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 $562.34 Median $575.44 Typical High $616.60 | Professional | None | $562.34 | $575.44 | $616.60 |
CareFirst Setting Professional Modifier None Typical Low $549.54 Median $602.56 Typical High $602.56 | Professional | None | $549.54 | $602.56 | $602.56 |
Cigna Setting Facility Modifier None Typical Low $389.05 Median $398.11 Typical High $707.95 | Facility | None | $389.05 | $398.11 | $707.95 |
Cigna Setting Professional Modifier None Typical Low $398.11 Median $724.44 Typical High $1,862.09 | Professional | None | $398.11 | $724.44 | $1,862.09 |
Kaiser Permanente Setting Professional Modifier None Typical Low $758.58 Median $912.01 Typical High $1,148.15 | Professional | None | $758.58 | $912.01 | $1,148.15 |
United Setting Professional Modifier None Typical Low $323.59 Median $380.19 Typical High $660.69 | Professional | None | $323.59 | $380.19 | $660.69 |
Wellpoint Setting Professional Modifier None Typical Low $302.00 Median $602.56 Typical High $602.56 | Professional | None | $302.00 | $602.56 | $602.56 |
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 $281.84 Median $281.84 Typical High $309.03 | Professional | 52 · Reduced service | $281.84 | $281.84 | $309.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $112.20 Median $114.82 Typical High $125.89 | Professional | 53 · Discontinued | $112.20 | $114.82 | $125.89 |
Where Maryland sits
The same service costs 4.0 times more in Alaska than in Oklahoma. 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· 40th of 51
$575
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.