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 $34.67 Median $38.02 Typical High $144.54 | Professional | None | $34.67 | $38.02 | $144.54 |
CareFirst Setting Professional Modifier None Typical Low $36.31 Median $40.74 Typical High $43.65 | Professional | None | $36.31 | $40.74 | $43.65 |
Cigna Setting Professional Modifier None Typical Low $36.31 Median $57.54 Typical High $213.80 | Professional | None | $36.31 | $57.54 | $213.80 |
Kaiser Permanente Setting Professional Modifier None Typical Low $38.02 Median $43.65 Typical High $218.78 | Professional | None | $38.02 | $43.65 | $218.78 |
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 $44.67 Median $104.71 Typical High $234.42 | Professional | None | $44.67 | $104.71 | $234.42 |
Wellpoint Setting Professional Modifier None Typical Low $38.02 Median $38.02 Typical High $57.54 | Professional | None | $38.02 | $38.02 | $57.54 |
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 $26.30 Median $26.30 Typical High $83.18 | Professional | 54 · Surgery only | $26.30 | $26.30 | $83.18 |
Where Maryland sits
The same service costs 3.9 times more in Wisconsin than in Hawaii. 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
$63.10
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.