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 Facility Modifier None Typical Low $44.67 Median $44.67 Typical High $60.26 | Facility | None | $44.67 | $44.67 | $60.26 |
Aetna Setting Professional Modifier None Typical Low $35.48 Median $35.48 Typical High $38.90 | Professional | None | $35.48 | $35.48 | $38.90 |
CareFirst Setting Professional Modifier None Typical Low $34.67 Median $38.02 Typical High $38.02 | Professional | None | $34.67 | $38.02 | $38.02 |
Cigna Setting Facility Modifier None Typical Low $25.12 Median $31.62 Typical High $61.66 | Facility | None | $25.12 | $31.62 | $61.66 |
Cigna Setting Professional Modifier None Typical Low $25.12 Median $44.67 Typical High $117.49 | Professional | None | $25.12 | $44.67 | $117.49 |
Kaiser Permanente Setting Professional Modifier None Typical Low $47.86 Median $54.95 Typical High $72.44 | Professional | None | $47.86 | $54.95 | $72.44 |
United Setting Professional Modifier None Typical Low $21.38 Median $27.54 Typical High $39.81 | Professional | None | $21.38 | $27.54 | $39.81 |
Wellpoint Setting Professional Modifier None Typical Low $18.62 Median $46.77 Typical High $46.77 | Professional | None | $18.62 | $46.77 | $46.77 |
2 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 52 · Reduced service Typical Low $17.78 Median $17.78 Typical High $17.78 | Professional | 52 · Reduced service | $17.78 | $17.78 | $17.78 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.08 Median $7.24 Typical High $7.24 | Professional | 53 · Discontinued | $7.08 | $7.24 | $7.24 |
Where Maryland sits
The same service costs 5.4 times more in Alaska 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· 47th of 51
$35.48
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.