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 $95.50 Median $181.97 Typical High $186.21 | Professional | None | $95.50 | $181.97 | $186.21 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $47.86 Median $91.20 Typical High $91.20 | Professional | 52 · Reduced service | $47.86 | $91.20 | $91.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.05 Median $36.31 Typical High $37.15 | Professional | 53 · Discontinued | $19.05 | $36.31 | $37.15 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $14.45 Median $26.92 Typical High $27.54 | Professional | 55 · Aftercare only | $14.45 | $26.92 | $27.54 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $9.55 Median $18.20 Typical High $18.62 | Professional | 56 · Pre-op care only | $9.55 | $18.20 | $18.62 |
CareFirst Setting Professional Modifier None Typical Low $194.98 Median $194.98 Typical High $194.98 | Professional | None | $194.98 | $194.98 | $194.98 |
Cigna Setting Professional Modifier None Typical Low $109.65 Median $109.65 Typical High $109.65 | Professional | None | $109.65 | $109.65 | $109.65 |
Kaiser Permanente Setting Professional Modifier None Typical Low $245.47 Median $288.40 Typical High $407.38 | Professional | None | $245.47 | $288.40 | $407.38 |
United Setting Professional Modifier None Typical Low $125.89 Median $141.25 Typical High $158.49 | Professional | None | $125.89 | $141.25 | $158.49 |
3 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 |
|---|---|---|---|---|---|
United Setting Professional Modifier CD · Dialysis lab test, bundled Typical Low $50.12 Median $50.12 Typical High $50.12 | Professional | CD · Dialysis lab test, bundled | $50.12 | $50.12 | $50.12 |
United Setting Professional Modifier CM · 80–99% impaired Typical Low $70.79 Median $70.79 Typical High $70.79 | Professional | CM · 80–99% impaired | $70.79 | $70.79 | $70.79 |
United Setting Professional Modifier XC Typical Low $1,513.56 Median $1,513.56 Typical High $1,513.56 | Professional | XC | $1,513.56 | $1,513.56 | $1,513.56 |
Where Maryland sits
The same service costs 2.5 times more in Alaska than in Utah. 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· 36th of 51
$158
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.