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 $128.82 Median $128.82 Typical High $141.25 | Facility | None | $128.82 | $128.82 | $141.25 |
Aetna Setting Professional Modifier None Typical Low $104.71 Median $104.71 Typical High $114.82 | Professional | None | $104.71 | $104.71 | $114.82 |
CareFirst Setting Professional Modifier None Typical Low $100.00 Median $112.20 Typical High $138.04 | Professional | None | $100.00 | $112.20 | $138.04 |
Cigna Setting Professional Modifier None Typical Low $77.62 Median $128.82 Typical High $407.38 | Professional | None | $77.62 | $128.82 | $407.38 |
Kaiser Permanente Setting Professional Modifier None Typical Low $141.25 Median $169.82 Typical High $208.93 | Professional | None | $141.25 | $169.82 | $208.93 |
United Setting Professional Modifier None Typical Low $85.11 Median $125.89 Typical High $275.42 | Professional | None | $85.11 | $125.89 | $275.42 |
Wellpoint Setting Professional Modifier None Typical Low $138.04 Median $138.04 Typical High $138.04 | Professional | None | $138.04 | $138.04 | $138.04 |
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 $52.48 Median $52.48 Typical High $56.23 | Professional | 52 · Reduced service | $52.48 | $52.48 | $56.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $20.89 Median $20.89 Typical High $22.91 | Professional | 53 · Discontinued | $20.89 | $20.89 | $22.91 |
Where Maryland sits
The same service costs 6.0 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
$112
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.