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 $4,073.80 Median $4,168.69 Typical High $4,265.80 | Professional | None | $4,073.80 | $4,168.69 | $4,265.80 |
CareFirst Setting Professional Modifier None Typical Low $3,890.45 Median $4,365.16 Typical High $4,365.16 | Professional | None | $3,890.45 | $4,365.16 | $4,365.16 |
Cigna Setting Professional Modifier None Typical Low $2,884.03 Median $4,073.80 Typical High $15,848.93 | Professional | None | $2,884.03 | $4,073.80 | $15,848.93 |
Kaiser Permanente Setting Professional Modifier None Typical Low $5,370.32 Median $6,456.54 Typical High $8,128.31 | Professional | None | $5,370.32 | $6,456.54 | $8,128.31 |
United Setting Professional Modifier None Typical Low $2,290.87 Median $2,754.23 Typical High $4,786.30 | Professional | None | $2,290.87 | $2,754.23 | $4,786.30 |
Wellpoint Setting Professional Modifier None Typical Low $2,691.53 Median $2,691.53 Typical High $4,365.16 | Professional | None | $2,691.53 | $2,691.53 | $4,365.16 |
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 $2,041.74 Median $2,089.30 Typical High $2,137.96 | Professional | 52 · Reduced service | $2,041.74 | $2,089.30 | $2,137.96 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $812.83 Median $831.76 Typical High $851.14 | Professional | 53 · Discontinued | $812.83 | $831.76 | $851.14 |
Where Maryland sits
The same service costs 6.2 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· 45th of 51
$4,074
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.