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 $436.52 Median $436.52 Typical High $776.25 | Professional | None | $436.52 | $436.52 | $776.25 |
CareFirst Setting Professional Modifier None Typical Low $933.25 Median $1,047.13 Typical High $1,047.13 | Professional | None | $933.25 | $1,047.13 | $1,047.13 |
Cigna Setting Facility Modifier None Typical Low $309.03 Median $407.38 Typical High $1,380.38 | Facility | None | $309.03 | $407.38 | $1,380.38 |
Cigna Setting Professional Modifier None Typical Low $309.03 Median $616.60 Typical High $2,290.87 | Professional | None | $309.03 | $616.60 | $2,290.87 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,122.02 Median $1,445.44 Typical High $1,949.84 | Professional | None | $1,122.02 | $1,445.44 | $1,949.84 |
United Setting Professional Modifier None Typical Low $263.03 Median $354.81 Typical High $588.84 | Professional | None | $263.03 | $354.81 | $588.84 |
Wellpoint Setting Professional Modifier None Typical Low $229.09 Median $288.40 Typical High $1,047.13 | Professional | None | $229.09 | $288.40 | $1,047.13 |
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 $218.78 Median $218.78 Typical High $239.88 | Professional | 52 · Reduced service | $218.78 | $218.78 | $239.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $87.10 Median $87.10 Typical High $95.50 | Professional | 53 · Discontinued | $87.10 | $87.10 | $95.50 |
Where Maryland sits
The same service costs 4.0 times more in Wisconsin than in Georgia. 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· 14th of 51
$933
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.