How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $13.49 Median $13.80 Typical High $13.80 | Professional | None (both parts) | $13.49 | $13.80 | $13.80 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $13.18 Median $14.79 Typical High $14.79 | Professional | None (both parts) | $13.18 | $14.79 | $14.79 |
Cigna Setting Facility Modifier None Typical Low $9.77 Median $9.77 Typical High $9.77 | Facility | None | $9.77 | $9.77 | $9.77 |
Cigna Setting Professional Modifier None (both parts) Typical Low $9.77 Median $9.77 Typical High $26.30 | Professional | None (both parts) | $9.77 | $9.77 | $26.30 |
Kaiser Permanente Setting Professional Modifier None Typical Low $17.38 Median $21.38 Typical High $27.54 | Professional | None | $17.38 | $21.38 | $27.54 |
United Setting Professional Modifier None (both parts) Typical Low $7.76 Median $9.12 Typical High $12.30 | Professional | None (both parts) | $7.76 | $9.12 | $12.30 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $8.13 Median $14.79 Typical High $20.89 | Professional | None (both parts) | $8.13 | $14.79 | $20.89 |
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 |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 26 · Professional part Typical Low $13.49 Median $13.80 Typical High $13.80 | Professional | 26 · Professional part | $13.49 | $13.80 | $13.80 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $6.76 Median $6.92 Typical High $6.92 | Professional | 52 · Reduced service | $6.76 | $6.92 | $6.92 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.69 Median $2.75 Typical High $2.75 | Professional | 53 · Discontinued | $2.69 | $2.75 | $2.75 |
Where Maryland sits
The same service costs 4.0 times more in Alaska than in Kentucky. 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· 34th of 51
$13.80
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.