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 $2,137.96 Median $2,137.96 Typical High $2,187.76 | Professional | None | $2,137.96 | $2,137.96 | $2,187.76 |
CareFirst Setting Professional Modifier None Typical Low $2,089.30 Median $2,290.87 Typical High $2,290.87 | Professional | None | $2,089.30 | $2,290.87 | $2,290.87 |
Cigna Setting Professional Modifier None Typical Low $1,479.11 Median $2,290.87 Typical High $8,317.64 | Professional | None | $1,479.11 | $2,290.87 | $8,317.64 |
Kaiser Permanente Setting Professional Modifier None Typical Low $2,884.03 Median $3,467.37 Typical High $4,265.80 | Professional | None | $2,884.03 | $3,467.37 | $4,265.80 |
United Setting Professional Modifier None Typical Low $891.25 Median $1,445.44 Typical High $2,398.83 | Professional | None | $891.25 | $1,445.44 | $2,398.83 |
Wellpoint Setting Professional Modifier None Typical Low $2,290.87 Median $2,290.87 Typical High $2,290.87 | Professional | None | $2,290.87 | $2,290.87 | $2,290.87 |
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 $1,071.52 Median $1,071.52 Typical High $1,096.48 | Professional | 52 · Reduced service | $1,071.52 | $1,071.52 | $1,096.48 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $426.58 Median $426.58 Typical High $436.52 | Professional | 53 · Discontinued | $426.58 | $426.58 | $436.52 |
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· 32nd of 51
$2,138
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.