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 (both parts) Typical Low $25.70 Median $26.30 Typical High $26.30 | Professional | None (both parts) | $25.70 | $26.30 | $26.30 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $25.12 Median $28.18 Typical High $28.18 | Professional | None (both parts) | $25.12 | $28.18 | $28.18 |
Cigna Setting Professional Modifier None (both parts) Typical Low $18.62 Median $18.62 Typical High $18.62 | Professional | None (both parts) | $18.62 | $18.62 | $18.62 |
Kaiser Permanente Setting Professional Modifier None Typical Low $35.48 Median $41.69 Typical High $52.48 | Professional | None | $35.48 | $41.69 | $52.48 |
United Setting Professional Modifier None (both parts) Typical Low $14.79 Median $17.38 Typical High $30.90 | Professional | None (both parts) | $14.79 | $17.38 | $30.90 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $28.18 Median $28.18 Typical High $28.18 | Professional | None (both parts) | $28.18 | $28.18 | $28.18 |
4 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 26 · Professional part Typical Low $25.70 Median $26.30 Typical High $26.30 | Professional | 26 · Professional part | $25.70 | $26.30 | $26.30 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $12.88 Median $13.18 Typical High $13.18 | Professional | 52 · Reduced service | $12.88 | $13.18 | $13.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.25 Median $5.25 Typical High $5.25 | Professional | 53 · Discontinued | $5.25 | $5.25 | $5.25 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $38.02 Median $45.71 Typical High $57.54 | Professional | TC · Technical part | $38.02 | $45.71 | $57.54 |
Where Maryland sits
The same service costs 8.7 times more in Texas than in Alabama. 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· 37th of 51
$26.30
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.