How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). 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 $87.10 Median $87.10 Typical High $109.65 | Professional | None | $87.10 | $87.10 | $109.65 |
CareFirst Setting Professional Modifier None Typical Low $83.18 Median $93.33 Typical High $117.49 | Professional | None | $83.18 | $93.33 | $117.49 |
Cigna Setting Professional Modifier None Typical Low $64.57 Median $107.15 Typical High $338.84 | Professional | None | $64.57 | $107.15 | $338.84 |
Kaiser Permanente Setting Professional Modifier None Typical Low $117.49 Median $141.25 Typical High $173.78 | Professional | None | $117.49 | $141.25 | $173.78 |
United Setting Professional Modifier None Typical Low $69.18 Median $104.71 Typical High $229.09 | Professional | None | $69.18 | $104.71 | $229.09 |
Wellpoint Setting Professional Modifier None Typical Low $114.82 Median $114.82 Typical High $114.82 | Professional | None | $114.82 | $114.82 | $114.82 |
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 $42.66 Median $43.65 Typical High $46.77 | Professional | 52 · Reduced service | $42.66 | $43.65 | $46.77 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $17.38 Median $17.38 Typical High $18.62 | Professional | 53 · Discontinued | $17.38 | $17.38 | $18.62 |
Where Maryland sits
The same service costs 6.3 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· 49th of 51
$93.33
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.