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 $1,096.48 Median $1,122.02 Typical High $1,122.02 | Professional | None | $1,096.48 | $1,122.02 | $1,122.02 |
CareFirst Setting Professional Modifier None Typical Low $1,071.52 Median $1,202.26 Typical High $1,202.26 | Professional | None | $1,071.52 | $1,202.26 | $1,202.26 |
Cigna Setting Facility Modifier None Typical Low $35.48 Median $977.24 Typical High $1,905.46 | Facility | None | $35.48 | $977.24 | $1,905.46 |
Cigna Setting Professional Modifier None Typical Low $794.33 Median $1,479.11 Typical High $3,630.78 | Professional | None | $794.33 | $1,479.11 | $3,630.78 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,479.11 Median $1,698.24 Typical High $2,238.72 | Professional | None | $1,479.11 | $1,698.24 | $2,238.72 |
United Setting Professional Modifier None Typical Low $630.96 Median $741.31 Typical High $1,258.93 | Professional | None | $630.96 | $741.31 | $1,258.93 |
Wellpoint Setting Professional Modifier None Typical Low $575.44 Median $575.44 Typical High $2,238.72 | Professional | None | $575.44 | $575.44 | $2,238.72 |
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 $549.54 Median $562.34 Typical High $562.34 | Professional | 52 · Reduced service | $549.54 | $562.34 | $562.34 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $218.78 Median $223.87 Typical High $223.87 | Professional | 53 · Discontinued | $218.78 | $223.87 | $223.87 |
Where Maryland sits
The same service costs 5.6 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· 32nd of 51
$1,096
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.