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 $63.10 Median $64.57 Typical High $64.57 | Professional | None | $63.10 | $64.57 | $64.57 |
CareFirst Setting Professional Modifier None Typical Low $63.10 Median $69.18 Typical High $77.62 | Professional | None | $63.10 | $69.18 | $77.62 |
Cigna Setting Facility Modifier None Typical Low $45.71 Median $60.26 Typical High $112.20 | Facility | None | $45.71 | $60.26 | $112.20 |
Cigna Setting Professional Modifier None Typical Low $45.71 Median $85.11 Typical High $213.80 | Professional | None | $45.71 | $85.11 | $213.80 |
Kaiser Permanente Setting Professional Modifier None Typical Low $87.10 Median $100.00 Typical High $169.82 | Professional | None | $87.10 | $100.00 | $169.82 |
United Setting Professional Modifier None Typical Low $38.90 Median $51.29 Typical High $72.44 | Professional | None | $38.90 | $51.29 | $72.44 |
Wellpoint Setting Professional Modifier None Typical Low $33.88 Median $85.11 Typical High $85.11 | Professional | None | $33.88 | $85.11 | $85.11 |
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 $32.36 Median $32.36 Typical High $32.36 | Professional | 52 · Reduced service | $32.36 | $32.36 | $32.36 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.88 Median $13.18 Typical High $13.18 | Professional | 53 · Discontinued | $12.88 | $13.18 | $13.18 |
Where Maryland sits
The same service costs 4.1 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· 48th of 51
$64.57
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.