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 $3,548.13 Median $3,548.13 Typical High $3,801.89 | Professional | None | $3,548.13 | $3,548.13 | $3,801.89 |
CareFirst Setting Professional Modifier None Typical Low $3,467.37 Median $3,801.89 Typical High $3,801.89 | Professional | None | $3,467.37 | $3,801.89 | $3,801.89 |
Cigna Setting Facility Modifier None Typical Low $2,511.89 Median $3,311.31 Typical High $6,165.95 | Facility | None | $2,511.89 | $3,311.31 | $6,165.95 |
Cigna Setting Professional Modifier None Typical Low $2,454.71 Median $4,570.88 Typical High $13,803.84 | Professional | None | $2,454.71 | $4,570.88 | $13,803.84 |
Kaiser Permanente Setting Professional Modifier None Typical Low $4,786.30 Median $5,754.40 Typical High $7,244.36 | Professional | None | $4,786.30 | $5,754.40 | $7,244.36 |
United Setting Professional Modifier None Typical Low $1,995.26 Median $2,398.83 Typical High $4,168.69 | Professional | None | $1,995.26 | $2,398.83 | $4,168.69 |
Wellpoint Setting Professional Modifier None Typical Low $1,905.46 Median $3,801.89 Typical High $3,801.89 | Professional | None | $1,905.46 | $3,801.89 | $3,801.89 |
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 $1,778.28 Median $1,778.28 Typical High $1,905.46 | Professional | 52 · Reduced service | $1,778.28 | $1,778.28 | $1,905.46 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $707.95 Median $724.44 Typical High $758.58 | Professional | 53 · Discontinued | $707.95 | $724.44 | $758.58 |
Where Maryland sits
The same service costs 10.7 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· 35th of 51
$3,548
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.