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 $19.95 Median $20.42 Typical High $20.42 | Professional | None | $19.95 | $20.42 | $20.42 |
CareFirst Setting Professional Modifier None Typical Low $19.50 Median $21.88 Typical High $21.88 | Professional | None | $19.50 | $21.88 | $21.88 |
Cigna Setting Facility Modifier None Typical Low $14.13 Median $17.78 Typical High $35.48 | Facility | None | $14.13 | $17.78 | $35.48 |
Cigna Setting Professional Modifier None Typical Low $14.13 Median $25.70 Typical High $66.07 | Professional | None | $14.13 | $25.70 | $66.07 |
Kaiser Permanente Setting Professional Modifier None Typical Low $25.70 Median $30.90 Typical High $40.74 | Professional | None | $25.70 | $30.90 | $40.74 |
United Setting Professional Modifier None Typical Low $11.48 Median $13.49 Typical High $20.42 | Professional | None | $11.48 | $13.49 | $20.42 |
Wellpoint Setting Professional Modifier None Typical Low $10.47 Median $21.38 Typical High $21.38 | Professional | None | $10.47 | $21.38 | $21.38 |
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 $10.00 Median $10.23 Typical High $10.23 | Professional | 52 · Reduced service | $10.00 | $10.23 | $10.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.98 Median $4.07 Typical High $4.07 | Professional | 53 · Discontinued | $3.98 | $4.07 | $4.07 |
Where Maryland sits
The same service costs 4.0 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· 41st of 51
$20.42
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.