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 $6.03 Median $8.32 Typical High $12.02 | Facility | None | $6.03 | $8.32 | $12.02 |
Aetna Setting Professional Modifier None Typical Low $4.47 Median $6.17 Typical High $9.55 | Professional | None | $4.47 | $6.17 | $9.55 |
CareFirst Setting Professional Modifier None Typical Low $5.89 Median $6.61 Typical High $9.77 | Professional | None | $5.89 | $6.61 | $9.77 |
Cigna Setting Facility Modifier None Typical Low $4.37 Median $5.75 Typical High $10.47 | Facility | None | $4.37 | $5.75 | $10.47 |
Cigna Setting Professional Modifier None Typical Low $4.37 Median $8.13 Typical High $19.95 | Professional | None | $4.37 | $8.13 | $19.95 |
Kaiser Permanente Setting Professional Modifier None Typical Low $8.13 Median $9.33 Typical High $15.85 | Professional | None | $8.13 | $9.33 | $15.85 |
United Setting Facility Modifier None Typical Low $2.75 Median $2.75 Typical High $2.75 | Facility | None | $2.75 | $2.75 | $2.75 |
United Setting Professional Modifier None Typical Low $3.72 Median $4.79 Typical High $6.92 | Professional | None | $3.72 | $4.79 | $6.92 |
Wellpoint Setting Professional Modifier None Typical Low $3.16 Median $7.94 Typical High $7.94 | Professional | None | $3.16 | $7.94 | $7.94 |
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 $3.02 Median $3.09 Typical High $3.09 | Professional | 52 · Reduced service | $3.02 | $3.09 | $3.09 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.20 Median $1.23 Typical High $1.23 | Professional | 53 · Discontinued | $1.20 | $1.23 | $1.23 |
Where Maryland sits
The same service costs 17.0 times more in Vermont 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· 50th of 51
$6.17
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.