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 $2,290.87 Median $2,344.23 Typical High $2,344.23 | Professional | None | $2,290.87 | $2,344.23 | $2,344.23 |
CareFirst Setting Professional Modifier None Typical Low $2,238.72 Median $2,511.89 Typical High $2,511.89 | Professional | None | $2,238.72 | $2,511.89 | $2,511.89 |
Cigna Setting Professional Modifier None Typical Low $1,621.81 Median $3,090.30 Typical High $15,848.93 | Professional | None | $1,621.81 | $3,090.30 | $15,848.93 |
Kaiser Permanente Setting Professional Modifier None Typical Low $3,090.30 Median $3,715.35 Typical High $4,677.35 | Professional | None | $3,090.30 | $3,715.35 | $4,677.35 |
United Setting Professional Modifier None Typical Low $1,318.26 Median $1,548.82 Typical High $2,754.23 | Professional | None | $1,318.26 | $1,548.82 | $2,754.23 |
Wellpoint Setting Professional Modifier None Typical Low $2,454.71 Median $2,454.71 Typical High $2,454.71 | Professional | None | $2,454.71 | $2,454.71 | $2,454.71 |
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 $1,148.15 Median $1,174.90 Typical High $1,174.90 | Professional | 52 · Reduced service | $1,148.15 | $1,174.90 | $1,174.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $457.09 Median $467.74 Typical High $478.63 | Professional | 53 · Discontinued | $457.09 | $467.74 | $478.63 |
Where Maryland sits
The same service costs 6.0 times more in Texas 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
$2,344
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.