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 $45.71 Median $63.10 Typical High $91.20 | Facility | None | $45.71 | $63.10 | $91.20 |
Aetna Setting Professional Modifier None Typical Low $45.71 Median $46.77 Typical High $63.10 | Professional | None | $45.71 | $46.77 | $63.10 |
CareFirst Setting Professional Modifier None Typical Low $44.67 Median $50.12 Typical High $50.12 | Professional | None | $44.67 | $50.12 | $50.12 |
Cigna Setting Facility Modifier None Typical Low $33.11 Median $42.66 Typical High $77.62 | Facility | None | $33.11 | $42.66 | $77.62 |
Cigna Setting Professional Modifier None Typical Low $32.36 Median $58.88 Typical High $151.36 | Professional | None | $32.36 | $58.88 | $151.36 |
Kaiser Permanente Setting Professional Modifier None Typical Low $61.66 Median $70.79 Typical High $93.33 | Professional | None | $61.66 | $70.79 | $93.33 |
United Setting Professional Modifier None Typical Low $28.18 Median $33.88 Typical High $52.48 | Professional | None | $28.18 | $33.88 | $52.48 |
Wellpoint Setting Professional Modifier None Typical Low $23.99 Median $48.98 Typical High $48.98 | Professional | None | $23.99 | $48.98 | $48.98 |
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 $22.91 Median $23.44 Typical High $23.44 | Professional | 52 · Reduced service | $22.91 | $23.44 | $23.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $9.12 Median $9.33 Typical High $9.33 | Professional | 53 · Discontinued | $9.12 | $9.33 | $9.33 |
Where Maryland sits
The same service costs 4.5 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· 48th of 51
$46.77
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.