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 $75.86 Median $125.89 Typical High $269.15 | Facility | None | $75.86 | $125.89 | $269.15 |
Aetna Setting Professional Modifier None Typical Low $117.49 Median $147.91 Typical High $177.83 | Professional | None | $117.49 | $147.91 | $177.83 |
CareFirst Setting Professional Modifier None Typical Low $181.97 Median $181.97 Typical High $181.97 | Professional | None | $181.97 | $181.97 | $181.97 |
Cigna Setting Professional Modifier None Typical Low $102.33 Median $169.82 Typical High $269.15 | Professional | None | $102.33 | $169.82 | $269.15 |
Kaiser Permanente Setting Professional Modifier None Typical Low $134.90 Median $165.96 Typical High $239.88 | Professional | None | $134.90 | $165.96 | $239.88 |
United Setting Professional Modifier None Typical Low $120.23 Median $154.88 Typical High $213.80 | Professional | None | $120.23 | $154.88 | $213.80 |
Wellpoint Setting Professional Modifier None Typical Low $154.88 Median $154.88 Typical High $154.88 | Professional | None | $154.88 | $154.88 | $154.88 |
6 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 Facility Modifier AF · Specialist physician Typical Low $151.36 Median $173.78 Typical High $190.55 | Facility | AF · Specialist physician | $151.36 | $173.78 | $190.55 |
Aetna Setting Facility Modifier HO · Master's level Typical Low $112.20 Median $128.82 Typical High $141.25 | Facility | HO · Master's level | $112.20 | $128.82 | $141.25 |
Aetna Setting Facility Modifier TD · Registered nurse Typical Low $128.82 Median $147.91 Typical High $162.18 | Facility | TD · Registered nurse | $128.82 | $147.91 | $162.18 |
Aetna Setting Professional Modifier AF · Specialist physician Typical Low $104.71 Median $158.49 Typical High $181.97 | Professional | AF · Specialist physician | $104.71 | $158.49 | $181.97 |
Aetna Setting Professional Modifier HO · Master's level Typical Low $112.20 Median $128.82 Typical High $141.25 | Professional | HO · Master's level | $112.20 | $128.82 | $141.25 |
Aetna Setting Professional Modifier TD · Registered nurse Typical Low $64.57 Median $134.90 Typical High $154.88 | Professional | TD · Registered nurse | $64.57 | $134.90 | $154.88 |
Where Maryland sits
The same service costs 2.2 times more in North Dakota than in Kentucky. 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· 28th of 51
$155
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.