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 $24.55 Median $24.55 Typical High $177.83 | Professional | None | $24.55 | $24.55 | $177.83 |
CareFirst Setting Professional Modifier None Typical Low $25.12 Median $27.54 Typical High $31.62 | Professional | None | $25.12 | $27.54 | $31.62 |
Cigna Setting Professional Modifier None Typical Low $25.12 Median $48.98 Typical High $251.19 | Professional | None | $25.12 | $48.98 | $251.19 |
Kaiser Permanente Setting Professional Modifier None Typical Low $26.30 Median $30.20 Typical High $263.03 | Professional | None | $26.30 | $30.20 | $263.03 |
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 $38.02 Median $102.33 Typical High $281.84 | Professional | None | $38.02 | $102.33 | $281.84 |
Wellpoint Setting Professional Modifier None Typical Low $26.30 Median $26.30 Typical High $39.81 | Professional | None | $26.30 | $26.30 | $39.81 |
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 $18.20 Median $18.62 Typical High $97.72 | Professional | 54 · Surgery only | $18.20 | $18.62 | $97.72 |
Where Maryland sits
The same service costs 4.6 times more in Kansas than in Wyoming. 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· 45th of 51
$52.48
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.