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 $107.15 Median $144.54 Typical High $213.80 | Facility | None | $107.15 | $144.54 | $213.80 |
Aetna Setting Professional Modifier None Typical Low $79.43 Median $107.15 Typical High $117.49 | Professional | None | $79.43 | $107.15 | $117.49 |
CareFirst Setting Professional Modifier None Typical Low $102.33 Median $114.82 Typical High $134.90 | Professional | None | $102.33 | $114.82 | $134.90 |
Cigna Setting Professional Modifier None Typical Low $74.13 Median $114.82 Typical High $416.87 | Professional | None | $74.13 | $114.82 | $416.87 |
Kaiser Permanente Setting Professional Modifier None Typical Low $144.54 Median $173.78 Typical High $213.80 | Professional | None | $144.54 | $173.78 | $213.80 |
United Setting Professional Modifier None Typical Low $87.10 Median $117.49 Typical High $281.84 | Professional | None | $87.10 | $117.49 | $281.84 |
Wellpoint Setting Professional Modifier None Typical Low $123.03 Median $123.03 Typical High $123.03 | Professional | None | $123.03 | $123.03 | $123.03 |
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 $53.70 Median $53.70 Typical High $57.54 | Professional | 52 · Reduced service | $53.70 | $53.70 | $57.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $21.38 Median $21.38 Typical High $22.91 | Professional | 53 · Discontinued | $21.38 | $21.38 | $22.91 |
Where Maryland sits
The same service costs 5.6 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· 48th of 51
$115
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.