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 $263.03 Median $269.15 Typical High $269.15 | Professional | None | $263.03 | $269.15 | $269.15 |
CareFirst Setting Professional Modifier None Typical Low $257.04 Median $288.40 Typical High $288.40 | Professional | None | $257.04 | $288.40 | $288.40 |
Cigna Setting Facility Modifier None Typical Low $190.55 Median $234.42 Typical High $467.74 | Facility | None | $190.55 | $234.42 | $467.74 |
Cigna Setting Professional Modifier None Typical Low $190.55 Median $354.81 Typical High $870.96 | Professional | None | $190.55 | $354.81 | $870.96 |
Kaiser Permanente Setting Professional Modifier None Typical Low $354.81 Median $407.38 Typical High $537.03 | Professional | None | $354.81 | $407.38 | $537.03 |
United Setting Professional Modifier None Typical Low $162.18 Median $204.17 Typical High $302.00 | Professional | None | $162.18 | $204.17 | $302.00 |
Wellpoint Setting Professional Modifier None Typical Low $138.04 Median $354.81 Typical High $354.81 | Professional | None | $138.04 | $354.81 | $354.81 |
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 $131.83 Median $134.90 Typical High $134.90 | Professional | 52 · Reduced service | $131.83 | $134.90 | $134.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $52.48 Median $53.70 Typical High $53.70 | Professional | 53 · Discontinued | $52.48 | $53.70 | $53.70 |
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· 47th of 51
$269
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.