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 $223.87 Median $223.87 Typical High $257.04 | Professional | None | $223.87 | $223.87 | $257.04 |
CareFirst Setting Professional Modifier None Typical Low $218.78 Median $239.88 Typical High $263.03 | Professional | None | $218.78 | $239.88 | $263.03 |
Cigna Setting Professional Modifier None Typical Low $158.49 Median $288.40 Typical High $870.96 | Professional | None | $158.49 | $288.40 | $870.96 |
Kaiser Permanente Setting Professional Modifier None Typical Low $302.00 Median $363.08 Typical High $457.09 | Professional | None | $302.00 | $363.08 | $457.09 |
United Setting Professional Modifier None Typical Low $125.89 Median $151.36 Typical High $263.03 | Professional | None | $125.89 | $151.36 | $263.03 |
Wellpoint Setting Professional Modifier None Typical Low $151.36 Median $151.36 Typical High $239.88 | Professional | None | $151.36 | $151.36 | $239.88 |
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 $112.20 Median $112.20 Typical High $123.03 | Professional | 52 · Reduced service | $112.20 | $112.20 | $123.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $44.67 Median $45.71 Typical High $48.98 | Professional | 53 · Discontinued | $44.67 | $45.71 | $48.98 |
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· 44th of 51
$224
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.