How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $1,621.81 Median $1,819.70 Typical High $1,819.70 | Professional | None | $1,621.81 | $1,819.70 | $1,819.70 |
CareFirst Setting Professional Modifier None Typical Low $1,778.28 Median $1,949.84 Typical High $1,949.84 | Professional | None | $1,778.28 | $1,949.84 | $1,949.84 |
Cigna Setting Facility Modifier None Typical Low $933.25 Median $1,047.13 Typical High $3,162.28 | Facility | None | $933.25 | $1,047.13 | $3,162.28 |
Cigna Setting Professional Modifier None Typical Low $1,000.00 Median $2,344.23 Typical High $7,079.46 | Professional | None | $1,000.00 | $2,344.23 | $7,079.46 |
Kaiser Permanente Setting Professional Modifier None Typical Low $2,454.71 Median $2,818.38 Typical High $3,715.35 | Professional | None | $2,454.71 | $2,818.38 | $3,715.35 |
United Setting Professional Modifier None Typical Low $251.19 Median $1,096.48 Typical High $1,698.24 | Professional | None | $251.19 | $1,096.48 | $1,698.24 |
Wellpoint Setting Professional Modifier None Typical Low $977.24 Median $1,949.84 Typical High $1,949.84 | Professional | None | $977.24 | $1,949.84 | $1,949.84 |
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 $912.01 Median $912.01 Typical High $912.01 | Professional | 52 · Reduced service | $912.01 | $912.01 | $912.01 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $363.08 Median $363.08 Typical High $363.08 | Professional | 53 · Discontinued | $363.08 | $363.08 | $363.08 |
Where Maryland sits
The same service costs 6.8 times more in Alaska than in Kentucky. 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· 23rd of 51
$1,820
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.