How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). 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 $2,884.03 Median $2,884.03 Typical High $2,951.21 | Professional | None | $2,884.03 | $2,884.03 | $2,951.21 |
CareFirst Setting Professional Modifier None Typical Low $2,818.38 Median $3,090.30 Typical High $3,090.30 | Professional | None | $2,818.38 | $3,090.30 | $3,090.30 |
Cigna Setting Professional Modifier None Typical Low $1,995.26 Median $2,884.03 Typical High $11,220.18 | Professional | None | $1,995.26 | $2,884.03 | $11,220.18 |
Kaiser Permanente Setting Professional Modifier None Typical Low $3,890.45 Median $4,677.35 Typical High $5,754.40 | Professional | None | $3,890.45 | $4,677.35 | $5,754.40 |
United Setting Professional Modifier None Typical Low $1,621.81 Median $1,949.84 Typical High $3,388.44 | Professional | None | $1,621.81 | $1,949.84 | $3,388.44 |
Wellpoint Setting Professional Modifier None Typical Low $3,090.30 Median $3,090.30 Typical High $3,090.30 | Professional | None | $3,090.30 | $3,090.30 | $3,090.30 |
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 $1,445.44 Median $1,445.44 Typical High $1,479.11 | Professional | 52 · Reduced service | $1,445.44 | $1,445.44 | $1,479.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $575.44 Median $575.44 Typical High $588.84 | Professional | 53 · Discontinued | $575.44 | $575.44 | $588.84 |
Where Maryland sits
The same service costs 5.4 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· 36th of 51
$2,884
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.