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 $239.88 Median $239.88 Typical High $245.47 | Professional | None | $239.88 | $239.88 | $245.47 |
CareFirst Setting Professional Modifier None Typical Low $234.42 Median $257.04 Typical High $257.04 | Professional | None | $234.42 | $257.04 | $257.04 |
Cigna Setting Facility Modifier None Typical Low $169.82 Median $213.80 Typical High $416.87 | Facility | None | $169.82 | $213.80 | $416.87 |
Cigna Setting Professional Modifier None Typical Low $97.72 Median $239.88 Typical High $794.33 | Professional | None | $97.72 | $239.88 | $794.33 |
Kaiser Permanente Setting Professional Modifier None Typical Low $323.59 Median $371.54 Typical High $489.78 | Professional | None | $323.59 | $371.54 | $489.78 |
United Setting Professional Modifier None Typical Low $69.18 Median $162.18 Typical High $218.78 | Professional | None | $69.18 | $162.18 | $218.78 |
Wellpoint Setting Professional Modifier None Typical Low $125.89 Median $257.04 Typical High $257.04 | Professional | None | $125.89 | $257.04 | $257.04 |
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 $120.23 Median $120.23 Typical High $120.23 | Professional | 52 · Reduced service | $120.23 | $120.23 | $120.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $47.86 Median $48.98 Typical High $48.98 | Professional | 53 · Discontinued | $47.86 | $48.98 | $48.98 |
Where Maryland sits
The same service costs 7.9 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· 31st of 51
$240
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.