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 $177.83 Median $194.98 Typical High $436.52 | Professional | None | $177.83 | $194.98 | $436.52 |
CareFirst Setting Professional Modifier None Typical Low $199.53 Median $223.87 Typical High $223.87 | Professional | None | $199.53 | $223.87 | $223.87 |
Cigna Setting Professional Modifier None Typical Low $194.98 Median $229.09 Typical High $616.60 | Professional | None | $194.98 | $229.09 | $616.60 |
Kaiser Permanente Setting Professional Modifier None Typical Low $213.80 Median $245.47 Typical High $426.58 | Professional | None | $213.80 | $245.47 | $426.58 |
United Setting Facility Modifier None Typical Low $64.57 Median $144.54 Typical High $616.60 | Facility | None | $64.57 | $144.54 | $616.60 |
United Setting Professional Modifier None Typical Low $181.97 Median $257.04 Typical High $478.63 | Professional | None | $181.97 | $257.04 | $478.63 |
Wellpoint Setting Professional Modifier None Typical Low $169.82 Median $169.82 Typical High $323.59 | Professional | None | $169.82 | $169.82 | $323.59 |
1 more rate 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 54 · Surgery only Typical Low $144.54 Median $144.54 Typical High $154.88 | Professional | 54 · Surgery only | $144.54 | $144.54 | $154.88 |
Where Maryland sits
The same service costs 3.6 times more in Wisconsin than in Maryland. 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· 51st of 51
$209
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.