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 $223.87 Median $229.09 Typical High $257.04 | Professional | None | $223.87 | $229.09 | $257.04 |
CareFirst Setting Professional Modifier None Typical Low $251.19 Median $281.84 Typical High $281.84 | Professional | None | $251.19 | $281.84 | $281.84 |
Cigna Setting Professional Modifier None Typical Low $229.09 Median $275.42 Typical High $758.58 | Professional | None | $229.09 | $275.42 | $758.58 |
Kaiser Permanente Setting Professional Modifier None Typical Low $223.87 Median $257.04 Typical High $467.74 | Professional | None | $223.87 | $257.04 | $467.74 |
United Setting Facility Modifier None Typical Low $208.93 Median $398.11 Typical High $1,047.13 | Facility | None | $208.93 | $398.11 | $1,047.13 |
United Setting Professional Modifier None Typical Low $218.78 Median $309.03 Typical High $562.34 | Professional | None | $218.78 | $309.03 | $562.34 |
Wellpoint Setting Professional Modifier None Typical Low $229.09 Median $338.84 Typical High $338.84 | Professional | None | $229.09 | $338.84 | $338.84 |
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 $112.20 Median $114.82 Typical High $128.82 | Professional | 52 · Reduced service | $112.20 | $114.82 | $128.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $44.67 Median $45.71 Typical High $51.29 | Professional | 53 · Discontinued | $44.67 | $45.71 | $51.29 |
Where Maryland sits
The same service costs 3.4 times more in Wisconsin than in New York. 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
$282
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.