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 $288.40 Median $295.12 Typical High $380.19 | Professional | None | $288.40 | $295.12 | $380.19 |
CareFirst Setting Professional Modifier None Typical Low $316.23 Median $346.74 Typical High $363.08 | Professional | None | $316.23 | $346.74 | $363.08 |
Cigna Setting Professional Modifier None Typical Low $295.12 Median $354.81 Typical High $954.99 | Professional | None | $295.12 | $354.81 | $954.99 |
Kaiser Permanente Setting Professional Modifier None Typical Low $281.84 Median $331.13 Typical High $588.84 | Professional | None | $281.84 | $331.13 | $588.84 |
United Setting Facility Modifier None Typical Low $1,621.81 Median $3,801.89 Typical High $7,079.46 | Facility | None | $1,621.81 | $3,801.89 | $7,079.46 |
United Setting Professional Modifier None Typical Low $269.15 Median $398.11 Typical High $724.44 | Professional | None | $269.15 | $398.11 | $724.44 |
Wellpoint Setting Professional Modifier None Typical Low $257.04 Median $257.04 Typical High $426.58 | Professional | None | $257.04 | $257.04 | $426.58 |
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 $144.54 Median $147.91 Typical High $165.96 | Professional | 52 · Reduced service | $144.54 | $147.91 | $165.96 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $57.54 Median $58.88 Typical High $67.61 | Professional | 53 · Discontinued | $57.54 | $58.88 | $67.61 |
Where Maryland sits
The same service costs 17.0 times more in Oklahoma 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· 48th of 51
$372
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.