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 $239.88 Median $239.88 Typical High $263.03 | Facility | None | $239.88 | $239.88 | $263.03 |
Aetna Setting Professional Modifier None Typical Low $190.55 Median $194.98 Typical High $208.93 | Professional | None | $190.55 | $194.98 | $208.93 |
CareFirst Setting Professional Modifier None Typical Low $186.21 Median $204.17 Typical High $251.19 | Professional | None | $186.21 | $204.17 | $251.19 |
Cigna Setting Professional Modifier None Typical Low $141.25 Median $218.78 Typical High $741.31 | Professional | None | $141.25 | $218.78 | $741.31 |
Kaiser Permanente Setting Professional Modifier None Typical Low $257.04 Median $309.03 Typical High $389.05 | Professional | None | $257.04 | $309.03 | $389.05 |
United Setting Professional Modifier None Typical Low $107.15 Median $151.36 Typical High $239.88 | Professional | None | $107.15 | $151.36 | $239.88 |
Wellpoint Setting Professional Modifier None Typical Low $251.19 Median $251.19 Typical High $251.19 | Professional | None | $251.19 | $251.19 | $251.19 |
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 $95.50 Median $95.50 Typical High $104.71 | Professional | 52 · Reduced service | $95.50 | $95.50 | $104.71 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $38.02 Median $38.90 Typical High $41.69 | Professional | 53 · Discontinued | $38.02 | $38.90 | $41.69 |
Where Maryland sits
The same service costs 3.7 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.