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 $954.99 Median $954.99 Typical High $1,071.52 | Professional | None | $954.99 | $954.99 | $1,071.52 |
CareFirst Setting Professional Modifier None Typical Low $933.25 Median $1,023.29 Typical High $1,023.29 | Professional | None | $933.25 | $1,023.29 | $1,023.29 |
Cigna Setting Facility Modifier None Typical Low $645.65 Median $851.14 Typical High $1,659.59 | Facility | None | $645.65 | $851.14 | $1,659.59 |
Cigna Setting Professional Modifier None Typical Low $660.69 Median $1,230.27 Typical High $3,715.35 | Professional | None | $660.69 | $1,230.27 | $3,715.35 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,288.25 Median $1,548.82 Typical High $1,949.84 | Professional | None | $1,288.25 | $1,548.82 | $1,949.84 |
United Setting Professional Modifier None Typical Low $537.03 Median $645.65 Typical High $1,122.02 | Professional | None | $537.03 | $645.65 | $1,122.02 |
Wellpoint Setting Professional Modifier None Typical Low $501.19 Median $512.86 Typical High $1,288.25 | Professional | None | $501.19 | $512.86 | $1,288.25 |
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 $478.63 Median $478.63 Typical High $537.03 | Professional | 52 · Reduced service | $478.63 | $478.63 | $537.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $190.55 Median $194.98 Typical High $213.80 | Professional | 53 · Discontinued | $190.55 | $194.98 | $213.80 |
Where Maryland sits
The same service costs 4.9 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· 40th of 51
$955
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.