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 $177.83 Median $177.83 Typical High $194.98 | Facility | None | $177.83 | $177.83 | $194.98 |
Aetna Setting Professional Modifier None Typical Low $141.25 Median $141.25 Typical High $245.47 | Professional | None | $141.25 | $141.25 | $245.47 |
CareFirst Setting Professional Modifier None Typical Low $141.25 Median $141.25 Typical High $141.25 | Professional | None | $141.25 | $141.25 | $141.25 |
Cigna Setting Professional Modifier None Typical Low $81.28 Median $147.91 Typical High $416.87 | Professional | None | $81.28 | $147.91 | $416.87 |
Johns Hopkins Employer Health Plan Setting Facility Modifier None Typical Low $169.82 Median $169.82 Typical High $169.82 | Facility | None | $169.82 | $169.82 | $169.82 |
Johns Hopkins Employer Health Plan Setting Professional Modifier None Typical Low $169.82 Median $169.82 Typical High $169.82 | Professional | None | $169.82 | $169.82 | $169.82 |
Kaiser Permanente Setting Professional Modifier None Typical Low $141.25 Median $169.82 Typical High $213.80 | Professional | None | $141.25 | $169.82 | $213.80 |
United Setting Professional Modifier None Typical Low $60.26 Median $70.79 Typical High $125.89 | Professional | None | $60.26 | $70.79 | $125.89 |
Wellpoint Setting Professional Modifier None Typical Low $141.25 Median $141.25 Typical High $141.25 | Professional | None | $141.25 | $141.25 | $141.25 |
3 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 $28.84 Median $28.84 Typical High $28.84 | Professional | 53 · Discontinued | $28.84 | $28.84 | $28.84 |
Kaiser Permanente Setting Professional Modifier QW · Waived lab test Typical Low $141.25 Median $162.18 Typical High $213.80 | Professional | QW · Waived lab test | $141.25 | $162.18 | $213.80 |
Where Maryland sits
The same service costs 4.3 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· 42nd 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.