123.03 Median $134.90 Typical High $147.91 | Professional | None | $123.03 | $134.90 | $147.91 |
Cigna Setting Professional Modifier None Typical Low $70.79 Median $117.49 Typical High $436.52 | Professional | None | $70.79 | $117.49 | $436.52 |
Kaiser Permanente Setting Professional Modifier None Typical Low $151.36 Median $181.97 Typical High $223.87 | Professional | None | $151.36 | $181.97 | $223.87 |
United Setting Professional Modifier None Typical Low $63.10 Median $75.86 Typical High $131.83 | Professional | None | $63.10 | $75.86 | $131.83 |
Wellpoint Setting Professional Modifier None Typical Low $75.86 Median $75.86 Typical High $120.23 | Professional | None | $75.86 | $75.86 | $120.23 |
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 $56.23 Median $56.23 Typical High $61.66 | Professional | 52 · Reduced service | $56.23 | $56.23 | $61.66 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $22.39 Median $22.39 Typical High $24.55 | Professional | 53 · Discontinued | $22.39 | $22.39 | $24.55 |
Where Maryland sits
The same service costs 5.4 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· 36th of 51
$123
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.