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 Facility Modifier None Typical Low $194.98 Median $316.23 Typical High $389.05 | Facility | None | $194.98 | $316.23 | $389.05 |
Aetna Setting Professional Modifier None Typical Low $194.98 Median $194.98 Typical High $239.88 | Professional | None | $194.98 | $194.98 | $239.88 |
CareFirst Setting Professional Modifier None Typical Low $190.55 Median $208.93 Typical High $208.93 | Professional | None | $190.55 | $208.93 | $208.93 |
Cigna Setting Professional Modifier None Typical Low $138.04 Median $190.55 Typical High $758.58 | Professional | None | $138.04 | $190.55 | $758.58 |
Kaiser Permanente Setting Professional Modifier None Typical Low $263.03 Median $316.23 Typical High $398.11 | Professional | None | $263.03 | $316.23 | $398.11 |
United Setting Professional Modifier None Typical Low $109.65 Median $131.83 Typical High $229.09 | Professional | None | $109.65 | $131.83 | $229.09 |
Wellpoint Setting Professional Modifier None Typical Low $208.93 Median $208.93 Typical High $208.93 | Professional | None | $208.93 | $208.93 | $208.93 |
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 $97.72 Median $97.72 Typical High $100.00 | Professional | 52 · Reduced service | $97.72 | $97.72 | $100.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $38.90 Median $39.81 Typical High $39.81 | Professional | 53 · Discontinued | $38.90 | $39.81 | $39.81 |
Where Maryland sits
The same service costs 4.5 times more in Alaska than in Georgia. 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· 46th of 51
$195
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.