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 $588.84 Median $602.56 Typical High $602.56 | Professional | None | $588.84 | $602.56 | $602.56 |
CareFirst Setting Professional Modifier None Typical Low $575.44 Median $630.96 Typical High $645.65 | Professional | None | $575.44 | $630.96 | $645.65 |
Cigna Setting Facility Modifier None Typical Low $416.87 Median $549.54 Typical High $1,023.29 | Facility | None | $416.87 | $549.54 | $1,023.29 |
Cigna Setting Professional Modifier None Typical Low $416.87 Median $758.58 Typical High $2,290.87 | Professional | None | $416.87 | $758.58 | $2,290.87 |
Kaiser Permanente Setting Professional Modifier None Typical Low $794.33 Median $954.99 Typical High $1,202.26 | Professional | None | $794.33 | $954.99 | $1,202.26 |
United Setting Professional Modifier None Typical Low $331.13 Median $398.11 Typical High $741.31 | Professional | None | $331.13 | $398.11 | $741.31 |
Wellpoint Setting Professional Modifier None Typical Low $398.11 Median $630.96 Typical High $630.96 | Professional | None | $398.11 | $630.96 | $630.96 |
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 $295.12 Median $295.12 Typical High $302.00 | Professional | 52 · Reduced service | $295.12 | $295.12 | $302.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $117.49 Median $120.23 Typical High $120.23 | Professional | 53 · Discontinued | $117.49 | $120.23 | $120.23 |
Where Maryland sits
The same service costs 3.7 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· 38th of 51
$603
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.