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 Typical Low $12.02 Median $12.02 Typical High $12.88 | Professional | None | $12.02 | $12.02 | $12.88 |
CareFirst Setting Professional Modifier None Typical Low $11.48 Median $12.88 Typical High $14.45 | Professional | None | $11.48 | $12.88 | $14.45 |
Cigna Setting Facility Modifier None Typical Low $8.51 Median $11.22 Typical High $20.89 | Facility | None | $8.51 | $11.22 | $20.89 |
Cigna Setting Professional Modifier None Typical Low $8.51 Median $16.22 Typical High $39.81 | Professional | None | $8.51 | $16.22 | $39.81 |
Kaiser Permanente Setting Professional Modifier None Typical Low $16.22 Median $18.62 Typical High $31.62 | Professional | None | $16.22 | $18.62 | $31.62 |
United Setting Professional Modifier None Typical Low $7.24 Median $9.55 Typical High $13.49 | Professional | None | $7.24 | $9.55 | $13.49 |
Wellpoint Setting Professional Modifier None Typical Low $6.31 Median $15.85 Typical High $15.85 | Professional | None | $6.31 | $15.85 | $15.85 |
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 $6.03 Median $6.03 Typical High $6.03 | Professional | 52 · Reduced service | $6.03 | $6.03 | $6.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.40 Median $2.40 Typical High $2.40 | Professional | 53 · Discontinued | $2.40 | $2.40 | $2.40 |
Where Maryland sits
The same service costs 3.0 times more in Alaska than in Rhode Island. 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
$12.02
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.