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 Professional Modifier None Typical Low $141.25 Median $141.25 Typical High $141.25 | Professional | None | $141.25 | $141.25 | $141.25 |
CareFirst Setting Professional Modifier None Typical Low $134.90 Median $151.36 Typical High $151.36 | Professional | None | $134.90 | $151.36 | $151.36 |
Cigna Setting Facility Modifier None Typical Low $34.67 Median $67.61 Typical High $245.47 | Facility | None | $34.67 | $67.61 | $245.47 |
Cigna Setting Professional Modifier None Typical Low $34.67 Median $104.71 Typical High $331.13 | Professional | None | $34.67 | $104.71 | $331.13 |
Kaiser Permanente Setting Professional Modifier None Typical Low $181.97 Median $218.78 Typical High $281.84 | Professional | None | $181.97 | $218.78 | $281.84 |
United Setting Professional Modifier None Typical Low $20.42 Median $89.13 Typical High $125.89 | Professional | None | $20.42 | $89.13 | $125.89 |
Wellpoint Setting Professional Modifier None Typical Low $74.13 Median $151.36 Typical High $151.36 | Professional | None | $74.13 | $151.36 | $151.36 |
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 $70.79 Median $70.79 Typical High $70.79 | Professional | 52 · Reduced service | $70.79 | $70.79 | $70.79 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $28.18 Median $28.18 Typical High $28.18 | Professional | 53 · Discontinued | $28.18 | $28.18 | $28.18 |
Where Maryland sits
The same service costs 11.2 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· 24th of 51
$141
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.