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 Facility Modifier None Typical Low $104.71 Median $104.71 Typical High $169.82 | Facility | None | $104.71 | $104.71 | $169.82 |
Aetna Setting Professional Modifier None Typical Low $93.33 Median $107.15 Typical High $117.49 | Professional | None | $93.33 | $107.15 | $117.49 |
CareFirst Setting Professional Modifier None Typical Low $102.33 Median $114.82 Typical High $114.82 | Professional | None | $102.33 | $114.82 | $114.82 |
Cigna Setting Professional Modifier None Typical Low $74.13 Median $104.71 Typical High $416.87 | Professional | None | $74.13 | $104.71 | $416.87 |
Kaiser Permanente Setting Professional Modifier None Typical Low $141.25 Median $169.82 Typical High $213.80 | Professional | None | $141.25 | $169.82 | $213.80 |
United Setting Professional Modifier None Typical Low $60.26 Median $70.79 Typical High $125.89 | Professional | None | $60.26 | $70.79 | $125.89 |
Wellpoint Setting Professional Modifier None Typical Low $70.79 Median $70.79 Typical High $114.82 | Professional | None | $70.79 | $70.79 | $114.82 |
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 $52.48 Median $53.70 Typical High $56.23 | Professional | 52 · Reduced service | $52.48 | $53.70 | $56.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $20.89 Median $21.38 Typical High $22.39 | Professional | 53 · Discontinued | $20.89 | $21.38 | $22.39 |
Where Maryland sits
The same service costs 5.1 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· 45th of 51
$105
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.